2024/2025 ATI RN MATERNAL NEWBORN
PROCTORED EXAM WITH NGN LATEST
OCTOBER 2024 EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS
1. A client experiences a large gush of fluid from her vagina while walking in the
hallway of the birthing unit. which of the following actions should the nurse take
first?
a check amniotic fluid for meconium
b monitor FHR for distress
c dry the client and make her comfortable
d monitor UC - CORRECT ANSWER b monitor FHR for distress
2. a client who is at 7 weeks of gstation is experiencing n/v in the morning. Which of
the following info should the nurse include in the teaching?
a eat crackers or plain toast before getting out of bed
b awaken during the night to eat a snack
c skip breakfast and eat lunch after nausea has subsided
d eat a large evening meal - CORRECT ANSWER a: eat crackers or plain toast
before getting out of bed
3. A client who is at 8 weeks of gestation tells the RN that she isn't sure she is
happy about being pregnant. which of the following responses should the nurse
make?
a: i will inform the provider that you are having these feelings
b: it is normal to have these feelings during the first few months of pregnancy
c: you should be happy that you are going to bring new life into the world
d: i am going to make an appointment with the counselor for you to discuss these
thoughts - CORRECT ANSWER b: it is normal to have these feelings during the first
few months of pregnancy
4. A nurse at an antepartum clinic is caring for a client who is at 4 months of
gestation. The client reports continued nausea and vomiting and scant, prune-
colored discharge. She has experienced no weight loss and has a fundal height
larger than expected. Which of the following complications should the nurse
suspect?
A. Hyperemesis gravidarum
B. Threatened abortion
, C. Hydatidiform mole
D. Preterm labor - CORRECT ANSWER C. Hydatidiform mole
5. a nurse in a clinic is teaching a client of childbearing age about recommended
folic acid supplements. which of the following defects can occur in the fetus or
neonate as a result of folic acid deficiency?
a iron deficiency anemia
b poor bone formation
c macrosomic fetus
d neural tube defects - CORRECT ANSWER d neural tube defects
6. A nurse in a clinic receives a phone call from a client who believes she is
pregnant and would like to be tested in the clinic to confirm her pregnancy. Which
of the following information should the nurse provide to the client?
A) "You should wait until 4 weeks after conception to be tested"
B) "You should be off any medications for 24 hours prior to the test"
C) "You should be NPO for at least 8 hours prior to the test"
D) "You should collect urine from the first morning void" - CORRECT ANSWER d
"You should collect urine from the first morning void"
7. a nurse in a prenatal clinic caring for a client who is pregnant and experiencing
episodes of maternal hypotension. The client asks the nurse what causes these
episodes. Which of the following responses should the nurse make?
a this is due to an increase in blood volume
b this is due to pressure from the uterus on the diaphragm
c this is due to the weight of the uterus on the vena cava
d this is due to increase cardiac output - CORRECT ANSWER c: due to the weight of
the uterus on the vena cava
8. A nurse in a prenatal clinic is caring for a client who is in the first trimester of
pregnancy . The client's health records includes G3 T1 P0 A1 L1. How should the
nurse interpret this? SATA
A client has delivered one newborn at term
B client has experienced no preterm labor
C client has had 2 pregnancies
D client has one living child
E client has been through active labor - CORRECT ANSWER a: delivered one
newborn at term
c: had 2 pregnancies
d: has one living child
9. a nurse in a prenatal clinic is caring for four clients. which of the following client's
weight gain should the nurse report to the provider?
a 1.8 kg (4lb) weight gain and is in her first trimester
b 3.6 kg (8lbs) weight gain and is in her first trimester
c 6.8 kg (15 lbs) weight gain and is in her second trimester
PROCTORED EXAM WITH NGN LATEST
OCTOBER 2024 EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS
1. A client experiences a large gush of fluid from her vagina while walking in the
hallway of the birthing unit. which of the following actions should the nurse take
first?
a check amniotic fluid for meconium
b monitor FHR for distress
c dry the client and make her comfortable
d monitor UC - CORRECT ANSWER b monitor FHR for distress
2. a client who is at 7 weeks of gstation is experiencing n/v in the morning. Which of
the following info should the nurse include in the teaching?
a eat crackers or plain toast before getting out of bed
b awaken during the night to eat a snack
c skip breakfast and eat lunch after nausea has subsided
d eat a large evening meal - CORRECT ANSWER a: eat crackers or plain toast
before getting out of bed
3. A client who is at 8 weeks of gestation tells the RN that she isn't sure she is
happy about being pregnant. which of the following responses should the nurse
make?
a: i will inform the provider that you are having these feelings
b: it is normal to have these feelings during the first few months of pregnancy
c: you should be happy that you are going to bring new life into the world
d: i am going to make an appointment with the counselor for you to discuss these
thoughts - CORRECT ANSWER b: it is normal to have these feelings during the first
few months of pregnancy
4. A nurse at an antepartum clinic is caring for a client who is at 4 months of
gestation. The client reports continued nausea and vomiting and scant, prune-
colored discharge. She has experienced no weight loss and has a fundal height
larger than expected. Which of the following complications should the nurse
suspect?
A. Hyperemesis gravidarum
B. Threatened abortion
, C. Hydatidiform mole
D. Preterm labor - CORRECT ANSWER C. Hydatidiform mole
5. a nurse in a clinic is teaching a client of childbearing age about recommended
folic acid supplements. which of the following defects can occur in the fetus or
neonate as a result of folic acid deficiency?
a iron deficiency anemia
b poor bone formation
c macrosomic fetus
d neural tube defects - CORRECT ANSWER d neural tube defects
6. A nurse in a clinic receives a phone call from a client who believes she is
pregnant and would like to be tested in the clinic to confirm her pregnancy. Which
of the following information should the nurse provide to the client?
A) "You should wait until 4 weeks after conception to be tested"
B) "You should be off any medications for 24 hours prior to the test"
C) "You should be NPO for at least 8 hours prior to the test"
D) "You should collect urine from the first morning void" - CORRECT ANSWER d
"You should collect urine from the first morning void"
7. a nurse in a prenatal clinic caring for a client who is pregnant and experiencing
episodes of maternal hypotension. The client asks the nurse what causes these
episodes. Which of the following responses should the nurse make?
a this is due to an increase in blood volume
b this is due to pressure from the uterus on the diaphragm
c this is due to the weight of the uterus on the vena cava
d this is due to increase cardiac output - CORRECT ANSWER c: due to the weight of
the uterus on the vena cava
8. A nurse in a prenatal clinic is caring for a client who is in the first trimester of
pregnancy . The client's health records includes G3 T1 P0 A1 L1. How should the
nurse interpret this? SATA
A client has delivered one newborn at term
B client has experienced no preterm labor
C client has had 2 pregnancies
D client has one living child
E client has been through active labor - CORRECT ANSWER a: delivered one
newborn at term
c: had 2 pregnancies
d: has one living child
9. a nurse in a prenatal clinic is caring for four clients. which of the following client's
weight gain should the nurse report to the provider?
a 1.8 kg (4lb) weight gain and is in her first trimester
b 3.6 kg (8lbs) weight gain and is in her first trimester
c 6.8 kg (15 lbs) weight gain and is in her second trimester
