,This study document brings together 140 carefully worded exam questions drawn from ATI PN
Maternal-Newborn Nursing Proctored Retake 2023/2026 (NGN) - 60 Actual Exam Questions &
Verified Answers: 100% Accurate Solutions for Guaranteed Success!, with the strongest emphasis
placed on Apply evidence-based nursing care to diverse maternal-newborn scenarios, Analyze
complex clinical data to make safe and effective nursing decisions, Integrate pharmacological,
physiological and and psychosocial concepts in maternal-newborn care. Every item follows the
wording style and level of reasoning you meet in the real paper, and each one is paired with a clear
rationale so the correct choice is never a guess. Work through the set at your own pace, mark the
questions that slow you down, then come back to them until the reasoning feels automatic.
Learners who revise this way walk into the exam room recognising the pattern behind the
questions instead of meeting them for the first time. Keep going - steady, honest practice is what
turns a difficult paper into a comfortable pass.
Q1 APPLY EVIDENCE-BASED NURSING CARE TO DIVERSE MATERNAL-NEWBORN
SCENARIOS
A client at 28 weeks gestation with preeclampsia without severe features is
receiving magnesium sulfate. Which assessment finding indicates the need for
immediate discontinuation of the infusion?
A. Urine output of 80 mL over 4 hours
B. Respiratory rate of 10 breaths/min CORRECT
C. Deep tendon reflexes of 2+
D. Serum magnesium level of 6.5 mg/dL
RATIONALE: Magnesium sulfate toxicity causes respiratory depression (RR <12/min), loss of
deep tendon reflexes, and oliguria. A respiratory rate of 10 breaths/min indicates severe toxicity
requiring immediate discontinuation and calcium gluconate administration. Urine output of 80
mL/4h is low but not the most immediate threat; reflexes of 2+ are normal; magnesium level of
6.5 mg/dL is within therapeutic range (4-7 mg/dL).
Page 2
,Q2 APPLY EVIDENCE-BASED NURSING CARE TO DIVERSE MATERNAL-NEWBORN
SCENARIOS
A laboring client with ruptured membranes at 39 weeks gestation has a positive
Group B Streptococcus (GBS) status. She is allergic to penicillin. Which
prescription should the nurse anticipate?
A. Ceftriaxone 1 g IV every 24 hours
B. Cefazolin 2 g IV initially, then 1 g IV every 8 hours
C. Clindamycin 900 mg IV every 8 hours CORRECT
D. Vancomycin 1 g IV every 12 hours
RATIONALE: For GBS prophylaxis in a penicillin-allergic client at low risk for anaphylaxis,
cefazolin is recommended. However, if the client has a high risk for anaphylaxis (e.g., history of
anaphylaxis to penicillin), clindamycin is the alternative if the organism is susceptible; otherwise,
vancomycin is used. The question doesn't specify severity of allergy, but clindamycin is the most
common recommended alternative for GBS prophylaxis in penicillin-allergic clients. Ceftriaxone is
not used; cefazolin is for low-risk allergies; vancomycin is for high-risk with resistant organisms.
Q3 APPLY EVIDENCE-BASED NURSING CARE TO DIVERSE MATERNAL-NEWBORN
SCENARIOS
A postpartum client who delivered vaginally 6 hours ago has a fundus that is
deviated to the right and above the umbilicus. What is the nurse's priority action?
A. Encourage the client to void CORRECT
B. Massage the fundus firmly
C. Administer methylergonovine as prescribed
D. Document the finding as normal
RATIONALE: A deviated, elevated fundus commonly indicates a distended bladder, which
displaces the uterus upward and to the right. The priority is to have the client void to relieve the
distension. Massaging the fundus is not indicated until the bladder is empty; methylergonovine is
for uterine atony, but the primary issue here is bladder distension; documenting without
intervention is inappropriate.
Page 3
, Q4 APPLY EVIDENCE-BASED NURSING CARE TO DIVERSE MATERNAL-NEWBORN
SCENARIOS
A newborn at 1 minute of age has a heart rate of 90 bpm, is crying vigorously, has
acrocyanosis, resists stimulation, and has flexed extremities. What is the
newborn's Apgar score?
A. 7
B. 8 CORRECT
C. 9
D. 10
RATIONALE: Apgar scoring: Heart rate <100 = 1; respiratory effort: vigorous crying = 2; muscle
tone: flexed extremities = 2; reflex irritability: resists stimulation = 2; color: acrocyanosis (blue
extremities, pink body) = 1. Total = 1+2+2+2+1 = 8. Option A (7) is incorrect; option C (9) would
require pink all over; option D (10) is not possible with acrocyanosis.
Q5 APPLY EVIDENCE-BASED NURSING CARE TO DIVERSE MATERNAL-NEWBORN
SCENARIOS
A client at 32 weeks gestation is diagnosed with placenta previa. Which clinical
finding is most consistent with this condition?
A. Painless, bright red vaginal bleeding CORRECT
B. Rigid, board-like abdomen with severe pain
C. Intermittent, dark red bleeding with contractions
D. Sudden onset of intense abdominal pain with fetal demise
RATIONALE: Placenta previa typically presents with painless, bright red vaginal bleeding in the
third trimester due to the placenta covering the cervical os. Rigid abdomen and severe pain
suggest abruption (option B), intermittent dark bleeding with contractions may indicate labor or
abruption (option C), and sudden intense pain with fetal demise is also indicative of severe
abruption (option D).
