(2024/2025) RN Maternal ATI Newborn Proctored Exam
with NGN Questions and Rationalized Answers,
100% A+ Graded Pass Score
With 100 multiple choices questions and answers
1. A nurse is assisting the provider administer a dinoprostone insert labor fora client.
Which of the following actions should the nurse take?: A. Place the client in semi-fowler
position for 1 hr after administration
2. A nurse is caring for a 2-day-old newborn who was born t 35 weeks ges-tation.
Which of the following actions should the nurse take?: D. Insert an orogastric
decompression tube with low wall suction
3. A nurse is proving teaching about terbutaline to a client who is experiencing preterm
labor. Which of the following statements by the client indicated an un- derstanding of the
teaching?: D. "This medication could cause me to experienceheart palpitations"
4. A nurse in a provider's office is caring for a 20-year old client who is at 12 weeks
gestation and requests an amniocentesis to determine the sex of her fetus. Which of
the following responses should the nurse make?
A. "You cannot have an amniocentesis until you are at least 35 years of age.".
,B. "We can schedule the procedure for later today if you'd like.".
C. " This procedure determines if your baby has genetic or congenital disor-ders.".
D,"Your provider will schedule a chorionic villus sampling to determine thesex of
your baby.".: C." This procedure determines if your baby has genetic or congenital
disorders."
5. A nurse is assessing a client who is 6 hr postpartum and has endometritis.Which of
the following findings should the nurse expect?: A. Uterine Tender- ness
6. A nurse manager on the labor and delivery unit is teaching a group of newlylicensed
nurses about maternal cytomegalovirus.Which of the following infor-mation should the
nurse manager include in the teaching?: A. "Transmission can occur via the saliva and
urine of the newborn"
7. A nurse is caring for a client who has hyperermesis gravidarum. Which ofthe
following laboratory tests should the nurse anticipate?
A. complete blood count
B. Liver enzymes
C. Bilirubin Level
D. Urine ketones: D. Urine Ketones
When using the urgent vs nonurgen approach to client care, the nurse should determine
that the priority laboratory test to check is urine ketones. Excessive ketones in the urine
indicate the body is not using carbohydrates from food as fueland is inadequately trying to
break down fat.
,8. A nurse is caring for four clients. For which of the following clients shouldthe nurse
auscultate the fetal heart rate during the prenatal visit?: D. A clientwho has felt
quickening for the first time
9. A nurse is monitoring a client who has preeclampsia and is receiving magnesium
sulfate by continuous IV infusion. Which of the following findingsshould the nurse
report to the provider?: D. Urine output less than 20
10. A nurse is providing discharge teaching to a client following tubal ligation
(occlusion). Which of the following statement by the client indicates an under- standing
of the teaching?
A. "premenstrual tension will no longer be present."
B. "Ovulation will remain the same."
C. "Hormone replacements will be needed following this procedure."
D. "My monthly menstrual period will be shorter.": B. "Ovulation will remain thesame."
Ovulation (egg release from the ovaries) will remain the same. Tubal ligation alsoknown
as having your tubes tied or tubal sterilization is a type of permanent birth control. During
tubal ligation, the fallopian tubes are cut, tied or blocked to
permanently prevent pregnancy. Tubal ligation prevents an egg from traveling fromthe
ovaries through the fallopian tubes and blocks sperm from traveling up the fallopian tubes
to the egg. The procedure doesn't affect your menstrual cycle it justprevents fertilization.
11. A nurse is assessing a newborn following forceps-assisted birth. Which of the
following clinical manifestations should the nurse identify as a complica- tion of the
birth method?
, A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia: C. Facial Palsy
Difficult delivery, with or without the use of an instrument called forceps, may lead to facial
palsy. Facial paralysis 15 minutes after forceps birth or absence of movement on affected
side is especially noticeable when infant cries.
