Latest Version ATI Maternal Newborn
Proctored Exam 2024 with NGN | 70
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Q1. A nurse is reviewing the health record of a client who is pregnant. The
provider indicated the client exhibits probable signs of pregnancy. Which of the
following findings should the nurse expect? (Select All That Apply)
A) Montgomery glands
B) Goodell's sign
C) Ballottement
D) Chadwick's sign
E) Quickening
Correct Answer: B, C, D
Explanation: Probable signs are those detected by a provider upon examination,
such as Goodell's sign (cervical softening), ballottement (rebound of fetus), and
Chadwick's sign (bluish-purple cervix/vagina) . Montgomery glands (tubercles
on areola) and quickening (fetal movement felt by mother) are presumptive
signs (felt by the patient), not probable signs detected by the examiner.
Q2. A nurse in a prenatal clinic is caring for a client who is pregnant and
experiencing episodes of maternal hypotension. The client asks what causes
these episodes. Which response should the nurse make?
A) "This is due to an increase in blood volume."
B) "This is due to pressure from the uterus on the diaphragm."
C) "This is due to the weight of the uterus on the vena cava."
D) "This is due to increased cardiac output."
Correct Answer: C
Explanation: Supine hypotension syndrome occurs when the gravid uterus
compresses the inferior vena cava, reducing venous return and cardiac output,
leading to hypotension . This is specifically positional; turning the patient
lateral relieves the compression. While blood volume and cardiac output do
, increase in pregnancy, they do not cause hypotension; they usually support
blood pressure.
Q3. A nurse is providing discharge teaching to a client following a tubal
ligation. Which statement indicates understanding?
A) "Ovulation will remain the same."
B) "Hormone replacement will be needed following the procedure."
C) "My monthly cycle will be shorter."
D) "I will need a yearly ultrasound to check the clips."
Correct Answer: A
Explanation: Tubal ligation is a mechanical barrier preventing the ovum from
traveling through the fallopian tube; it does not affect ovarian function
(ovulation) or hormone production . Therefore, menstrual cycles generally
remain unchanged, and hormone replacement is unnecessary. The statement
about ovulation remaining the same demonstrates correct understanding.
Q4. A nurse is assessing a newborn who was born via forceps-assisted birth.
Which finding should the nurse identify as a potential injury caused by the
forceps?
A) Facial asymmetry
B) Depressed anterior fontanel
C) Uneven gluteal skin folds
D) Epicanthal folds
Correct Answer: A
Explanation: Forceps injuries often involve pressure on the facial nerve (CN VII),
resulting in facial asymmetry or palsy . Uneven gluteal folds suggest hip
dysplasia. A depressed fontanel indicates dehydration. Epicanthal folds are
often genetic (e.g., Down syndrome). Therefore, asymmetry following a forceps
delivery is a red flag for nerve damage.
Q5. A nurse is caring for a newborn who is 6 hours old. The mother has type 2
diabetes mellitus. The bedside glucometer reads 65 mg/dL. Which action
should the nurse take?
A) Obtain a blood sample for a serum glucose level.
B) Feed the newborn immediately.
C) Administer 50 mL of dextrose solution IV.
Proctored Exam 2024 with NGN | 70
Screenshot Questions and Ansẉers with
Expert-Verified Explanation 2026 update
This Exam contains:
Guarantee passing score
70 Questions and Ansẉers
format set of multiple-choice
Expert-Verified Explanation
, Verified ẉith trusted textbooks
───────────────────────────────────────────────────────
─
Q1. A nurse is reviewing the health record of a client who is pregnant. The
provider indicated the client exhibits probable signs of pregnancy. Which of the
following findings should the nurse expect? (Select All That Apply)
A) Montgomery glands
B) Goodell's sign
C) Ballottement
D) Chadwick's sign
E) Quickening
Correct Answer: B, C, D
Explanation: Probable signs are those detected by a provider upon examination,
such as Goodell's sign (cervical softening), ballottement (rebound of fetus), and
Chadwick's sign (bluish-purple cervix/vagina) . Montgomery glands (tubercles
on areola) and quickening (fetal movement felt by mother) are presumptive
signs (felt by the patient), not probable signs detected by the examiner.
Q2. A nurse in a prenatal clinic is caring for a client who is pregnant and
experiencing episodes of maternal hypotension. The client asks what causes
these episodes. Which response should the nurse make?
A) "This is due to an increase in blood volume."
B) "This is due to pressure from the uterus on the diaphragm."
C) "This is due to the weight of the uterus on the vena cava."
D) "This is due to increased cardiac output."
Correct Answer: C
Explanation: Supine hypotension syndrome occurs when the gravid uterus
compresses the inferior vena cava, reducing venous return and cardiac output,
leading to hypotension . This is specifically positional; turning the patient
lateral relieves the compression. While blood volume and cardiac output do
, increase in pregnancy, they do not cause hypotension; they usually support
blood pressure.
Q3. A nurse is providing discharge teaching to a client following a tubal
ligation. Which statement indicates understanding?
A) "Ovulation will remain the same."
B) "Hormone replacement will be needed following the procedure."
C) "My monthly cycle will be shorter."
D) "I will need a yearly ultrasound to check the clips."
Correct Answer: A
Explanation: Tubal ligation is a mechanical barrier preventing the ovum from
traveling through the fallopian tube; it does not affect ovarian function
(ovulation) or hormone production . Therefore, menstrual cycles generally
remain unchanged, and hormone replacement is unnecessary. The statement
about ovulation remaining the same demonstrates correct understanding.
Q4. A nurse is assessing a newborn who was born via forceps-assisted birth.
Which finding should the nurse identify as a potential injury caused by the
forceps?
A) Facial asymmetry
B) Depressed anterior fontanel
C) Uneven gluteal skin folds
D) Epicanthal folds
Correct Answer: A
Explanation: Forceps injuries often involve pressure on the facial nerve (CN VII),
resulting in facial asymmetry or palsy . Uneven gluteal folds suggest hip
dysplasia. A depressed fontanel indicates dehydration. Epicanthal folds are
often genetic (e.g., Down syndrome). Therefore, asymmetry following a forceps
delivery is a red flag for nerve damage.
Q5. A nurse is caring for a newborn who is 6 hours old. The mother has type 2
diabetes mellitus. The bedside glucometer reads 65 mg/dL. Which action
should the nurse take?
A) Obtain a blood sample for a serum glucose level.
B) Feed the newborn immediately.
C) Administer 50 mL of dextrose solution IV.
