NGN ATI RN MATERNAL NEWBORN PROCTORED
EXAM 2024 ACTUAL EXAM COMPLETE 300
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
A nurse is assessing a client who is at 35 wks gestation and is receiving magnesium
sulfate via continuous IV infusion for severe pre-eclampsia. What finding should the
nurse report to the provider?
a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr - ANSWER---d. urinary output 20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this can indicate
inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A
decrease in urinary output can also indicate a decrease in renal perfusion secondary
to a worsening of the client's pre-eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the treatment of
incompetent cervix with cervical cerclage. What statement by the client indicates an
understanding of teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
c. I am sad that I won't be able to get pregnant again
d. I can resume having sex as soon as I feel up to it - ANSWER---a. I should go to the
hospital if I think I may be in labor
Cervical cerclage prevents premature opening of the cervix during pregnancy. The
client should immediately go to a facility for evaluation if she experiences any
, NGN ATI RN MATERNAL NEWBORN PROCTORED
EXAM 2024 ACTUAL EXAM COMPLETE 300
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
manifestations of labor while the cerclage is in place. If the client experiences preterm
uterine contractions she might require tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing moderate bright red
vaginal bleeding. What action should the nurse take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation - ANSWER---a. obtain blood
samples for baseline lab values
The nurse should obtain samples of the client's blood for baseline testing of
hemoglobin and hematocrit levels.
A nurse is caring for a client who is at 38 wks of gestation and reports no fetal
movement for 24 hr. What action should the nurse take?
a. auscultate for a FHR
b. reassure the client that a term fetus is less active
c. have the client drink orange juice
d. palpate the uterus for fetal movement - ANSWER---a. auscultate for a FHR
Presence of a fetal heart rate is a reassuring manifestation of fetal well-being. The
nurse should auscultate for the fetal heart rate using a Doppler device or an external
fetal monitor. This is the priority nursing action.
, NGN ATI RN MATERNAL NEWBORN PROCTORED
EXAM 2024 ACTUAL EXAM COMPLETE 300
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
A nurse is caring for a client who is at 35 wks gestation and has severe pre-eclampsia.
What assessment provides the most accurate info regarding the client's fluid and
electrolyte status.
a. daily wt
b. bp
c. severity of edema
d. I&O - ANSWER---a. daily wt
A nurse is teaching a client who is at 30 wks gestation about warning signs of
complications that she should report to her provider. What finding should the nurse
include in the teaching?
a. 10 fetal movements per hour
b. mild constipation
c. vaginal bleeding
d. nasal congestion - ANSWER---c. vaginal bleeding
Vaginal bleeding can be an abnormal finding during pregnancy that might indicate a
complication such as placental abruption, placenta previa, or preterm labor.
A nurse is teaching a client who is at 8 wks gestation and has a uterine fibroid about
potential effects of the fibroid during pregnancy. What info should the nurse include?
a. you will have to undergo a c-section birth because of the fibroid
b. the fibroid can increase the risk for postpartum hemorrhage
, NGN ATI RN MATERNAL NEWBORN PROCTORED
EXAM 2024 ACTUAL EXAM COMPLETE 300
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
c. the fibroid will shrink during pregnancy
d. you will receive an injection of medroxyprogesterone acetate to shrink the fibroid -
ANSWER---b. the fibroid can increase the risk for postpartum hemorrhage
A nurse is caring for a client who is at 26 wks gestation and reports constipation.
What responses by the nurse is appropriate?
a. you should drink 1 ounce of mineral oil q morning
b. you should eat at least 3 ounces of red meat/day
c. you should walk for at least 30 minutes q day
d. you should stop taking your prenatal - ANSWER---c. you should walk for at least
30 minutes q day
The nurse should encourage the client to participate in moderate physical activity,
such as walking or swimming, every day. This activity increases intestinal peristalsis,
which will help alleviate constipation.
