ATI MATERNAL NEWBORN PROCTORED
EXAM 2023 WITH NGN 70 Questions and
Ansẉers with
Expert-Verified Explanation 2026 update
This Exam contains:
Guarantee passing score
Questions and Ansẉers
format set of multiple-choice
Expert-Verified Explanation
, Verified ẉith trusted textbooks
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A nurse is caring for a client who is at 32 weeks of gestation and is
experiencing preterm labor. Which of the following medications should the
nurse plan to administer?
A. Misoprostol
B. Betamethasone
C. Poractant alfa
D. Methylergonovine
Correct answerB. Betamethasone
Expert-Explanation Betamethasone is a corticosteroid administered to clients
between 24 and 34 weeks of gestation who are at risk of preterm delivery. Its
primary purpose is to accelerate fetal lung maturity by promoting the
production of surfactant, which reduces the risk of respiratory distress
syndrome (RDS), intraventricular hemorrhage, and necrotizing enterocolitis in
the newborn. The therapeutic effect typically requires 24 to 48 hours to be
achieved, making it critical to administer as soon as preterm labor is
anticipated. Misoprostol is a prostaglandin used for cervical ripening and
induction of labor, not for stopping preterm labor. Poractant alfa is a surfactant
replacement given to newborns already experiencing RDS, not prophylactically
to the mother. Methylergonovine is an oxytocic used to control postpartum
hemorrhage by causing sustained uterine contractions, and it is contraindicated
during pregnancy .
Question 2
A nurse on the postpartum unit is caring for a client following a cesarean birth.
Which of the following assessments is the nurse's priority?
A. Pain level
B. Amount of lochia
C. Presence of bowel sounds
D. Urinary output
,Correct answerB. Amount of lochia
Expert-Explanation Using the airway, breathing, and circulation (ABC)
framework, the greatest risk to a client in the immediate postpartum period is
hemorrhage. Excessive lochia (more than one saturated perineal pad per hour)
or the passage of large clots can indicate postpartum hemorrhage, a life-
threatening emergency. While pain management, bowel function, and urinary
output are important aspects of postpartum care, they are secondary to
assessing for bleeding. The nurse should assess the fundus for firmness and
position, and check the lochia for amount, color, odor, and the presence of
clots. A boggy uterus displaced above the umbilicus often indicates retained
placental fragments or uterine atony, requiring immediate intervention such as
fundal massage and administration of oxytocics .
Question 3
A nurse is assessing a client at 24 weeks of gestation. Which of the following
findings is considered a positive sign of pregnancy?
A. Positive pregnancy test
B. Fetal heartbeat heard on Doppler
C. Chadwick's sign
D. Quickening
Correct answerB. Fetal heartbeat heard on Doppler
Expert-Explanation Positive signs of pregnancy are those that provide direct
evidence of the fetus and can only be explained by pregnancy. These include
auscultation of fetal heart tones, visualization of the fetus via ultrasound, and
fetal movement felt by the examiner. Probable signs are strongly suggestive of
pregnancy but have other possible causes; they include a positive pregnancy
test (hCG detection), Goodell's sign (cervical softening), Chadwick's sign (bluish-
purple discoloration of the cervix and vagina), and ballottement. Presumptive
signs are subjective changes experienced by the client that could indicate
pregnancy but are highly non-specific, such as amenorrhea, nausea, breast
tenderness, fatigue, and quickening (the mother's perception of fetal
movement). Therefore, while quickening is an exciting milestone for the
mother, it is not considered a definitive sign .
Question 4
, A nurse is caring for a client who is in labor and whose fetus is in the right
occiput posterior (ROP) position. The client is dilated to 8 cm and reports
intense back pain. Which of the following actions should the nurse take?
A. Apply sacral counterpressure
B. Position the client supine with legs elevated
C. Instruct the client to pant during contractions
D. Perform effleurage on the abdomen
Correct answerA. Apply sacral counterpressure
Expert-Explanation The occiput posterior position often causes intense back
labor because the fetal head presses against the mother's sacrum and spine.
Applying firm, steady counterpressure to the sacral area helps relieve this
discomfort by counteracting the pressure of the fetal head. Positioning the
client supine is contraindicated in labor because it can cause supine
hypotensive syndrome due to aortocaval compression. Panting is a breathing
technique used to manage the urge to push before complete dilation (10 cm)
but does not specifically address back pain. Effleurage (light, gentle abdominal
stroking) is helpful for anterior fetal positions but is generally less effective for
back labor associated with posterior positions. The nurse should also
encourage position changes such as hands-and-knees or side-lying to
encourage fetal rotation .
Question 5
A nurse is providing discharge teaching to a client who is postpartum and is
breastfeeding her newborn. Which of the following statements indicates an
understanding of the teaching?
A. "I will need to eat an additional 330 calories per day."
B. "I will change my perineal pad at least twice a day."
C. "I will massage my uterus daily for 7 days."
D. "I will breastfeed my baby every 4 hours."
Correct answerA. "I will need to eat an additional 330 calories per day."
Expert-Explanation Breastfeeding increases metabolic demands significantly.
To maintain adequate milk production and maternal energy levels, the client
should consume an additional 330 to 400 calories per day beyond their pre-
pregnancy intake. Perineal pads should be changed frequently (typically every 2
to 4 hours) to prevent infection and promote comfort, not just twice daily.
