r ATI Maternal Newborn Proctored Exam
r r r r
(NGN ATI) r
(Detailed Exam Prep Solutions and Re r r r r r
sources for the test in 2024/2025) r r r r r
1. A nurse is teaching a client about Rho(D) immunoglobulin (Rh
r r r r r r r r r
oGAM). Which of the following statements by the clientindica
r r r r r r r r r
ted an understanding of the teaching?
r r r r r
a. I will receive this medication if my baby is Rh-negative
r r r r r r r r r
b. I will receive this medication at time of delivery
r r r r r r r r
c. I will need a second dose of this medication when my babyis 6
r r r r r r r r r r r r r r
weeks old r
d. I will need this medication if I have an amniocentesis-
r r r r r r r r r
Recommended because of the potential of fetal RBCs en
r r r r r r r r r
tering the maternal circulation r r r
2. A nurse is caring for a client who is to receive oxytocin (Pitocin)to a
r r r r r r r r r r r r r r
ugment her labor. Which of the following contraindicates theinitiati
r r r r r r r r r
on of the oxytocin infusion and requires notification of the provider
r r r r r r r r r r
?
a. Late decelerations- r
Oxytocin is contraindicated based onlate decelerations not
r r r r r r r r
ed on fetal assessment findings because they indicate utero
r r r r r r r r
placental insufficiency. r
b. Baseline variability r
c. Cessation of uterine dilation r r r
d. Prolonged active phase of labor r r r r
3. A nurse on the newborn unit is planning discharge for four clients.
r r r r r r r r r r r r
Which of the following will require care beyond that ofa standard f
r r r r r r r r r r r r
ollow-up visit with the provider after delivery?
r r r r r r
, a. A newborn being sent home after 22 hr after birth-
r r r r r r r r r
Screening tests must be repeated if they were performedbe
r r r r r r r r r r
fore he newborn was 24 hr. old. r r r r r r
b. A newborn at 38 weeks of gestational age
r r r r r r r
c. A newborn who is bottle feeding
r r r r r
d. Twin newborns with Apgar scores of 8 and 9 r r r r r r r r
4. A nurse is assessing a newborn who has a weak cry and is grimacin
r r r r r r r r r r r r r
g. The nurse notes the newborn has a heart rate of 102/min, blueish
r r r r r r r r r r r r r
extremities, and a flaccid muscle tone. Whichof the following refl r r r r r r r r r r
ects the appropriate APGAR score?
r r r r
a. 4
b. 5
c. 6
d. 7
5. A nurse is caring for a client who has a history of rheumatic disease
r r r r r r r r r r r r r
, but no physical symptoms prior to pregnancy. The client begins t
r r r r r r r r r r r
o experience dyspnea, orthopnea, and pulmonaryedema. Which o
r r r r r r r r
f the following biological alterations explains this change?
r r r r r r r
a. Increased maternal weight r r
b. Increased blood volume- r r
Increase in blood volume duringpregnancy increase the wor
r r r r r r r r r
kload of the heart, which causes the symptoms r r r r r r r
c. Change in hematocrit levels r r r
d. Change in heart size r r r
6. A nurse is providing teaching about nonpharmacological pain ma
r r r r r r r r
nagement for a postpartum client who is breastfeed and has engorg
r r r r r r r r r r
ement. Which of the following methods should the nurserecomme
r r r r r r r r r
nd?
a. Cold cabbage leaves- r r
Application of this is an effectivenonpharmacological m
r r r r r r r r
ethod to relieve pain associated with engorgement r r r r r r
b. Modified lanolin cream r r
c. A breast binder r r
d. Breast shells r
,7. A nurse is providing discharge teaching to a client who is postpartu
r r r r r r r r r r r
m about resuming sexual activity. Which of the following instructi
r r r r r r r r r
ons should the nurse include in the teaching?