A nurse is planning care for a newborn who is receiving phototherapy for an elevated
bilirubin level. What action should the nurse take?
a. apply barrier ointment to the newborn's perianal region
b. offer the newborn glucose water between feedings
c. use photometer to monitor the lamp's energy
d. keep the newborn's eye patches on during feedings - ANSWER---c. use
photometer to monitor the lamp's energy
EXAM 2024 ACTUAL EXAM COMPLETE 300
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
A nurse is assessing a client who is at 35 wks gestation and is receiving magnesium
sulfate via continuous IV infusion for severe pre-eclampsia. What finding should the
nurse report to the provider?
a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr - ANSWER---d. urinary output 20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this can indicate
inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A
decrease in urinary output can also indicate a decrease in renal perfusion secondary
to a worsening of the client's pre-eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the treatment of
incompetent cervix with cervical cerclage. What statement by the client indicates an
understanding of teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
c. I am sad that I won't be able to get pregnant again
d. I can resume having sex as soon as I feel up to it - ANSWER---a. I should go to the
hospital if I think I may be in labor
Cervical cerclage prevents premature opening of the cervix during pregnancy. The
client should immediately go to a facility for evaluation if she experiences any
, NGN ATI RN MATERNAL NEWBORN PROCTORED
EXAM 2024 ACTUAL EXAM COMPLETE 300
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
manifestations of labor while the cerclage is in place. If the client experiences preterm
uterine contractions she might require tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing moderate bright red
vaginal bleeding. What action should the nurse take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation - ANSWER---a. obtain blood
samples for baseline lab values
The nurse should obtain samples of the client's blood for baseline testing of
hemoglobin and hematocrit levels.
A nurse is caring for a client who is at 38 wks of gestation and reports no fetal
movement for 24 hr. What action should the nurse take?
a. auscultate for a FHR
b. reassure the client that a term fetus is less active
c. have the client drink orange juice
d. palpate the uterus for fetal movement - ANSWER---a. auscultate for a FHR
Presence of a fetal heart rate is a reassuring manifestation of fetal well-being. The
nurse should auscultate for the fetal heart rate using a Doppler device or an external
fetal monitor. This is the priority nursing action.
, NGN ATI RN MATERNAL NEWBORN PROCTORED
EXAM 2024 ACTUAL EXAM COMPLETE 300
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
A nurse is caring for a client who is at 35 wks gestation and has severe pre-eclampsia.
What assessment provides the most accurate info regarding the client's fluid and
electrolyte status.
a. daily wt
b. bp
c. severity of edema
d. I&O - ANSWER---a. daily wt
A nurse is teaching a client who is at 30 wks gestation about warning signs of
complications that she should report to her provider. What finding should the nurse
include in the teaching?
a. 10 fetal movements per hour
b. mild constipation
c. vaginal bleeding
d. nasal congestion - ANSWER---c. vaginal bleeding
Vaginal bleeding can be an abnormal finding during pregnancy that might indicate a
complication such as placental abruption, placenta previa, or preterm labor.
A nurse is teaching a client who is at 8 wks gestation and has a uterine fibroid about
potential effects of the fibroid during pregnancy. What info should the nurse include?
a. you will have to undergo a c-section birth because of the fibroid
b. the fibroid can increase the risk for postpartum hemorrhage
, NGN ATI RN MATERNAL NEWBORN PROCTORED
EXAM 2024 ACTUAL EXAM COMPLETE 300
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
c. the fibroid will shrink during pregnancy
d. you will receive an injection of medroxyprogesterone acetate to shrink the fibroid -
ANSWER---b. the fibroid can increase the risk for postpartum hemorrhage
A nurse is caring for a client who is at 26 wks gestation and reports constipation.
What responses by the nurse is appropriate?
a. you should drink 1 ounce of mineral oil q morning
b. you should eat at least 3 ounces of red meat/day
c. you should walk for at least 30 minutes q day
d. you should stop taking your prenatal - ANSWER---c. you should walk for at least
30 minutes q day
The nurse should encourage the client to participate in moderate physical activity,
such as walking or swimming, every day. This activity increases intestinal peristalsis,
which will help alleviate constipation.
A nurse is planning care for a newborn who is receiving phototherapy for an elevated
bilirubin level. What action should the nurse take?
a. apply barrier ointment to the newborn's perianal region
b. offer the newborn glucose water between feedings
c. use photometer to monitor the lamp's energy
d. keep the newborn's eye patches on during feedings - ANSWER---c. use
photometer to monitor the lamp's energy
