MATERNAL NEWBORN PROCTORED WITH NGN ACTUAL
EXAM 2025 QUESTIONS AND ANSWERS
A nurse is caring for a client who is receiving oxytocin to induce labor. The
nurse should discontinue the oxytocin if which of the following occurs? a.
Contractions last 60 Seconds b. non-repetitive early decelerations c. 6
contractions in 10 minutes d. moderate variability of the fetal heart rate -
Answer:-c. 6 contractions in 10 minutes
A nurse is planning care for a client following a chorionic villus sampling. The
nurse should recognize that the client is at risk for developing which of the
following complications? a. Late decelerationsb. Infection c. Anemia d.
placental insufficiency -Answer:-b. Infection
A nurse is providing dietary teaching to a client who is 32 weeks of gestation
and has cholelithiasis. Which of the following foods should the nurse
recommend for the client to include in her diet? a. Baked chicken b. whole
milk c. french fries d. bacon cheeseburger -Answer:-a. Baked chicken
A nurse is providing teaching to a client who is primigravid and is scheduled
to have an abdominal ultrasound. Which of the following statements by the
client indicates an understanding of the teaching? a. I need to take a stool
softener the night before the test b. I can't have anything to eat after midnight
c. I won't apply perfumed lotion to my abdomen before the test d. I will drink
water before the test until my bladder feels full -Answer:-d. I will drink water
before the test until my bladder feels full
A nurse is performing an assessment of a newborn's but Bensky reflex. Which
of the following findings should the nurse expect? a. Flexion of the forearm b.
,extension of the leg c. Downward curl of the toes d. dorsiflexion of the greater
toes -Answer:-d. dorsiflexion of the greater toes
. A nurse is caring for a client who received epidural analgesia during labor
and is 4 hours for postpartum. Which of the following client reports should
the nurse address first? - page 84 a. Itching b. inability to void c. abdominal
cramps d. tingling in the legs -Answer:-a. Itching
A nurse is caring for a client who is at 30 weeks of gestation and receiving
magnesium sulfate for preeclampsia. The nurse should recognize which of the
following manifestations as an adverse reaction to the medication?a.
Respiratory rate a 16 / minutes b. Hypertension c. urine output 20 ml / hour
d. Hyperglycemia -Answer:-c. urine output 20 ml / hour
Nurse is performing a Heel stick on a newborn. Which of the following actions
should the nurse take? a. Use an automatic puncture device on the heel b.
Puncture the heels of the inner aspect of the foot c. cleanse the newborns heel
with an alcohol swab after the procedure d. place an ice pack on the
newborn's heel 5 minutes before the procedure -Answer:-a. Use an automatic
puncture device on the heel
. A nurse is admitting a client with a birthing unit reports for contractions
started 1 hour ago. the nurse determines the client is 80% effaced and 8 cm
dilated. The nurse realizes that the client is at risk for which of the following
conditions? a. Ectopic pregnancy b. postpartum hemorrhage c. hyperemesis
gravidarum d. incompetent cervix -Answer:-b. postpartum hemorrhage
. a nurse is assessing a client who is at 32 weeks of gestation and is receiving
magnesium sulfate via continuous IV solution. Which of the following findings
should the nurse report to the provider? a. decrease in frequency of
, contractions b. absent deep tendon reflexes c. urinary output 35 ml/hr d. BP
mmhg -Answer:-b. absent deep tendon reflexes
A nurse is providing nutritional guidance McClain was pregnant in follows a
vegan diet. The client asks the nurse which foods she should eat to ensure
adequate calcium intake. The nurse should instruct the client which of the
following Foods has the highest amount of calcium? a. One cup cooked
broccoli c. one medium potato d. one large banana -Answer:-a. One cup
cooked broccoli
A nurse is providing discharge instructions to a client is 24 hours post partum
and has decided not to breastfeed. Which of the following instruction should
the nurse include in the teaching? a. Wear loose-fitting non-binding bra for 72
hours b. shower daily allow warm water to run directly over your dress c.
Apply ice packs to your breast using a 15 minutes on, 45 minutes off schedule
d. Pump your breast twice-daily to relieve discomfort from engorgement -
Answer:-c. Apply ice packs to your breast using a 15 minutes on, 45 minutes
off schedule
A nurse in a newborn Nursery is receiving change-of-shift report for for
newborns. Which of the following newborn should the nurse assess first? a.
Newborn who is 24 hours old and has not had meconium stool b. a newborn
who is 10 hours old and has a new onset tachypnea c. newborn who has a
short frenulum and is having difficulty breastfeeding d. a newborn was 30
hours old and has blood-tinged discharge in her diaper -Answer:-b. a newborn
who is 10 hours old and has a new onset tachypnea
A nurse is assessing the results of a non-stress test for an antepartal client at
35 weeks of gestation. Which of the following findings should indicate to the
nurse the need for further diagnostic testing? a. 3 fetal movements perceived
by the client in a 20-minute testing period b. No late deceleration in the fetal
EXAM 2025 QUESTIONS AND ANSWERS
A nurse is caring for a client who is receiving oxytocin to induce labor. The
nurse should discontinue the oxytocin if which of the following occurs? a.
