ATI RN MATERNAL NEWBORN
PROCTORED EXAM 2026–2027 QUESTIONS
AND CORRECT ANSWERS WITH
RATIONALES NGN PRACTICE GRADE A+
STUDY GUIDE
preterm labor - CORRECT ANSWER -cervical changes and uterine
contractions occurring between 20 and 37 weeks of pregnancy
preterm labor factors - CORRECT ANSWER -previous preterm labor
multifetal preg
second trimester bleeding
infection
UTI
DM
uterine abnormalities
fetal fibronectin test - CORRECT ANSWER -A vagina swab that tests the
protein found in the secretion. Determines who is at risk for PTL
preterm labor NI - CORRECT ANSWER -activity restriction (bed rest with
bathroom privileges)
ensure hydration
assess for signs of infection: UTI, vaginal drainage
,administer tocolytic meds and betamethasone
fetal distress - CORRECT ANSWER -FHR <110 or >160
absent FHR variability
acute uteroplacental insufficiency - CORRECT ANSWER -excessive
uterine activity associated with use of oxytocin
maternal hypotension: epidural, vena cava compression, supine position,
hemorrhage
placental separation: abruptio, placentae previa
chronic uteroplacental insufficiency - CORRECT ANSWER -gestational
HTN
chronic HTN
smoking or illicit drug use
diabetes mellitus
postmaturity
fetal distress NI - CORRECT ANSWER -stop oxytocin
administer O2 8-10 L/min by nonrebreather face mask
reposition client
increase IVF
perform fetal scalp stimulation or vibroacoustic stimulation
,cord compression - CORRECT ANSWER -reduced blood flow from the
placenta to the fetus
--> can cause fetal asphyxia
prolapsed cord factor - CORRECT ANSWER -breech presentation
prolapsed cord NI - CORRECT ANSWER -call for assistance
sterile gloved hand --> apply pressure on either side of the cord to the fetal
presenting part to elevate it off the cord
reposition in a knee chest position
administer O2
prepare for immediate birth
If cord is protruding from the vagina - CORRECT ANSWER -wrap it
loosely in a sterile saline soaked towel
cord compression NI - CORRECT ANSWER -position change is a priority
administer O2
amnioinfusion
emergency childbirth NI - CORRECT ANSWER -encourage mother to
pant (?)
support the perineum
rupture the membranes if they have not already
, slip cord over neonate's head
keep neonate dry and warm
do not cut cord
deliver the placenta
amniotic fluid embolism - CORRECT ANSWER -AKA anaphylactic
syndrome of pregnancy
-rupture in the amniotic sac or maternal uterine veins accompanied by a
high uterine pressure
-amntioic fluid enters maternal circulation and travels to and obstructs
pulmonary vessels, causing respiratory distress and circulatory distress
amniotic fluid embolism caused by - CORRECT ANSWER -precipitous
labor
amniotic fluid emboli manifestations - CORRECT ANSWER -respiratory
distress
circulatory collapse - tachycardia, hypotension, shock, cardiac arrest
hemorrhage
seizure activity
amniotic fluid emboli NI - CORRECT ANSWER -administer 10 L O2 via
facemask
prepare client for intubation
PROCTORED EXAM 2026–2027 QUESTIONS
AND CORRECT ANSWERS WITH
RATIONALES NGN PRACTICE GRADE A+
STUDY GUIDE
preterm labor - CORRECT ANSWER -cervical changes and uterine
contractions occurring between 20 and 37 weeks of pregnancy
preterm labor factors - CORRECT ANSWER -previous preterm labor
multifetal preg
second trimester bleeding
infection
UTI
DM
uterine abnormalities
fetal fibronectin test - CORRECT ANSWER -A vagina swab that tests the
protein found in the secretion. Determines who is at risk for PTL
preterm labor NI - CORRECT ANSWER -activity restriction (bed rest with
bathroom privileges)
ensure hydration
assess for signs of infection: UTI, vaginal drainage
,administer tocolytic meds and betamethasone
fetal distress - CORRECT ANSWER -FHR <110 or >160
absent FHR variability
acute uteroplacental insufficiency - CORRECT ANSWER -excessive
uterine activity associated with use of oxytocin
maternal hypotension: epidural, vena cava compression, supine position,
hemorrhage
placental separation: abruptio, placentae previa
chronic uteroplacental insufficiency - CORRECT ANSWER -gestational
HTN
chronic HTN
smoking or illicit drug use
diabetes mellitus
postmaturity
fetal distress NI - CORRECT ANSWER -stop oxytocin
administer O2 8-10 L/min by nonrebreather face mask
reposition client
increase IVF
perform fetal scalp stimulation or vibroacoustic stimulation
,cord compression - CORRECT ANSWER -reduced blood flow from the
placenta to the fetus
--> can cause fetal asphyxia
prolapsed cord factor - CORRECT ANSWER -breech presentation
prolapsed cord NI - CORRECT ANSWER -call for assistance
sterile gloved hand --> apply pressure on either side of the cord to the fetal
presenting part to elevate it off the cord
reposition in a knee chest position
administer O2
prepare for immediate birth
If cord is protruding from the vagina - CORRECT ANSWER -wrap it
loosely in a sterile saline soaked towel
cord compression NI - CORRECT ANSWER -position change is a priority
administer O2
amnioinfusion
emergency childbirth NI - CORRECT ANSWER -encourage mother to
pant (?)
support the perineum
rupture the membranes if they have not already
, slip cord over neonate's head
keep neonate dry and warm
do not cut cord
deliver the placenta
amniotic fluid embolism - CORRECT ANSWER -AKA anaphylactic
syndrome of pregnancy
-rupture in the amniotic sac or maternal uterine veins accompanied by a
high uterine pressure
-amntioic fluid enters maternal circulation and travels to and obstructs
pulmonary vessels, causing respiratory distress and circulatory distress
amniotic fluid embolism caused by - CORRECT ANSWER -precipitous
labor
amniotic fluid emboli manifestations - CORRECT ANSWER -respiratory
distress
circulatory collapse - tachycardia, hypotension, shock, cardiac arrest
hemorrhage
seizure activity
amniotic fluid emboli NI - CORRECT ANSWER -administer 10 L O2 via
facemask
prepare client for intubation