r r r r r r r
a. You should use a water soluble gel for lubrication-
r r r r r r r r
Thiswill prevent discomfort
r r r r
b. You can resume sexual activity in 10 days
r r r r r r r
c. Your physical reaction to sexual stimulation ill not bealt
r r r r r r r r r
ered
d. You will not ovulate for 3 months after delivery
r r r r r r r r
8. A nurse is admitting a client who is in labor. The client admits to rec
r r r r r r r r r r r r r r
ent cocaine use. For which of the following complicationsshould t
r r r r r r r r r r
he nurse assess?
r r
a. Abruptio placenta- r
Cocaines increases the risk forvasoconstriction and
r r r r r r r r
possible abruption placenta r r
b. Placenta previa r
c. Preeclampsia
d. Maternal bradycardia r
9. A nurse is providing dietary teaching with a client who has hypere
r r r r r r r r r r r
mesis gravidarum. Which of the following statements bythe client
r r r r r r r r r r
indicates an understanding of the teaching?
r r r r r
a. I should eat to taste instead of trying to balance my meals-
r r r r r r r r r r r
Eat to taste to avoid nausea r r r r r
b. I will avoid having a snack at bedtime
r r r r r r r
c. I will have 8 oz of hot tea with each meal
r r r r r r r r r r
d. I should pair my sweets with a starch instead of eatingthe
r r r r r r r r r r r
m alone r
10. A nurse is preparing to collect a blood specimen from a newb
r r r r r r r r r r r
orn via a heel stick. Which of the following techniques should the n
r r r r r r r r r r r r
urse use to help minimize the pain of the procedurefor the newborn
r r r r r r r r r r r r
?
a. Warm the heel prior to the puncture r r r r r r
b. Request a prescription for IM analgesic r r r r r
c. Use a manual lance blade to pierce the skin
r r r r r r r r
d. Swaddle the newborn after the heel puncture- r r r r r r
Effective technique to diminish the pain experience for the ne
r r r r r r r r r r
wborn.
, 11. A nurse is conducting an initial prenatal visit for a client who
r r r r r r r r r r r
is at 6 weeks gestation. Which of the following laboratorytests sh
r r r r r r r r r r r r
ould be performed? r r
a. 24 hour urine for protein r r r r
b. Group B streptococcus culture r r r
c. 3-hr glucose tolerance r r
d. Rubella titer- r
Obtained at the initial prenatal visit todetermine imm
r r r r r r r r r
unity to rubella r r
12. A nurse is caring for a newborn who was transferred to thenur
r r r r r r r r r r r r
sery 30 min after delivery. Which of the following actions should th
r r r r r r r r r r r
e nurse take first?
r r r
a. Confirm the newborn’s Apgar score r r r r
b. Verify the newborn’s identification- r r r
Mandatory to continue ongoing identification of the newbor
r r r r r r r r
n whenever the newborn is removed from the mother’s direct
r r r r r r r r r r
presenceand care. r r
c. Administer vitamin K IM to the newborn r r r r r r
d. Determine the obstetrical risk factors r r r r
13. A nurse is assessing a young adult client in a women’s health
r r r r r r r r r r r
clinic who asks for a contraceptive. The client reports tothe nurse
r r r r r r r r r r r r r
a familial history of osteoporosis. Which of the following contrac
r r r r r r r r r
eptive methods is contraindicated for this client?
r r r r r r
a. Combined estrogen-progestin oral contraceptives r r r
b. An intrauterine device r r
c. Medroxyprogestrone acetate (Depo-provera)- r r
causes a decrease in bone mineral density and places the cli
r r r r r r r r r r r
ent atrisk for the development of osteoporosis
r r r r r r r
d. Norelgestromin/ethinyl estradiol (Ortho Evra) r r r
14. A nurse is admitting a client to the labor and delivery unitwh
r r r r r r r r r r r r
en the client states, “my water just broke”, which of the following i
r r r r r r r r r r r r
s the priority intervention for the nurse to take?
