(NGN) ATI PN MATERNAL NEWBORN EXAM.NEWEST WITH COMPLETE 100 QUESTIONS AND
CORRECT DETAILED ANSWERS| BRAND NEW VERSION!!!
Question 1
A nurse is providing education about family bonding to parents who recently adopted a newborn.
The nurse should make which of the following suggestions to aid the family's 7-year-old child in
accepting the newborn?
A) Allow the sibling to hold the newborn during a bath.
B) Make sure the sibling kisses the newborn each night.
C) Obtain a gift from the newborn to present to the sibling.
D) Switch the sibling's room with the nursery.
E) Encourage the sibling to help with all diaper changes.
Correct Answer: C) Obtain a gift from the newborn to present to the sibling.
Rationale: Presenting a gift from the newborn to the sibling is a developmental strategy to
facilitate a school-age child’s acceptance of a new family member. It reduces feelings of
neglect or displacement and fosters a positive initial association with the newborn.
Question 2
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a
cesarean section. The nurse notes a respiratory rate of 8 breaths/min. Which of the following
medications should the nurse administer?
A) Fentanyl
B) Butorphanol
C) Naloxone
D) Meperidine
E) Midazolam
Correct Answer: C) Naloxone
Rationale: Morphine is an opioid analgesic that can cause central nervous system and
respiratory depression. A respiratory rate of 8/min indicates significant depression.
Naloxone is an opioid antagonist used to rapidly reverse the effects of opioids and restore
adequate ventilation.
Question 3
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy.
Which of the following statements by the client indicates an understanding of the teaching?
A) "I should increase my protein intake to 60 grams each day."
B) "I should drink 2 liters of water each day."
C) "I should increase my overall daily caloric intake by 300 calories."
D) "I should take 600 micrograms of folic acid each day."
E) "I should limit my intake of green leafy vegetables to avoid Vitamin K overload."
Correct Answer: D) "I should take 600 micrograms of folic acid each day."
Rationale: A client who is pregnant should consume 600 mcg of folic acid daily. Folic acid is
, 2
critical in the first trimester to assist with the prevention of neural tube defects, such as
spina bifida and anencephaly.
Question 4
A nurse is assessing a newborn 12 hours after birth. Which of the following manifestations
should the nurse report to the provider?
A) Acrocyanosis
B) Transient strabismus
C) Jaundice
D) Caput succedaneum
E) Erythema toxicum
Correct Answer: C) Jaundice
Rationale: Jaundice occurring within the first 24 hours of life is considered pathological and
is often associated with ABO incompatibility, Rh isoimmunization, or hemolysis. Jaundice
appearing after 24 hours is typically physiological. Pathological jaundice requires
immediate investigation to prevent kernicterus.
Question 5
A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of
the following actions by the parent should the nurse recognize as a positive parenting behavior?
A) Lays the newborn across her lap and gently sways.
B) Places the newborn in the crib in a prone position to sleep.
C) Offers the newborn a pacifier dipped in formula.
D) Prepares a bottle of formula mixed with rice cereal to help sleep.
E) Leaves the newborn in the room with the TV on for stimulation.
Correct Answer: A) Lays the newborn across her lap and gently sways.
Rationale: Swaying and providing tactile stimulation are effective techniques for quieting a
newborn. This behavior promotes a sense of security and trust (Erikson’s Trust vs.
Mistrust), which is fundamental to healthy bonding and attachment.
Question 6
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."
B) "Collect at least 1 milliliter of urine for the test."
C) "Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the
specimen."
D) "Premature newborns may have false negative tests due to immature development of liver
enzymes."
E) "Perform the heel stick on the center of the newborn's heel."
Correct Answer: C) "Ensure that the newborn has been receiving feedings for 24 hours prior
, 3
to obtaining the specimen."
Rationale: For the results to be accurate, particularly for metabolic disorders like
Phenylketonuria (PKU), the newborn must have ingested protein via breast milk or
formula for at least 24 hours before the blood sample is collected.
Question 7
A nurse is caring for a patient who has uterine atony and is experiencing postpartum hemorrhage.
Which of the following actions is the nurse's priority?
A) Check the client's capillary refill.
B) Massage the client's fundus.
C) Insert an indwelling urinary catheter for the client.
D) Prepare the client for a blood transfusion.
E) Administer oxygen via non-rebreather mask at 10 L/min.
Correct Answer: B) Massage the client's fundus.
Rationale: The priority action for uterine atony is to massage the fundus. Fundal massage
stimulates uterine contractions, which compresses the intramyometrial blood vessels and
reduces the volume of blood loss. This is the first step to prevent hypovolemic shock.
Question 8
A nurse is performing a physical examination of a newborn upon admission to the nursery.