Page 4
Maternal-Newborn Nursing Proctored Retake 2023/2026 (NGN) - 60 Actual Exam Questions &
Verified Answers: 100% Accurate Solutions for Guaranteed Success!, with the strongest emphasis
placed on Apply evidence-based nursing care to diverse maternal-newborn scenarios, Analyze
complex clinical data to make safe and effective nursing decisions, Integrate pharmacological,
physiological and and psychosocial concepts in maternal-newborn care. Every item follows the
wording style and level of reasoning you meet in the real paper, and each one is paired with a clear
rationale so the correct choice is never a guess. Work through the set at your own pace, mark the
questions that slow you down, then come back to them until the reasoning feels automatic.
Learners who revise this way walk into the exam room recognising the pattern behind the
questions instead of meeting them for the first time. Keep going - steady, honest practice is what
turns a difficult paper into a comfortable pass.
Q1 APPLY EVIDENCE-BASED NURSING CARE TO DIVERSE MATERNAL-NEWBORN
SCENARIOS
A client at 28 weeks gestation with preeclampsia without severe features is
receiving magnesium sulfate. Which assessment finding indicates the need for
immediate discontinuation of the infusion?
A. Urine output of 80 mL over 4 hours
B. Respiratory rate of 10 breaths/min CORRECT
C. Deep tendon reflexes of 2+
D. Serum magnesium level of 6.5 mg/dL
RATIONALE: Magnesium sulfate toxicity causes respiratory depression (RR <12/min), loss of
deep tendon reflexes, and oliguria. A respiratory rate of 10 breaths/min indicates severe toxicity
requiring immediate discontinuation and calcium gluconate administration. Urine output of 80
mL/4h is low but not the most immediate threat; reflexes of 2+ are normal; magnesium level of
6.5 mg/dL is within therapeutic range (4-7 mg/dL).
Page 2
,Q2 APPLY EVIDENCE-BASED NURSING CARE TO DIVERSE MATERNAL-NEWBORN
SCENARIOS
A laboring client with ruptured membranes at 39 weeks gestation has a positive
Group B Streptococcus (GBS) status. She is allergic to penicillin. Which
prescription should the nurse anticipate?
A. Ceftriaxone 1 g IV every 24 hours
B. Cefazolin 2 g IV initially, then 1 g IV every 8 hours
C. Clindamycin 900 mg IV every 8 hours CORRECT
D. Vancomycin 1 g IV every 12 hours
RATIONALE: For GBS prophylaxis in a penicillin-allergic client at low risk for anaphylaxis,
cefazolin is recommended. However, if the client has a high risk for anaphylaxis (e.g., history of
anaphylaxis to penicillin), clindamycin is the alternative if the organism is susceptible; otherwise,
vancomycin is used. The question doesn't specify severity of allergy, but clindamycin is the most
common recommended alternative for GBS prophylaxis in penicillin-allergic clients. Ceftriaxone is
not used; cefazolin is for low-risk allergies; vancomycin is for high-risk with resistant organisms.
Q3 APPLY EVIDENCE-BASED NURSING CARE TO DIVERSE MATERNAL-NEWBORN
SCENARIOS
A postpartum client who delivered vaginally 6 hours ago has a fundus that is
deviated to the right and above the umbilicus. What is the nurse's priority action?
A. Encourage the client to void CORRECT
B. Massage the fundus firmly
C. Administer methylergonovine as prescribed
D. Document the finding as normal
RATIONALE: A deviated, elevated fundus commonly indicates a distended bladder, which
displaces the uterus upward and to the right. The priority is to have the client void to relieve the
distension. Massaging the fundus is not indicated until the bladder is empty; methylergonovine is
for uterine atony, but the primary issue here is bladder distension; documenting without
intervention is inappropriate.
Page 3
, Q4 APPLY EVIDENCE-BASED NURSING CARE TO DIVERSE MATERNAL-NEWBORN
SCENARIOS
A newborn at 1 minute of age has a heart rate of 90 bpm, is crying vigorously, has
acrocyanosis, resists stimulation, and has flexed extremities. What is the
newborn's Apgar score?
A. 7
B. 8 CORRECT
C. 9
D. 10
RATIONALE: Apgar scoring: Heart rate <100 = 1; respiratory effort: vigorous crying = 2; muscle
tone: flexed extremities = 2; reflex irritability: resists stimulation = 2; color: acrocyanosis (blue
extremities, pink body) = 1. Total = 1+2+2+2+1 = 8. Option A (7) is incorrect; option C (9) would
require pink all over; option D (10) is not possible with acrocyanosis.
Q5 APPLY EVIDENCE-BASED NURSING CARE TO DIVERSE MATERNAL-NEWBORN
SCENARIOS
A client at 32 weeks gestation is diagnosed with placenta previa. Which clinical
finding is most consistent with this condition?
A. Painless, bright red vaginal bleeding CORRECT
B. Rigid, board-like abdomen with severe pain
C. Intermittent, dark red bleeding with contractions
D. Sudden onset of intense abdominal pain with fetal demise
RATIONALE: Placenta previa typically presents with painless, bright red vaginal bleeding in the
third trimester due to the placenta covering the cervical os. Rigid abdomen and severe pain
suggest abruption (option B), intermittent dark bleeding with contractions may indicate labor or
abruption (option C), and sudden intense pain with fetal demise is also indicative of severe
abruption (option D).
Page 4
