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Exam (elaborations)

NGN ATI Maternal Newborn Proctored Exam 2026 Update: Latest Q&A Study Guide

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Prepare for your proctored exam with the latest 2026 NGN ATI Maternal Newborn questions and answers. This comprehensive guide covers prenatal care, labor, delivery, postpartum, and newborn nursing with detailed rationales.

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(NGN)ATI MATERNAL NEWBORN PROCTORED EXAM
n n n n n



LATEST EXAM QUESTION AND n n n



ANSWERS 2026 update n n




nAnnursenisnteachingnanclientnwhonisnatn12nwksngestationnandnhasnHIV.nWhatnstatementnsho
uldnthennursenincludeninnthenteaching?
a. younwillnbeninnisolationnafterndelivery
b. abstainnfromnsexualnintercoursenthroughoutnpregnancyn
c.nbreastfeednyournnewbornntonprovidenpassivenimmunity
d.nyounshouldncontinuentontakenzidovudinenthroughoutnthenpregnancy
n-n ANSWER-d.n youn shouldncontinuentontakenzidovudinenthroughoutnthenpregnancy

-cannbentransmittednthroughnbreastfeeding
-shencanncontinuentonhavensex

Thennursenshouldninformnthenclientnthatntakingnprescriptionnantiviralnmedicationneveryndaynde
creasesnthenrisknofntransmissionnofnHIVntonhernnewborn.

Annursenisnprovidingnteachingntonanclientnwhonisnatn8nwksngestationnaboutnmanifestationsnton
reportntonthenprovidernduringnpregnancy.nWhatninfonshouldnthennursenincludeninnthenteachi
ng?
a.nnauseanuponnawakeningn
b.nblurrednorndoublenvision
c.nincreaseninnwhitenvaginalndischarge
d.nlegncrampsnwhennsleepingn
-nANSWER-b.nblurrednorndoublenvision

Annursenisncaringnfornanclientnwhonisninnthenlatentnphasenofnlabornandnisnreceivingnoxytocinnvi
ancontinuousnIVninfusion.nThennursennotesnthatnthenclientnisnhavingncontractionsneveryn2nmi
nnwhichnlastn100-
110nsecondsnthatnthenfetalnheartnratenisnreassuring.nWhatnactionnshouldnthennursentake?
a. decreasenthendosenofnoxytocinnbynhalf
b. administernoxygennviannonrebreathernmask
c. decreasentheninfusionnratenofnthenmaintenancenIVnfluid
d. administernterbutalinen0.25mgnsubqn
-nANSWER-a.ndecreasenthendosenofnoxytocinnbynhalf

Thennursenshouldndecreasenthendosenofnoxytocinnbynhalfnbecausenthenclientnisnexperiencin
gnuterinentachysystole.

Annursenisncaringnfornanclientnwhonisninnactivenlabornandnhasnmeconiumnstainingnofnthenamnio
ticnfluid.nThennursennotesnanreassuringnFHRntracingnfromnthenexternalnfetalnmonitor.nWhatnact
ionnshouldnthennursentake?
a. preparenthenclientnfornemergencync-section
b. performnendotrachnsuctioningnasnsoonnasnthenfetalnheadnisndeliverednc
.npreparenequipmentnneedednfornnewbornnresuscitation

,d.npreparenthenclientnfornannultrasoundnexamn
-nANSWER-c.npreparenequipmentnneedednfornnewbornnresuscitation

Thennursenshouldnensurenthatnallnsuppliesnandnequipmentnneedednfornresuscitationnofnthenn
ewbornnarenreadilynavailablenforneveryndelivery.nEndotrachealnsuctioningnisnrecommended
ninncasesnofnmeconiumnstainingnonlynifnthennewbornnhasnpoornrespiratoryneffort,ndecreasedn

musclentone,nandnbradycardianafterndelivery.

Annursenisnreviewingnthenmedicalnrecordnofnanclientnwhonisnatn33nwksngestationnandnhasnpl
acentanprevianandnbleeding.nWhatnscriptsnshouldnthennursenclarifynwithnthenprovider?na.ni
nsertnanlarge-borenIVncatheter
b. performnanvaginalnexam
c. performncontinuousnexternalnfetalnmonitoring
d. obtainnanbloodnsamplenfornlabntesting
n -nANSWER-b.nperformnanvaginalnexam




Whennanclientnhasnanplacentanprevia,nthenplacentanimplantsninnthenlowernpartnofnthenuterusn
andnobstructsnthencervicalnosn(thenopeningntonthenvagina).nThennursenshouldnclarifynthisnpr
escriptionnbecausenanynmanipulationncanncausentearingnofnthenplacentanandnincreasednble
eding.

Annursenisncaringnfornanclientnwhonisnatn37nwksngestationnandnisnundergoingnannonstressnte
st.nThenFHRnisn130nwithoutnaccelerationsnfornthenpastn10nmin.nWhatnactionnshouldnthennur
sentake?
a.nrequestnanscriptnfornanninternalnfetalnscalpnelectroden
b.nauscultatenthenFHRnwithnandopplerntransducer
c.nreportnthennonreactiventestnresultntonthenprovidernimmediately
d.nusenvibroacousticnstimnonnthenclient'snabdnforn3nseconds
n-n ANSWER-d.nusen vibroacousticnstimnonnthenclient'snabdnforn3nseconds

Thennursenshouldnusenanvibroacousticnstimulatornonnthenclient'snabdomenntonelicitnfetalnacti
vitynbecausenthenfetusnisnmostnlikelynsleeping.nFetalnmovementnshouldncausenacceleratio
nsninnthenFHR.

