RN ATI MATERNAL NEWBORN
PROCTORED FINAL PAPER 2026 TEST
BANK QUESTIONS AND VERIFIED
ANSWERS GRADED A+
⩥ NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G
2 P 1 mother, who was diagnosed with gestational diabetes. Following a
spontaneous vaginal birth, she received Apgar scores of seven at one
minute and eight at five minutes. The client weighs 4036.97g (8lbs 9oz)
and appears pink with acrocyanosis and a moderate amount of
subcutaneous fat. She is noted to be slightly jittery at 30min of age.
Axillary temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy
Rubin seven, fontanelles soft, mongolian spot noted on lower back,
Ballard maturity rating 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at risk for
_________ , _____________ , and _________________.
Answer: Hyperbilirubinemia , Resppiratory Distress Syndrome , and
Cardiomyopathy
⩥ NGN: Orders
Breast-feed immediately once stable then on demand. If unstable, may
feed breastmilk via orogastric tube. If two feeding attempts failed to
increase the glucose levels or if symptoms of hypoglycemia develop,
,apply dextrose gel inside the babies cheek. If the above are ineffective,
IV glucose should be administered to maintain glucose levels above 45.
Bolus of 2mL/kg glucose 10% IV, hello by a continuous glucose
perfusion of 6 to 8mg/kg/min, maintain glycemic levels over 40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU
J) Blood glucose level.
Answer: A) Feed Immedicately
B) Monitor for Respiratory Distress
D) Keep in warmer with bili lights
E) Monitor temp q30min
G) Contact RT for ABG and O2 therapy
J) Blood glucose level
,⩥ NGN Laboratory Results (same case of patient who just gave birth)
Which actions are appropriate for the nurse to take at this time? SATA
A) Keep infant in warmer with bili lights to maintain temp of 97.6F
B) Monitor Temp
C) Continue to monitor glucose level
D) Tell the mother that she will need to discuss this with the
neonatologist
E) Explain to the mother that the babys RR needs to be below 60
F) Inform the mother that the baby is stable enought to take out of the
warmer
G) Observe for signs of respiratory distress and monitor O2 with pulse
ox.
Answer: A) Keep infant in warmer with bili lights to maintain temp of
97F
E) Explain to the mother that the babys RR need to be below 60
F) Inform the mother that the baby is stable enough to take out of the
warmer
G) Observe for signs of respiratory distress and monitor oxygenation by
pulse ox
⩥ NGN: 1800: The client is a female neonate born at 37 weeks of
gestation to a G 2 P 1 mother, who was diagnosed with gestational
diabetes. Following a spontaneous vaginal birth, she received Apgar
, scores of seven at one minute and eight at five minutes. The client
weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a
moderate amount of subcutaneous fat. She is noted to be slightly jittery
at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood
glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot noted on
lower back, Ballard maturity rating 37 weeks.
(The day shift nurse reviews the nurses notes, labs, and flow sheet from
the night before. The nurse plans on providing health teaching for the
client and her family in preparation for discharge.)
For each teaching point, click to indicate whether it is indicated or
contraindicated. Only one right option per row.
A) You will need to se.
Answer: A)
B)
C)
D) Indicated
E)
?????????
⩥ NGN: 1800: The client is a female neonate born at 37 weeks of
gestation to a G 2 P 1 mother, who was diagnosed with gestational
diabetes. Following a spontaneous vaginal birth, she received Apgar
scores of seven at one minute and eight at five minutes. The client
weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a
moderate amount of subcutaneous fat. She is noted to be slightly jittery
PROCTORED FINAL PAPER 2026 TEST
BANK QUESTIONS AND VERIFIED
ANSWERS GRADED A+
⩥ NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of gestation to a G
2 P 1 mother, who was diagnosed with gestational diabetes. Following a
spontaneous vaginal birth, she received Apgar scores of seven at one
minute and eight at five minutes. The client weighs 4036.97g (8lbs 9oz)
and appears pink with acrocyanosis and a moderate amount of
subcutaneous fat. She is noted to be slightly jittery at 30min of age.
Axillary temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy
Rubin seven, fontanelles soft, mongolian spot noted on lower back,
Ballard maturity rating 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at risk for
_________ , _____________ , and _________________.
Answer: Hyperbilirubinemia , Resppiratory Distress Syndrome , and
Cardiomyopathy
⩥ NGN: Orders
Breast-feed immediately once stable then on demand. If unstable, may
feed breastmilk via orogastric tube. If two feeding attempts failed to
increase the glucose levels or if symptoms of hypoglycemia develop,
,apply dextrose gel inside the babies cheek. If the above are ineffective,
IV glucose should be administered to maintain glucose levels above 45.
Bolus of 2mL/kg glucose 10% IV, hello by a continuous glucose
perfusion of 6 to 8mg/kg/min, maintain glycemic levels over 40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU
J) Blood glucose level.
Answer: A) Feed Immedicately
B) Monitor for Respiratory Distress
D) Keep in warmer with bili lights
E) Monitor temp q30min
G) Contact RT for ABG and O2 therapy
J) Blood glucose level
,⩥ NGN Laboratory Results (same case of patient who just gave birth)
Which actions are appropriate for the nurse to take at this time? SATA
A) Keep infant in warmer with bili lights to maintain temp of 97.6F
B) Monitor Temp
C) Continue to monitor glucose level
D) Tell the mother that she will need to discuss this with the
neonatologist
E) Explain to the mother that the babys RR needs to be below 60
F) Inform the mother that the baby is stable enought to take out of the
warmer
G) Observe for signs of respiratory distress and monitor O2 with pulse
ox.
Answer: A) Keep infant in warmer with bili lights to maintain temp of
97F
E) Explain to the mother that the babys RR need to be below 60
F) Inform the mother that the baby is stable enough to take out of the
warmer
G) Observe for signs of respiratory distress and monitor oxygenation by
pulse ox
⩥ NGN: 1800: The client is a female neonate born at 37 weeks of
gestation to a G 2 P 1 mother, who was diagnosed with gestational
diabetes. Following a spontaneous vaginal birth, she received Apgar
, scores of seven at one minute and eight at five minutes. The client
weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a
moderate amount of subcutaneous fat. She is noted to be slightly jittery
at 30min of age. Axillary temperature 96F, pulse 140, RR 80. Blood
glucose 35, Billy Rubin seven, fontanelles soft, mongolian spot noted on
lower back, Ballard maturity rating 37 weeks.
(The day shift nurse reviews the nurses notes, labs, and flow sheet from
the night before. The nurse plans on providing health teaching for the
client and her family in preparation for discharge.)
For each teaching point, click to indicate whether it is indicated or
contraindicated. Only one right option per row.
A) You will need to se.
Answer: A)
B)
C)
D) Indicated
E)
?????????
⩥ NGN: 1800: The client is a female neonate born at 37 weeks of
gestation to a G 2 P 1 mother, who was diagnosed with gestational
diabetes. Following a spontaneous vaginal birth, she received Apgar
scores of seven at one minute and eight at five minutes. The client
weighs 4036.97g (8lbs 9oz) and appears pink with acrocyanosis and a
moderate amount of subcutaneous fat. She is noted to be slightly jittery
