ATI RN MATERNAL NEWBORN
PROCTORED EXAM 2023 NGN A
100% VERIFIED ANSWERS
Antepartum & High-Risk Pregnancy
Question 1: A nurse is assessing a client at 30 weeks of gestation
who reports sudden painless vaginal bleeding. Which condition
should the nurse suspect?
A) Placental abruption
B) Placenta previa
C) Uterine rupture
D) Preterm labor
Rationale: Placenta previa presents with painless vaginal
bleeding. Placental abruption causes painful bleeding with a rigid
abdomen.
, Question 2: A client at 38 weeks gestation presents with painful
vaginal bleeding and a rigid abdomen. What is the priority
assessment?
A) Fetal heart rate
B) Maternal temperature
C) Urine output
D) Cervical dilation
Rationale: Assessing fetal well-being is the priority in suspected
placental abruption. Vaginal exams are contraindicated until
placenta previa is ruled out.
Question 3: A client with preeclampsia is receiving magnesium
sulfate. Which finding indicates toxicity?
A) Respiratory rate 10/min
B) BP 150/90 mm Hg
C) Urine output 40 mL/hr
D) +2 reflexes
Rationale: Respiratory depression is a sign of magnesium toxicity.
The antidote is calcium gluconate.
Question 4: A nurse is reviewing the laboratory results for a client
who is at 10 weeks gestation. Which of the following laboratory
findings should the nurse report to the provider?
, A) Hemoglobin 10 g/dL
B) WBC count 15,000/mm³
C) RBC count 5.8 million/mm³
D) Hematocrit 34%
Rationale: A hemoglobin level of 10 g/dL is below the expected
reference range of greater than 11 g/dL for a client who is
pregnant. The nurse should report this finding.
Question 5: A nurse is caring for a client who is at 32 weeks
gestation and is experiencing preterm labor. What medication
should the nurse plan to administer?
A) Misoprostol
B) Betamethasone
C) Poractant alfa
D) Methylergonovine
Rationale: Betamethasone is administered between 24 and 34
weeks of gestation to promote fetal lung maturity.
Question 6: A nurse is caring for a client who has
oligohydramnios. What fetal anomalies should the nurse expect?
A) Renal agenesis
B) Atrial septal defect
C) Spina bifida
, D) Hydrocephalus
Rationale: Fetal urine comprises the majority of amniotic fluid;
renal agenesis leads to oligohydramnios.
Question 7: A nurse is teaching a client who is at 12 weeks
gestation and has HIV. What statement should the nurse include
in the teaching?
A) "You will be in isolation after delivery."
B) "Abstain from sexual intercourse throughout pregnancy."
C) "Breastfeed your newborn to provide passive immunity."
D) "You should continue to take zidovudine throughout the
pregnancy."
Rationale: Taking antiviral medication daily decreases the risk of
transmission of HIV to the newborn. HIV can be transmitted
through breastfeeding.
Question 8: A nurse is assessing a client who is at 12 weeks
gestation and has a hydatidiform mole. What findings should the
nurse expect?
A) Hypothermia
B) Dark brown vaginal discharge
C) Fetal heart tones
D) Decreased urinary output
PROCTORED EXAM 2023 NGN A
100% VERIFIED ANSWERS
Antepartum & High-Risk Pregnancy
Question 1: A nurse is assessing a client at 30 weeks of gestation
who reports sudden painless vaginal bleeding. Which condition
should the nurse suspect?
A) Placental abruption
B) Placenta previa
C) Uterine rupture
D) Preterm labor
Rationale: Placenta previa presents with painless vaginal
bleeding. Placental abruption causes painful bleeding with a rigid
abdomen.
, Question 2: A client at 38 weeks gestation presents with painful
vaginal bleeding and a rigid abdomen. What is the priority
assessment?
A) Fetal heart rate
B) Maternal temperature
C) Urine output
D) Cervical dilation
Rationale: Assessing fetal well-being is the priority in suspected
placental abruption. Vaginal exams are contraindicated until
placenta previa is ruled out.
Question 3: A client with preeclampsia is receiving magnesium
sulfate. Which finding indicates toxicity?
A) Respiratory rate 10/min
B) BP 150/90 mm Hg
C) Urine output 40 mL/hr
D) +2 reflexes
Rationale: Respiratory depression is a sign of magnesium toxicity.
The antidote is calcium gluconate.
Question 4: A nurse is reviewing the laboratory results for a client
who is at 10 weeks gestation. Which of the following laboratory
findings should the nurse report to the provider?
, A) Hemoglobin 10 g/dL
B) WBC count 15,000/mm³
C) RBC count 5.8 million/mm³
D) Hematocrit 34%
Rationale: A hemoglobin level of 10 g/dL is below the expected
reference range of greater than 11 g/dL for a client who is
pregnant. The nurse should report this finding.
Question 5: A nurse is caring for a client who is at 32 weeks
gestation and is experiencing preterm labor. What medication
should the nurse plan to administer?
A) Misoprostol
B) Betamethasone
C) Poractant alfa
D) Methylergonovine
Rationale: Betamethasone is administered between 24 and 34
weeks of gestation to promote fetal lung maturity.
Question 6: A nurse is caring for a client who has
oligohydramnios. What fetal anomalies should the nurse expect?
A) Renal agenesis
B) Atrial septal defect
C) Spina bifida
, D) Hydrocephalus
Rationale: Fetal urine comprises the majority of amniotic fluid;
renal agenesis leads to oligohydramnios.
Question 7: A nurse is teaching a client who is at 12 weeks
gestation and has HIV. What statement should the nurse include
in the teaching?
A) "You will be in isolation after delivery."
B) "Abstain from sexual intercourse throughout pregnancy."
C) "Breastfeed your newborn to provide passive immunity."
D) "You should continue to take zidovudine throughout the
pregnancy."
Rationale: Taking antiviral medication daily decreases the risk of
transmission of HIV to the newborn. HIV can be transmitted
through breastfeeding.
Question 8: A nurse is assessing a client who is at 12 weeks
gestation and has a hydatidiform mole. What findings should the
nurse expect?
A) Hypothermia
B) Dark brown vaginal discharge
C) Fetal heart tones
D) Decreased urinary output