Contractions last 60 Seconds b. non-repetitive early decelerations c. 6
contractions in 10 minutes d. moderate variability of the fetal heart rate -
Answer:-c. 6 contractions in 10 minutes
A nurse is planning care for a client following a chorionic villus sampling. The
nurse should recognize that the client is at risk for developing which of the
following complications? a. Late decelerationsb. Infection c. Anemia d.
placental insufficiency -Answer:-b. Infection
A nurse is providing dietary teaching to a client who is 32 weeks of gestation
and has cholelithiasis. Which of the following foods should the nurse
recommend for the client to include in her diet? a. Baked chicken b. whole
milk c. french fries d. bacon cheeseburger -Answer:-a. Baked chicken
A nurse is providing teaching to a client who is primigravid and is scheduled
to have an abdominal ultrasound. Which of the following statements by the
client indicates an understanding of the teaching? a. I need to take a stool
softener the night before the test b. I can't have anything to eat after midnight
c. I won't apply perfumed lotion to my abdomen before the test d. I will drink
water before the test until my bladder feels full -Answer:-d. I will drink water
before the test until my bladder feels full
A nurse is performing an assessment of a newborn's but Bensky reflex. Which
of the following findings should the nurse expect? a. Flexion of the forearm b.
,extension of the leg c. Downward curl of the toes d. dorsiflexion of the greater
toes -Answer:-d. dorsiflexion of the greater toes
. A nurse is caring for a client who received epidural analgesia during labor
and is 4 hours for postpartum. Which of the following client reports should
the nurse address first? - page 84 a. Itching b. inability to void c. abdominal
cramps d. tingling in the legs -Answer:-a. Itching
A nurse is caring for a client who is at 30 weeks of gestation and receiving
magnesium sulfate for preeclampsia. The nurse should recognize which of the
following manifestations as an adverse reaction to the medication?a.
Respiratory rate a 16 / minutes b. Hypertension c. urine output 20 ml / hour
d. Hyperglycemia -Answer:-c. urine output 20 ml / hour
Nurse is performing a Heel stick on a newborn. Which of the following actions
should the nurse take? a. Use an automatic puncture device on the heel b.
Puncture the heels of the inner aspect of the foot c. cleanse the newborns heel
with an alcohol swab after the procedure d. place an ice pack on the
newborn's heel 5 minutes before the procedure -Answer:-a. Use an automatic
puncture device on the heel
. A nurse is admitting a client with a birthing unit reports for contractions
started 1 hour ago. the nurse determines the client is 80% effaced and 8 cm
dilated. The nurse realizes that the client is at risk for which of the following
conditions? a. Ectopic pregnancy b. postpartum hemorrhage c. hyperemesis
gravidarum d. incompetent cervix -Answer:-b. postpartum hemorrhage
. a nurse is assessing a client who is at 32 weeks of gestation and is receiving
magnesium sulfate via continuous IV solution. Which of the following findings
should the nurse report to the provider? a. decrease in frequency of
, contractions b. absent deep tendon reflexes c. urinary output 35 ml/hr d. BP
mmhg -Answer:-b. absent deep tendon reflexes
A nurse is providing nutritional guidance McClain was pregnant in follows a
vegan diet. The client asks the nurse which foods she should eat to ensure
adequate calcium intake. The nurse should instruct the client which of the
following Foods has the highest amount of calcium? a. One cup cooked
broccoli c. one medium potato d. one large banana -Answer:-a. One cup
cooked broccoli
A nurse is providing discharge instructions to a client is 24 hours post partum
and has decided not to breastfeed. Which of the following instruction should
the nurse include in the teaching? a. Wear loose-fitting non-binding bra for 72
hours b. shower daily allow warm water to run directly over your dress c.
Apply ice packs to your breast using a 15 minutes on, 45 minutes off schedule
d. Pump your breast twice-daily to relieve discomfort from engorgement -
Answer:-c. Apply ice packs to your breast using a 15 minutes on, 45 minutes
off schedule
A nurse in a newborn Nursery is receiving change-of-shift report for for
newborns. Which of the following newborn should the nurse assess first? a.
Newborn who is 24 hours old and has not had meconium stool b. a newborn
who is 10 hours old and has a new onset tachypnea c. newborn who has a
short frenulum and is having difficulty breastfeeding d. a newborn was 30
hours old and has blood-tinged discharge in her diaper -Answer:-b. a newborn
who is 10 hours old and has a new onset tachypnea
A nurse is assessing the results of a non-stress test for an antepartal client at
35 weeks of gestation. Which of the following findings should indicate to the
nurse the need for further diagnostic testing? a. 3 fetal movements perceived
by the client in a 20-minute testing period b. No late deceleration in the fetal
