NGN ATI Maternal Newborn Proctored Actual Exam Test Bank
NGN ATI MATERNAL NEWBORN PROCTORED ACTUAL EXAM TEST BANK
NEWEST / NGN ATI MATERNAL NEWBORN PROCTORED EXAM
PREPARATION /NGN ATI MATERNAL NEWBORN PROCTORED PRACTICE
EXAM WITH COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A
A nurse is providing teaching t a client about the physiological changes that occur
during pregnancy. The client is at 10 weeks of gestation and has a BMI within the
expected range. Which of the following client statements indicates an
understanding of the teaching?
A. "I will not gain more than 15 to 20 pounds during my pregnancy."
B. "I will likely need to use alternative positions for sexual intercourse."
C. "I'm glad I had a breast reduction years ago, so they will not enlarge with my
pregnancy."
D. "I'm glad I have a light complexion and will not get any stretch marks."
B.
The weight gain of pregnancy will likely require alternative positions for sexual
intercourse. This client statement indicates that she understands the nurse's
teaching about the physiological changes that occur during pregnancy.
A nurse is performing a routine assessment on a client who is at 18 weeks of
gestation. Which of the following findings should the nurse expect?
A. Deep tendon reflexes 4+
B. Fundal height 14 cm
C. Urine protein 2+
D. FHR 152/min
D.
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, NGN ATI Maternal Newborn Proctored Actual Exam Test Bank
The expected range for the FHR is 110/min to 160/min. The FHR is higher earlier
in gestation with an average of approximately 160/min at 20 weeks of gestation.
Therefore, this is an expected finding by the nurse.
A nurse is preparing to collect a blood specimen from a newborn via a heel stick.
Which of the following techniques should the nurse use to help minimize the pain
of the procedure for the newborn?
A. Apply a cool pack for 10 min to the heel prior to the puncture.
B. Request a prescription for IM analgesic.
C. Use a manual lance blade to pierce the skin.
D. Place the newborn skin to skin on the mother's chest.
D.
Placing the newborn skin to skin on the mother's chest is an effective technique to
significantly decrease the newborn's pain level and anxiety. The nurse should
implement this technique before, during, and after the procedure.
A nurse is assessing a client who is at 38 weeks of gestation during a weekly
prenatal visit. Which of the following findings should the nurse report to the
provider?
A. Blood pressure 136/88 mm Hg
B. Report of insomnia
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, NGN ATI Maternal Newborn Proctored Actual Exam Test Bank
C. Weight gain of 2.2 kg (4.8 lb)
D. Report of Braxton Hicks contractions
C.
A weight gain of 2.2 kg (4.8 lb) in a week is above the expected reference range
and could indicate complications. Therefore, this finding should be reported to the
provider.
A nurse is providing discharge teaching to a client who had a cesarean birth 3 days
ago. Which of the following instructions should the nurse include?
A. "You can resume sexual activity in 1 week."
B. "You won't need to do Kegel exercises since you had a cesarean."
C. "You can still become pregnant if you are breastfeeding."
D. "You are safe to start adding sit-ups to your exercise routine in 2 weeks."
C.
The nurse should instruct the client that breastfeeding does not prevent
ovulation. Therefore, the client can become pregnant. The nurse should discuss
contraception that is safe to use while breastfeeding.
A nurse is assessing a client who received carboprost for postpartum hemorrhage.
Which of the following findings is an adverse effect of this medication?
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, NGN ATI Maternal Newborn Proctored Actual Exam Test Bank
A. Hypertension
B. Hypothermia
C. Constipation
D. Muscle Weakness
A.
The nurse should recognize that carboprost is a vasoconstrictor that can cause
hypertension.
A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia?
A. Hypertonia
B. Increased feeding
C. Hyperthermia
D. Respiratory distress
D.
Late preterm newborns are at an increased risk for hypoglycemia due to
decreased glycogen stores and immature insulin secretion. Respiratory distress is
a manifestation of hypoglycemia. Other manifestations of hypoglycemia include
an abnormal cry, jitteriness, lethargy, poor feeding, apnea, and seizures.
A nurse is teaching a newly licensed nurse about collecting a specimen for the
universal newborn screening. Which of the following statements should the nurse
include in the teaching?
