NGN ATI RN MATERNAL
NEWBORN NGN PRACTICE EXAM
2024-2025 ACTUAL EXAM 60
QUESTIONS AND CORRECT
DETAILED ANSWERS
a nurse is assessing a client who has gestational diabetes
Mellitus and is experiencing hyperglycemia. which of the
following findings should the nurse expect? - ANSWER
reports increased urinary output.
Increased urinary output, nausea and vomiting, reports of
thirst, abdominal pain, constipation, drowsiness, and
headaches are manifestations of hyperglycemia. Other
manifestations include weak rapid pulse, fruity breath
odor, urine positive for sugar and acetone, and a blood
glucose level greater than 200 mg/dL.
a nurse is caring for a client who is 22 weeks of gestation
and is HIV positive. which of the following actions should
the nurse take? - ANSWER Report the client's condition to
the local health department.
,The nurse should report the condition to the local health
department. HIV is one of the conditions on the list of
Nationally Notifiable Infectious Conditions that is required
to be reported.
a nurse is providing teaching for a client who has a new
prescription for combined oral contraceptives. which of the
following findings should the nurse include as an adverse
effect of this medication? - ANSWER depression
The nurse should instruct the client that depression is a
common adverse effect of combined oral contraceptives.
Other common adverse effects of the medication include
amenorrhea, weight gain, headache, nausea,
breakthrough bleeding, and breast tenderness.
a nurse is providing teaching to a client who is at 40
weeks of gestation and has a new prescription for
misoprostol. Which of the following instructions should the
nurse include in the teaching? - ANSWER "I can
administer oxytocin 4 hours after the insertion of the
medication."
The nurse can administer oxytocin no sooner than 4 hr
after the last dose of misoprostol. Oxytocin can be
administered following misoprostol for clients who have
cervical ripening and have not begun labor.
a nurse is caring for a prenatal client who has parvovirus
b19(fifth disease) which of the following actions should the
, nurse take? - ANSWER schedule an ultrasound
examination
The nurse should schedule serial ultrasound examinations
to monitor the fetus during the pregnancy to detect the
possible development of fetal hydrops. Also, the virus can
cause miscarriage, intrauterine growth restriction, fetal
anemia, or stillbirth.
a nurse is preparing to collect a blood specimen from a
newborn via a heel stick. which of the following techniques
should the nurse use to help minimize the pain of the
procedure for the newborn? - ANSWER place the
newborn skin to skin on the mother's chest.
Placing the newborn skin to skin on the mother's chest is
an effective technique to significantly decrease the
newborn's pain level and anxiety. The nurse should
implement this technique before, during, and after the
procedure.
a nurse is performing a vag examination on a client who
is in labor and observes the umbilical cord protruding from
the vagina. after calling for assistance, which of the
following actions should the nurse take? - ANSWER Insert
two gloved fingers into the vagina and apply upward
pressure to the presenting part.
The nurse should quickly apply gloves and insert two
fingers into the vagina toward the cervix, exerting upward
NEWBORN NGN PRACTICE EXAM
2024-2025 ACTUAL EXAM 60
QUESTIONS AND CORRECT
DETAILED ANSWERS
a nurse is assessing a client who has gestational diabetes
Mellitus and is experiencing hyperglycemia. which of the
following findings should the nurse expect? - ANSWER
reports increased urinary output.
Increased urinary output, nausea and vomiting, reports of
thirst, abdominal pain, constipation, drowsiness, and
headaches are manifestations of hyperglycemia. Other
manifestations include weak rapid pulse, fruity breath
odor, urine positive for sugar and acetone, and a blood
glucose level greater than 200 mg/dL.
a nurse is caring for a client who is 22 weeks of gestation
and is HIV positive. which of the following actions should
the nurse take? - ANSWER Report the client's condition to
the local health department.
,The nurse should report the condition to the local health
department. HIV is one of the conditions on the list of
Nationally Notifiable Infectious Conditions that is required
to be reported.
a nurse is providing teaching for a client who has a new
prescription for combined oral contraceptives. which of the
following findings should the nurse include as an adverse
effect of this medication? - ANSWER depression
The nurse should instruct the client that depression is a
common adverse effect of combined oral contraceptives.
Other common adverse effects of the medication include
amenorrhea, weight gain, headache, nausea,
breakthrough bleeding, and breast tenderness.
a nurse is providing teaching to a client who is at 40
weeks of gestation and has a new prescription for
misoprostol. Which of the following instructions should the
nurse include in the teaching? - ANSWER "I can
administer oxytocin 4 hours after the insertion of the
medication."
The nurse can administer oxytocin no sooner than 4 hr
after the last dose of misoprostol. Oxytocin can be
administered following misoprostol for clients who have
cervical ripening and have not begun labor.
a nurse is caring for a prenatal client who has parvovirus
b19(fifth disease) which of the following actions should the
, nurse take? - ANSWER schedule an ultrasound
examination
The nurse should schedule serial ultrasound examinations
to monitor the fetus during the pregnancy to detect the
possible development of fetal hydrops. Also, the virus can
cause miscarriage, intrauterine growth restriction, fetal
anemia, or stillbirth.
a nurse is preparing to collect a blood specimen from a
newborn via a heel stick. which of the following techniques
should the nurse use to help minimize the pain of the
procedure for the newborn? - ANSWER place the
newborn skin to skin on the mother's chest.
Placing the newborn skin to skin on the mother's chest is
an effective technique to significantly decrease the
newborn's pain level and anxiety. The nurse should
implement this technique before, during, and after the
procedure.
a nurse is performing a vag examination on a client who
is in labor and observes the umbilical cord protruding from
the vagina. after calling for assistance, which of the
following actions should the nurse take? - ANSWER Insert
two gloved fingers into the vagina and apply upward
pressure to the presenting part.
The nurse should quickly apply gloves and insert two
fingers into the vagina toward the cervix, exerting upward