12. A nurse is caring for a client who is in labor and requests nonpharmaco-logical
pain management. Which of the following nursing actions promotes client comfort?
with NGN Questions and Rationalized Answers,
100% A+ Graded Pass Score
With 100 multiple choices questions and answers
1. A nurse is assisting the provider administer a dinoprostone insert labor fora client.
Which of the following actions should the nurse take?: A. Place the client in semi-fowler
position for 1 hr after administration
2. A nurse is caring for a 2-day-old newborn who was born t 35 weeks ges-tation.
Which of the following actions should the nurse take?: D. Insert an orogastric
decompression tube with low wall suction
3. A nurse is proving teaching about terbutaline to a client who is experiencing preterm
labor. Which of the following statements by the client indicated an un- derstanding of the
teaching?: D. "This medication could cause me to experienceheart palpitations"
4. A nurse in a provider's office is caring for a 20-year old client who is at 12 weeks
gestation and requests an amniocentesis to determine the sex of her fetus. Which of
the following responses should the nurse make?
A. "You cannot have an amniocentesis until you are at least 35 years of age.".
,B. "We can schedule the procedure for later today if you'd like.".
C. " This procedure determines if your baby has genetic or congenital disor-ders.".
D,"Your provider will schedule a chorionic villus sampling to determine thesex of
your baby.".: C." This procedure determines if your baby has genetic or congenital
disorders."
5. A nurse is assessing a client who is 6 hr postpartum and has endometritis.Which of
the following findings should the nurse expect?: A. Uterine Tender- ness
6. A nurse manager on the labor and delivery unit is teaching a group of newlylicensed
nurses about maternal cytomegalovirus.Which of the following infor-mation should the
nurse manager include in the teaching?: A. "Transmission can occur via the saliva and
urine of the newborn"
7. A nurse is caring for a client who has hyperermesis gravidarum. Which ofthe
following laboratory tests should the nurse anticipate?
A. complete blood count
B. Liver enzymes
C. Bilirubin Level
D. Urine ketones: D. Urine Ketones
When using the urgent vs nonurgen approach to client care, the nurse should determine
that the priority laboratory test to check is urine ketones. Excessive ketones in the urine
indicate the body is not using carbohydrates from food as fueland is inadequately trying to
break down fat.
,8. A nurse is caring for four clients. For which of the following clients shouldthe nurse
auscultate the fetal heart rate during the prenatal visit?: D. A clientwho has felt
quickening for the first time
9. A nurse is monitoring a client who has preeclampsia and is receiving magnesium
sulfate by continuous IV infusion. Which of the following findingsshould the nurse
report to the provider?: D. Urine output less than 20
10. A nurse is providing discharge teaching to a client following tubal ligation
(occlusion). Which of the following statement by the client indicates an under- standing
of the teaching?
A. "premenstrual tension will no longer be present."
B. "Ovulation will remain the same."
C. "Hormone replacements will be needed following this procedure."
D. "My monthly menstrual period will be shorter.": B. "Ovulation will remain thesame."
Ovulation (egg release from the ovaries) will remain the same. Tubal ligation alsoknown
as having your tubes tied or tubal sterilization is a type of permanent birth control. During
tubal ligation, the fallopian tubes are cut, tied or blocked to
permanently prevent pregnancy. Tubal ligation prevents an egg from traveling fromthe
ovaries through the fallopian tubes and blocks sperm from traveling up the fallopian tubes
to the egg. The procedure doesn't affect your menstrual cycle it justprevents fertilization.
11. A nurse is assessing a newborn following forceps-assisted birth. Which of the
following clinical manifestations should the nurse identify as a complica- tion of the
birth method?
, A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia: C. Facial Palsy
Difficult delivery, with or without the use of an instrument called forceps, may lead to facial
palsy. Facial paralysis 15 minutes after forceps birth or absence of movement on affected
side is especially noticeable when infant cries.
12. A nurse is caring for a client who is in labor and requests nonpharmaco-logical
pain management. Which of the following nursing actions promotes client comfort?