A. "Obtain an informed consent prior to obtaining the specimen."
4|Page
NGN ATI MATERNAL NEWBORN PROCTORED ACTUAL EXAM TEST BANK
NEWEST / NGN ATI MATERNAL NEWBORN PROCTORED EXAM
PREPARATION /NGN ATI MATERNAL NEWBORN PROCTORED PRACTICE
EXAM WITH COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A
A nurse is providing teaching t a client about the physiological changes that occur
during pregnancy. The client is at 10 weeks of gestation and has a BMI within the
expected range. Which of the following client statements indicates an
understanding of the teaching?
A. "I will not gain more than 15 to 20 pounds during my pregnancy."
B. "I will likely need to use alternative positions for sexual intercourse."
C. "I'm glad I had a breast reduction years ago, so they will not enlarge with my
pregnancy."
D. "I'm glad I have a light complexion and will not get any stretch marks."
B.
The weight gain of pregnancy will likely require alternative positions for sexual
intercourse. This client statement indicates that she understands the nurse's
teaching about the physiological changes that occur during pregnancy.
A nurse is performing a routine assessment on a client who is at 18 weeks of
gestation. Which of the following findings should the nurse expect?
A. Deep tendon reflexes 4+
B. Fundal height 14 cm
C. Urine protein 2+
D. FHR 152/min
D.
1|Page
, NGN ATI Maternal Newborn Proctored Actual Exam Test Bank
The expected range for the FHR is 110/min to 160/min. The FHR is higher earlier
in gestation with an average of approximately 160/min at 20 weeks of gestation.
Therefore, this is an expected finding by the nurse.
A nurse is preparing to collect a blood specimen from a newborn via a heel stick.
Which of the following techniques should the nurse use to help minimize the pain
of the procedure for the newborn?
A. Apply a cool pack for 10 min to the heel prior to the puncture.
B. Request a prescription for IM analgesic.
C. Use a manual lance blade to pierce the skin.
D. Place the newborn skin to skin on the mother's chest.
D.
Placing the newborn skin to skin on the mother's chest is an effective technique to
significantly decrease the newborn's pain level and anxiety. The nurse should
implement this technique before, during, and after the procedure.
A nurse is assessing a client who is at 38 weeks of gestation during a weekly
prenatal visit. Which of the following findings should the nurse report to the
provider?
A. Blood pressure 136/88 mm Hg
B. Report of insomnia
2|Page
, NGN ATI Maternal Newborn Proctored Actual Exam Test Bank
C. Weight gain of 2.2 kg (4.8 lb)
D. Report of Braxton Hicks contractions
C.
A weight gain of 2.2 kg (4.8 lb) in a week is above the expected reference range
and could indicate complications. Therefore, this finding should be reported to the
provider.
A nurse is providing discharge teaching to a client who had a cesarean birth 3 days
ago. Which of the following instructions should the nurse include?
A. "You can resume sexual activity in 1 week."
B. "You won't need to do Kegel exercises since you had a cesarean."
C. "You can still become pregnant if you are breastfeeding."
D. "You are safe to start adding sit-ups to your exercise routine in 2 weeks."
C.
The nurse should instruct the client that breastfeeding does not prevent
ovulation. Therefore, the client can become pregnant. The nurse should discuss
contraception that is safe to use while breastfeeding.
A nurse is assessing a client who received carboprost for postpartum hemorrhage.
Which of the following findings is an adverse effect of this medication?
3|Page
, NGN ATI Maternal Newborn Proctored Actual Exam Test Bank
A. Hypertension
B. Hypothermia
C. Constipation
D. Muscle Weakness
A.
The nurse should recognize that carboprost is a vasoconstrictor that can cause
hypertension.
A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia?
A. Hypertonia
B. Increased feeding
C. Hyperthermia
D. Respiratory distress
D.
Late preterm newborns are at an increased risk for hypoglycemia due to
decreased glycogen stores and immature insulin secretion. Respiratory distress is
a manifestation of hypoglycemia. Other manifestations of hypoglycemia include
an abnormal cry, jitteriness, lethargy, poor feeding, apnea, and seizures.
A nurse is teaching a newly licensed nurse about collecting a specimen for the
universal newborn screening. Which of the following statements should the nurse
include in the teaching?
A. "Obtain an informed consent prior to obtaining the specimen."
4|Page