r r r r r r r r
a. Perform Nitrazine testing r r
b. Assess the amniotic fluid r r r
c. Check cervical dilation r r
d. Monitor the fetal heart rate- r r r r
Rupture of the membranesplaces the fetus at risk for umbi
r r r r r r r r r r r
lical cord prolapse. r r
r r r r
(NGN ATI) r
(Detailed Exam Prep Solutions and Re r r r r r
sources for the test in 2024/2025) r r r r r
1. A nurse is teaching a client about Rho(D) immunoglobulin (Rh
r r r r r r r r r
oGAM). Which of the following statements by the clientindica
r r r r r r r r r
ted an understanding of the teaching?
r r r r r
a. I will receive this medication if my baby is Rh-negative
r r r r r r r r r
b. I will receive this medication at time of delivery
r r r r r r r r
c. I will need a second dose of this medication when my babyis 6
r r r r r r r r r r r r r r
weeks old r
d. I will need this medication if I have an amniocentesis-
r r r r r r r r r
Recommended because of the potential of fetal RBCs en
r r r r r r r r r
tering the maternal circulation r r r
2. A nurse is caring for a client who is to receive oxytocin (Pitocin)to a
r r r r r r r r r r r r r r
ugment her labor. Which of the following contraindicates theinitiati
r r r r r r r r r
on of the oxytocin infusion and requires notification of the provider
r r r r r r r r r r
?
a. Late decelerations- r
Oxytocin is contraindicated based onlate decelerations not
r r r r r r r r
ed on fetal assessment findings because they indicate utero
r r r r r r r r
placental insufficiency. r
b. Baseline variability r
c. Cessation of uterine dilation r r r
d. Prolonged active phase of labor r r r r
3. A nurse on the newborn unit is planning discharge for four clients.
r r r r r r r r r r r r
Which of the following will require care beyond that ofa standard f
r r r r r r r r r r r r
ollow-up visit with the provider after delivery?
r r r r r r
, a. A newborn being sent home after 22 hr after birth-
r r r r r r r r r
Screening tests must be repeated if they were performedbe
r r r r r r r r r r
fore he newborn was 24 hr. old. r r r r r r
b. A newborn at 38 weeks of gestational age
r r r r r r r
c. A newborn who is bottle feeding
r r r r r
d. Twin newborns with Apgar scores of 8 and 9 r r r r r r r r
4. A nurse is assessing a newborn who has a weak cry and is grimacin
r r r r r r r r r r r r r
g. The nurse notes the newborn has a heart rate of 102/min, blueish
r r r r r r r r r r r r r
extremities, and a flaccid muscle tone. Whichof the following refl r r r r r r r r r r
ects the appropriate APGAR score?
r r r r
a. 4
b. 5
c. 6
d. 7
5. A nurse is caring for a client who has a history of rheumatic disease
r r r r r r r r r r r r r
, but no physical symptoms prior to pregnancy. The client begins t
r r r r r r r r r r r
o experience dyspnea, orthopnea, and pulmonaryedema. Which o
r r r r r r r r
f the following biological alterations explains this change?
r r r r r r r
a. Increased maternal weight r r
b. Increased blood volume- r r
Increase in blood volume duringpregnancy increase the wor
r r r r r r r r r
kload of the heart, which causes the symptoms r r r r r r r
c. Change in hematocrit levels r r r
d. Change in heart size r r r
6. A nurse is providing teaching about nonpharmacological pain ma
r r r r r r r r
nagement for a postpartum client who is breastfeed and has engorg
r r r r r r r r r r
ement. Which of the following methods should the nurserecomme
r r r r r r r r r
nd?
a. Cold cabbage leaves- r r
Application of this is an effectivenonpharmacological m
r r r r r r r r
ethod to relieve pain associated with engorgement r r r r r r
b. Modified lanolin cream r r
c. A breast binder r r
d. Breast shells r
,7. A nurse is providing discharge teaching to a client who is postpartu
r r r r r r r r r r r
m about resuming sexual activity. Which of the following instructi
r r r r r r r r r
ons should the nurse include in the teaching?