Routine fundal massage after the first 24 hours is generally unnecessary and
EXAM 2023 WITH NGN 70 Questions and
Ansẉers with
Expert-Verified Explanation 2026 update
This Exam contains:
Guarantee passing score
Questions and Ansẉers
format set of multiple-choice
Expert-Verified Explanation
, Verified ẉith trusted textbooks
───────────────────────────────────────────────────────
─
A nurse is caring for a client who is at 32 weeks of gestation and is
experiencing preterm labor. Which of the following medications should the
nurse plan to administer?
A. Misoprostol
B. Betamethasone
C. Poractant alfa
D. Methylergonovine
Correct answerB. Betamethasone
Expert-Explanation Betamethasone is a corticosteroid administered to clients
between 24 and 34 weeks of gestation who are at risk of preterm delivery. Its
primary purpose is to accelerate fetal lung maturity by promoting the
production of surfactant, which reduces the risk of respiratory distress
syndrome (RDS), intraventricular hemorrhage, and necrotizing enterocolitis in
the newborn. The therapeutic effect typically requires 24 to 48 hours to be
achieved, making it critical to administer as soon as preterm labor is
anticipated. Misoprostol is a prostaglandin used for cervical ripening and
induction of labor, not for stopping preterm labor. Poractant alfa is a surfactant
replacement given to newborns already experiencing RDS, not prophylactically
to the mother. Methylergonovine is an oxytocic used to control postpartum
hemorrhage by causing sustained uterine contractions, and it is contraindicated
during pregnancy .
Question 2
A nurse on the postpartum unit is caring for a client following a cesarean birth.
Which of the following assessments is the nurse's priority?
A. Pain level
B. Amount of lochia
C. Presence of bowel sounds
D. Urinary output
,Correct answerB. Amount of lochia
Expert-Explanation Using the airway, breathing, and circulation (ABC)
framework, the greatest risk to a client in the immediate postpartum period is
hemorrhage. Excessive lochia (more than one saturated perineal pad per hour)
or the passage of large clots can indicate postpartum hemorrhage, a life-
threatening emergency. While pain management, bowel function, and urinary
output are important aspects of postpartum care, they are secondary to
assessing for bleeding. The nurse should assess the fundus for firmness and
position, and check the lochia for amount, color, odor, and the presence of
clots. A boggy uterus displaced above the umbilicus often indicates retained
placental fragments or uterine atony, requiring immediate intervention such as
fundal massage and administration of oxytocics .
Question 3
A nurse is assessing a client at 24 weeks of gestation. Which of the following
findings is considered a positive sign of pregnancy?
A. Positive pregnancy test
B. Fetal heartbeat heard on Doppler
C. Chadwick's sign
D. Quickening
Correct answerB. Fetal heartbeat heard on Doppler
Expert-Explanation Positive signs of pregnancy are those that provide direct
evidence of the fetus and can only be explained by pregnancy. These include
auscultation of fetal heart tones, visualization of the fetus via ultrasound, and
fetal movement felt by the examiner. Probable signs are strongly suggestive of
pregnancy but have other possible causes; they include a positive pregnancy
test (hCG detection), Goodell's sign (cervical softening), Chadwick's sign (bluish-
purple discoloration of the cervix and vagina), and ballottement. Presumptive
signs are subjective changes experienced by the client that could indicate
pregnancy but are highly non-specific, such as amenorrhea, nausea, breast
tenderness, fatigue, and quickening (the mother's perception of fetal
movement). Therefore, while quickening is an exciting milestone for the
mother, it is not considered a definitive sign .
Question 4
, A nurse is caring for a client who is in labor and whose fetus is in the right
occiput posterior (ROP) position. The client is dilated to 8 cm and reports
intense back pain. Which of the following actions should the nurse take?
A. Apply sacral counterpressure
B. Position the client supine with legs elevated
C. Instruct the client to pant during contractions
D. Perform effleurage on the abdomen
Correct answerA. Apply sacral counterpressure
Expert-Explanation The occiput posterior position often causes intense back
labor because the fetal head presses against the mother's sacrum and spine.
Applying firm, steady counterpressure to the sacral area helps relieve this
discomfort by counteracting the pressure of the fetal head. Positioning the
client supine is contraindicated in labor because it can cause supine
hypotensive syndrome due to aortocaval compression. Panting is a breathing
technique used to manage the urge to push before complete dilation (10 cm)
but does not specifically address back pain. Effleurage (light, gentle abdominal
stroking) is helpful for anterior fetal positions but is generally less effective for
back labor associated with posterior positions. The nurse should also
encourage position changes such as hands-and-knees or side-lying to
encourage fetal rotation .
Question 5
A nurse is providing discharge teaching to a client who is postpartum and is
breastfeeding her newborn. Which of the following statements indicates an
understanding of the teaching?
A. "I will need to eat an additional 330 calories per day."
B. "I will change my perineal pad at least twice a day."
C. "I will massage my uterus daily for 7 days."
D. "I will breastfeed my baby every 4 hours."
Correct answerA. "I will need to eat an additional 330 calories per day."
Expert-Explanation Breastfeeding increases metabolic demands significantly.
To maintain adequate milk production and maternal energy levels, the client
should consume an additional 330 to 400 calories per day beyond their pre-
pregnancy intake. Perineal pads should be changed frequently (typically every 2
to 4 hours) to prevent infection and promote comfort, not just twice daily.
Routine fundal massage after the first 24 hours is generally unnecessary and