Which of the following manifestations should the nurse expect? (Select all that apply)
A) Yellow sclera
B) Acrocyanosis
C) Posterior fontanelle larger than anterior fontanelle
D) Positive Babinski reflex
E) Two umbilical arteries visible
Correct Answer: B, D, and E) Acrocyanosis; Positive Babinski reflex; Two umbilical arteries
visible
Rationale: Acrocyanosis is a normal finding for the first 24–48 hours due to poor peripheral
circulation. A positive Babinski is normal in newborns (disappearing by age 1). A normal
cord has two arteries and one vein; only one artery is associated with renal/cardiac
anomalies. Yellow sclera indicates jaundice (abnormal at birth), and the anterior fontanelle
is always larger than the posterior.
Question 9
A nurse is demonstrating to a client how to bathe their newborn. In which order should the nurse
perform the following actions?
1. Clean the newborn's diaper area
2. Wash the newborn's neck by lifting the newborn's chin
, 4
3. Wipe the newborn's eyes from the inner canthus outward
4. Wash the newborn's legs and feet
5. Cleanse the skin around the newborn's umbilical cord stump
A) 1, 2, 3, 4, 5
B) 3, 2, 5, 4, 1
C) 3, 5, 2, 4, 1
D) 2, 3, 5, 4, 1
E) 5, 3, 2, 4, 1
Correct Answer: B) Wipe eyes, wash neck, cleanse cord, wash legs/feet, clean diaper
area.
Rationale: The nurse should follow a "clean to dirty" approach (head-to-toe). Eyes
are cleaned first with plain water (inner to outer canthus), followed by the face/neck.
The cord and extremities follow, and the diaper area is cleaned last to prevent the
spread of bacteria from the genital area to other body parts.
Question 10
A nurse is assessing a client who received carboprost (Hemabate) for postpartum hemorrhage.
Which of the following findings is an adverse effect of this medication?
A) Hypertension
B) Hypothermia
C) Constipation
D) Muscle weakness
E) Bradycardia
Correct Answer: A) Hypertension
Rationale: Carboprost is a prostaglandin that causes intense uterine contractions and
vasoconstriction. Because of its vasoconstrictive properties, hypertension is a common
adverse effect. It is contraindicated in clients with a history of asthma because it can also
cause bronchoconstriction.
Question 11
A nurse is caring for a client at 35 weeks of gestation undergoing a nonstress test (NST). The
monitor reveals a variable deceleration in the FHR. Which of the following actions should the
nurse take first?
A) Give the client orange juice.
B) Elevate the client's legs.
C) Have the client change position.
D) Establish IV access.
E) Administer oxygen at 10 L/min via face mask.
Correct Answer: C) Have the client change position.
CORRECT DETAILED ANSWERS| BRAND NEW VERSION!!!
Question 1
A nurse is providing education about family bonding to parents who recently adopted a newborn.
The nurse should make which of the following suggestions to aid the family's 7-year-old child in
accepting the newborn?
A) Allow the sibling to hold the newborn during a bath.
B) Make sure the sibling kisses the newborn each night.
C) Obtain a gift from the newborn to present to the sibling.
D) Switch the sibling's room with the nursery.
E) Encourage the sibling to help with all diaper changes.
Correct Answer: C) Obtain a gift from the newborn to present to the sibling.
Rationale: Presenting a gift from the newborn to the sibling is a developmental strategy to
facilitate a school-age child’s acceptance of a new family member. It reduces feelings of
neglect or displacement and fosters a positive initial association with the newborn.
Question 2
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a
cesarean section. The nurse notes a respiratory rate of 8 breaths/min. Which of the following
medications should the nurse administer?
A) Fentanyl
B) Butorphanol
C) Naloxone
D) Meperidine
E) Midazolam
Correct Answer: C) Naloxone
Rationale: Morphine is an opioid analgesic that can cause central nervous system and
respiratory depression. A respiratory rate of 8/min indicates significant depression.
Naloxone is an opioid antagonist used to rapidly reverse the effects of opioids and restore
adequate ventilation.
Question 3
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy.
Which of the following statements by the client indicates an understanding of the teaching?
A) "I should increase my protein intake to 60 grams each day."
B) "I should drink 2 liters of water each day."
C) "I should increase my overall daily caloric intake by 300 calories."
D) "I should take 600 micrograms of folic acid each day."
E) "I should limit my intake of green leafy vegetables to avoid Vitamin K overload."
Correct Answer: D) "I should take 600 micrograms of folic acid each day."
Rationale: A client who is pregnant should consume 600 mcg of folic acid daily. Folic acid is
, 2
critical in the first trimester to assist with the prevention of neural tube defects, such as
spina bifida and anencephaly.
Question 4
A nurse is assessing a newborn 12 hours after birth. Which of the following manifestations
should the nurse report to the provider?
A) Acrocyanosis
B) Transient strabismus
C) Jaundice
D) Caput succedaneum
E) Erythema toxicum
Correct Answer: C) Jaundice
Rationale: Jaundice occurring within the first 24 hours of life is considered pathological and
is often associated with ABO incompatibility, Rh isoimmunization, or hemolysis. Jaundice
appearing after 24 hours is typically physiological. Pathological jaundice requires
immediate investigation to prevent kernicterus.