Annursenisnreviewingnlabnresultsnfornanclientnwhonisnatn37nwksngestation.nThennursennotesnth
atnthenclientnisnrubellannon-immune,npositivenforngroupnAnbeta-
hemolyticnstrep,nandnhasnanbloodntypenOnneg.nWhatnactionnshouldnthennursentake?
a.ninstructnthenclientntonobtainnanrubellanimmunizationnafterndeliverynb.n
requestnanscriptnfornannantibioticnuntilndelivery
c.ninformnthenclientnthatnshenwillnhaventondelivernvianc-section
d.nadministernandosenofnPho(D)nimmunenglobulin
n-n ANSWER-

a.ninstructnthenclientntonobtainnanrubellanimmunizationnafterndelivery

,Annursenisnreviewingnthenmednrecordnofnanclientnwhonisnatn39nwksngestationnandnhasnpolyhy
dramnios.nWhatnfindingnshouldnthennursenexpect?
a.ntotalnpregnancynwtngainnofn3.6nkgn
b.nfetalnGInanomaly
c.ngestationalnHTN
d.nfundalnheightnofn34ncm
n -nANSWER-b.nfetalnGInanomaly




Polyhydramniosnisnthenpresencenofnexcessivenamnioticnfluidnsurroundingnthenunbornnfetus
.nGastrointestinalnmalformationsnandnneurologicndisordersnarenexpectednfindingsnfornanfetu
snexperiencingntheneffectsnofnpolyhydramnios.

Annursenisnteachingnanclientnwhonhasnpre-
eclampsianandnisntonreceivenmagnesiumnsulfatenviancontinuousnIVninfusionnaboutnexpected
nadverseneffects.nWhatnadverseneffectsnshouldn
thennursenincludeninnthenteaching?
a. elevatednBP
b. feelingnofnwarmthnc
.ngeneralizednpruritis
d.nhyperactivityn
-nANSWER-b.nfeelingnofnwarmth

Thennursenshouldntellnthenclientntonexpectnthenfeelingnofnwarmthnallnovernhernbodynwhilenthe
nmagnesiumnsulfatenisninfusing.




Annursenisncaringnfornanclientnwhonisninnthenlatentnphasenofnlabornandnisnexperiencingnlownba
cknpain.nWhatnactionnshouldnthennursentake?
a.npositionnthenclientnsupinenwithnlegsnelevatedn
b.ninstructnthenclientntonpantnduringncontractionsn
c.nencouragenthenclientntonsoakninnanwarmnbath
d.napplynpressurentonthenclient'snsacralnareanduringncontractions
n-n ANSWER-d.napplyn pressurentonthenclient'snsacralnareanduringncontractions

Annursenisnteachingnanclientnwhonisnatn12nwksngestationnaboutnmanifestationsnofnpotentialnc
omplicationsnthatnshenshouldnreportntonhernprovider.nWhatninfonshouldnthennursenincludeninn
thenteaching?
a. intermittentnnausea
b. whitenvaginalndischargen
c.nswellingnofnthenface
d.nurinarynfrequency
n -nANSWER-c.nswellingnofnthenface




Annursenisncaringnfornanclientnwhonisnatn32nwksngestationnandnisnexperiencingnpretermnlabor
.nWhatnmedsnshouldnthennursenplanntonadminister?
a. misoprostol
b. betamethasonen
c.nporactantnalfa

, d.nmethylergonovinen
-nANSWER-b.nbetamethasone

Annursenatnanprenatalnclinicnisncaringnfornanclientnwhonsuspectsnshenmaynbenpregnantnandna
sksnthennursenhownthenprovidernwillnconfirmnhernpregnancy.nThennursenshouldninformnthenc
lientnthatnwhatnlabntestnwillnbenusedntonconfirmnhernpregnancy?
a. urinentestnfornpresencenofnHCG
b. urinentestnfornthenpresencenofnHCSn
c.nbloodntestnfornpresencenofnestrogen
d.nbloodntestnfornthenamountnofncirculatingnprogesterone
n-n ANSWER-a.nurinentestnforn presencenofnHCG

Annursenisncaringnfornanclientnwhonbelievesnshenmaynbenpregnant.nWhatnfindingnshouldnt
hennursenidentifynasnanpositivensignnofnpregnancy?
a.npalpablenfetalnmovementn
b.namenorrhea
c.nchadwick'snsign
d.npositivenpregnancyntest
n-nANSWER-a.npalpablenfetalnmovement




Annursenisncaringnfornanclientnwhonhasnoligohydraminios.nWhatnfetalnanomaliesnshouldnthenn
ursenexpect?
a. renalnagenesis
b. atrialnseptalndefectn
c.nspinanbifida
d.nhydrocephalus
n-nANSWER-a.nrenalnagenesis




Annursenisnassessingnanclientnwhonisnatn37nwksngestationnandnhasnansuspectednpelvicnfract
urenduentonbluntnabdntrauma.nWhatnfindingsnshouldnthennursenexpect?
a.nuterinencontractionsn
b.nbradycardia
c.nseizures
d.nbradypnea
n-nANSWER-a.nuterinencontractions




Thennursenshouldnexpectnthenclientntonbenexperiencingnuterinencontractionsnduentonabdomi
nalntrauma.

Annursenisnassessingnanclientnwhonisnatn12nwksngestationnandnhasnhydatidiformnmole.nWhat
nfindingsnshouldnthennursenexpect?

a. hypothermia
b. darknbrownnvaginalndischargen
c.nfetalnheartntones
d.ndecreasednurinarynoutputn
-nANSWER-b.ndarknbrownnvaginalndischarge

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