r r r r r r r
a. You should use a water soluble gel for lubrication-
r r r r r r r r
Thiswill prevent discomfort
r r r r
b. You can resume sexual activity in 10 days
r r r r r r r
c. Your physical reaction to sexual stimulation ill not bealt
r r r r r r r r r
ered
d. You will not ovulate for 3 months after delivery
r r r r r r r r
8. A nurse is admitting a client who is in labor. The client admits to rec
r r r r r r r r r r r r r r
ent cocaine use. For which of the following complicationsshould t
r r r r r r r r r r
he nurse assess?
r r
a. Abruptio placenta- r
Cocaines increases the risk forvasoconstriction and
r r r r r r r r
possible abruption placenta r r
b. Placenta previa r
c. Preeclampsia
d. Maternal bradycardia r
9. A nurse is providing dietary teaching with a client who has hypere
r r r r r r r r r r r
mesis gravidarum. Which of the following statements bythe client
r r r r r r r r r r
indicates an understanding of the teaching?
r r r r r
a. I should eat to taste instead of trying to balance my meals-
r r r r r r r r r r r
Eat to taste to avoid nausea r r r r r
b. I will avoid having a snack at bedtime
r r r r r r r
c. I will have 8 oz of hot tea with each meal
r r r r r r r r r r
d. I should pair my sweets with a starch instead of eatingthe
r r r r r r r r r r r
m alone r
10. A nurse is preparing to collect a blood specimen from a newb
r r r r r r r r r r r
orn via a heel stick. Which of the following techniques should the n
r r r r r r r r r r r r
urse use to help minimize the pain of the procedurefor the newborn
r r r r r r r r r r r r
?
a. Warm the heel prior to the puncture r r r r r r
b. Request a prescription for IM analgesic r r r r r
c. Use a manual lance blade to pierce the skin
r r r r r r r r
d. Swaddle the newborn after the heel puncture- r r r r r r
Effective technique to diminish the pain experience for the ne
r r r r r r r r r r
wborn.
, 11. A nurse is conducting an initial prenatal visit for a client who
r r r r r r r r r r r
is at 6 weeks gestation. Which of the following laboratorytests sh
r r r r r r r r r r r r
ould be performed? r r
a. 24 hour urine for protein r r r r
b. Group B streptococcus culture r r r
c. 3-hr glucose tolerance r r
d. Rubella titer- r
Obtained at the initial prenatal visit todetermine imm
r r r r r r r r r
unity to rubella r r
12. A nurse is caring for a newborn who was transferred to thenur
r r r r r r r r r r r r
sery 30 min after delivery. Which of the following actions should th
r r r r r r r r r r r
e nurse take first?
r r r
a. Confirm the newborn’s Apgar score r r r r
b. Verify the newborn’s identification- r r r
Mandatory to continue ongoing identification of the newbor
r r r r r r r r
n whenever the newborn is removed from the mother’s direct
r r r r r r r r r r
presenceand care. r r
c. Administer vitamin K IM to the newborn r r r r r r
d. Determine the obstetrical risk factors r r r r
13. A nurse is assessing a young adult client in a women’s health
r r r r r r r r r r r
clinic who asks for a contraceptive. The client reports tothe nurse
r r r r r r r r r r r r r
a familial history of osteoporosis. Which of the following contrac
r r r r r r r r r
eptive methods is contraindicated for this client?
r r r r r r
a. Combined estrogen-progestin oral contraceptives r r r
b. An intrauterine device r r
c. Medroxyprogestrone acetate (Depo-provera)- r r
causes a decrease in bone mineral density and places the cli
r r r r r r r r r r r
ent atrisk for the development of osteoporosis
r r r r r r r
d. Norelgestromin/ethinyl estradiol (Ortho Evra) r r r
14. A nurse is admitting a client to the labor and delivery unitwh
r r r r r r r r r r r r
en the client states, “my water just broke”, which of the following i
r r r r r r r r r r r r
s the priority intervention for the nurse to take?
r r r r r r r r
a. Perform Nitrazine testing r r
b. Assess the amniotic fluid r r r
c. Check cervical dilation r r
d. Monitor the fetal heart rate- r r r r
Rupture of the membranesplaces the fetus at risk for umbi
r r r r r r r r r r r
lical cord prolapse. r r