Question 5
A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of
the following actions by the parent should the nurse recognize as a positive parenting behavior?
A) Lays the newborn across her lap and gently sways.
B) Places the newborn in the crib in a prone position to sleep.
C) Offers the newborn a pacifier dipped in formula.
D) Prepares a bottle of formula mixed with rice cereal to help sleep.
E) Leaves the newborn in the room with the TV on for stimulation.
Correct Answer: A) Lays the newborn across her lap and gently sways.
Rationale: Swaying and providing tactile stimulation are effective techniques for quieting a
newborn. This behavior promotes a sense of security and trust (Erikson’s Trust vs.
Mistrust), which is fundamental to healthy bonding and attachment.
Question 6
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."
B) "Collect at least 1 milliliter of urine for the test."
C) "Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the
specimen."
D) "Premature newborns may have false negative tests due to immature development of liver
enzymes."
E) "Perform the heel stick on the center of the newborn's heel."
Correct Answer: C) "Ensure that the newborn has been receiving feedings for 24 hours prior
, 3
to obtaining the specimen."
Rationale: For the results to be accurate, particularly for metabolic disorders like
Phenylketonuria (PKU), the newborn must have ingested protein via breast milk or
formula for at least 24 hours before the blood sample is collected.
Question 7
A nurse is caring for a patient who has uterine atony and is experiencing postpartum hemorrhage.
Which of the following actions is the nurse's priority?
A) Check the client's capillary refill.
B) Massage the client's fundus.
C) Insert an indwelling urinary catheter for the client.
D) Prepare the client for a blood transfusion.
E) Administer oxygen via non-rebreather mask at 10 L/min.
Correct Answer: B) Massage the client's fundus.
Rationale: The priority action for uterine atony is to massage the fundus. Fundal massage
stimulates uterine contractions, which compresses the intramyometrial blood vessels and
reduces the volume of blood loss. This is the first step to prevent hypovolemic shock.
Question 8
A nurse is performing a physical examination of a newborn upon admission to the nursery.
Which of the following manifestations should the nurse expect? (Select all that apply)
A) Yellow sclera
B) Acrocyanosis
C) Posterior fontanelle larger than anterior fontanelle
D) Positive Babinski reflex
E) Two umbilical arteries visible
Correct Answer: B, D, and E) Acrocyanosis; Positive Babinski reflex; Two umbilical arteries
visible
Rationale: Acrocyanosis is a normal finding for the first 24–48 hours due to poor peripheral
circulation. A positive Babinski is normal in newborns (disappearing by age 1). A normal
cord has two arteries and one vein; only one artery is associated with renal/cardiac
anomalies. Yellow sclera indicates jaundice (abnormal at birth), and the anterior fontanelle
is always larger than the posterior.
Question 9
A nurse is demonstrating to a client how to bathe their newborn. In which order should the nurse
perform the following actions?
1. Clean the newborn's diaper area
2. Wash the newborn's neck by lifting the newborn's chin
, 4
3. Wipe the newborn's eyes from the inner canthus outward
4. Wash the newborn's legs and feet
5. Cleanse the skin around the newborn's umbilical cord stump
A) 1, 2, 3, 4, 5
B) 3, 2, 5, 4, 1
C) 3, 5, 2, 4, 1
D) 2, 3, 5, 4, 1
E) 5, 3, 2, 4, 1
Correct Answer: B) Wipe eyes, wash neck, cleanse cord, wash legs/feet, clean diaper
area.
Rationale: The nurse should follow a "clean to dirty" approach (head-to-toe). Eyes
are cleaned first with plain water (inner to outer canthus), followed by the face/neck.
The cord and extremities follow, and the diaper area is cleaned last to prevent the
spread of bacteria from the genital area to other body parts.
Question 10
A nurse is assessing a client who received carboprost (Hemabate) for postpartum hemorrhage.
Which of the following findings is an adverse effect of this medication?
A) Hypertension
B) Hypothermia
C) Constipation
D) Muscle weakness
E) Bradycardia
Correct Answer: A) Hypertension
Rationale: Carboprost is a prostaglandin that causes intense uterine contractions and
vasoconstriction. Because of its vasoconstrictive properties, hypertension is a common
adverse effect. It is contraindicated in clients with a history of asthma because it can also
cause bronchoconstriction.
Question 11
A nurse is caring for a client at 35 weeks of gestation undergoing a nonstress test (NST). The
monitor reveals a variable deceleration in the FHR. Which of the following actions should the
nurse take first?
A) Give the client orange juice.
B) Elevate the client's legs.
C) Have the client change position.
D) Establish IV access.
E) Administer oxygen at 10 L/min via face mask.
Correct Answer: C) Have the client change position.
