RN ATI MATERNAL NEWBORN
PROCTORED EXAM [NGN]
2025/26 UPDATED VERSION
A nurse is caring for a client who is 38 wks gestation. What action should the
nurse take prior to applying an external transducer for fetal monitoring?
a. determine progression of dilatation and effacement
b. perform leopold maneuvers
c. complete a sterile speculum exam
d. prepare a nitrazine paper test - ANSWER b. perform leopold maneuvers
A nurse is performing a physical assessment of a newborn. What clinical findings
should the nurse expect? (select all)
a. HR 154/mon
b. axillary temp 36 C (96.8F)
c. resp rate 58/min
d. length 43 cm (16.9 in)
e. weight 2.6 kg (5lb 12 oz) - ANSWER a. HR 154/mon
c. resp rate 58/min
e. weight 2.6 kg (5lb 12 oz)
,A client who is 34 wks gestation asks the nurse how she will know when she is in
labor and should go to the hospital. What response should the nurse make?
a. you feel the contractions primarily in your upper abd
b. you will feel extremely fatigued when your labor starts
c. your breasts will begin to excrete colostrum
d. you will notice blood-tinged discharge from your vagina - ANSWER d. you will
notice blood-tinged discharge from your vagina
A nurse is teaching a client at 35 wks gestation about clinical manifestations of
potential preg complications to report to the provider. What manifestations
should the nurse include?
a. SOB when climbing stairs
b. swelling of feet and ankles at the end of the day
c. headache that is unrelieved by analgesia
d. braxton hicks contractions - ANSWER c. headache that is unrelieved by
analgesia
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy.
The client states she is, "happy one minute and crying the next." the nurse should
interpret the client's statement as an indication of which of the following?
a. emotional lability
b. focusing phase
c. cognitive restructuring
d. couvade syndrome - ANSWER a. emotional lability
,A nurse is caring for a client who is in labor and whose fetus is in the right occiput
post position. The client is dilated to 8cm and reports back pain. What action
should the nurse take?
a. apply sacral coutnerpressure
b. perform transcutaneous electrical nerve stimulation
c. initiate slow-paced breathing
d. assist with biofeedback - ANSWER a. apply sacral coutnerpressure
A nurse is assessing a client who is in labor and notes early decels on the fetal
monitor. What findings should the nurse identifiy as possible cause of early
decels?
a. prolapsed umbilical cord
b. placenta previa
c. fetal head compression
d. maternal hypotension - ANSWER c. fetal head compression
A staff nurse on an obstetric unit is caring for a client who is scheduled for an
induced abortion. The staff nurse informs the nurse manager that she has a moral
issue with the client's decision. What action should the nurse manager take?
a. inform the staff nurse that she is required to care for the client
b. advise the staff nurse that she will likely receive disciplinary action
c. reassign the client to another staff nurse
d. advise the staff nurse to transfer to another unit - ANSWER c. reassign the
client to another staff nurse
, A nurse is planning care for a client who is in labor and is to have amniotomy.
What assessment should the nurse identify as the priority
a. O2 saturation
b. temp
c. BP
d. urinary output - ANSWER b. temp
A nurse is teaching a client who is 8 ks gestation about exercise. What instructions
should the nurse include in the teaching?
a. you should increase weight-bearing exercises as your pregnancy progresses
b. you should lie on your back to rest for 5 minutes after exercising
c. you should take your pulse every 20 minutes while you are exercising
d. you should exercise for 30 min each day - ANSWER d. you should exercise for
30 min each day
A nurse is caring for a client who becomes unresponsive upon delivery of the
placenta. What action should the nurse take first?
a. determine resp function
b. increase the IV fluid rate
c. access emergency meds from cart
d. collect maternal blood sample for coagulopathy studies - ANSWER a.
determine resp function
PROCTORED EXAM [NGN]
2025/26 UPDATED VERSION
A nurse is caring for a client who is 38 wks gestation. What action should the
nurse take prior to applying an external transducer for fetal monitoring?
a. determine progression of dilatation and effacement
b. perform leopold maneuvers
c. complete a sterile speculum exam
d. prepare a nitrazine paper test - ANSWER b. perform leopold maneuvers
A nurse is performing a physical assessment of a newborn. What clinical findings
should the nurse expect? (select all)
a. HR 154/mon
b. axillary temp 36 C (96.8F)
c. resp rate 58/min
d. length 43 cm (16.9 in)
e. weight 2.6 kg (5lb 12 oz) - ANSWER a. HR 154/mon
c. resp rate 58/min
e. weight 2.6 kg (5lb 12 oz)
,A client who is 34 wks gestation asks the nurse how she will know when she is in
labor and should go to the hospital. What response should the nurse make?
a. you feel the contractions primarily in your upper abd
b. you will feel extremely fatigued when your labor starts
c. your breasts will begin to excrete colostrum
d. you will notice blood-tinged discharge from your vagina - ANSWER d. you will
notice blood-tinged discharge from your vagina
A nurse is teaching a client at 35 wks gestation about clinical manifestations of
potential preg complications to report to the provider. What manifestations
should the nurse include?
a. SOB when climbing stairs
b. swelling of feet and ankles at the end of the day
c. headache that is unrelieved by analgesia
d. braxton hicks contractions - ANSWER c. headache that is unrelieved by
analgesia
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy.
The client states she is, "happy one minute and crying the next." the nurse should
interpret the client's statement as an indication of which of the following?
a. emotional lability
b. focusing phase
c. cognitive restructuring
d. couvade syndrome - ANSWER a. emotional lability
,A nurse is caring for a client who is in labor and whose fetus is in the right occiput
post position. The client is dilated to 8cm and reports back pain. What action
should the nurse take?
a. apply sacral coutnerpressure
b. perform transcutaneous electrical nerve stimulation
c. initiate slow-paced breathing
d. assist with biofeedback - ANSWER a. apply sacral coutnerpressure
A nurse is assessing a client who is in labor and notes early decels on the fetal
monitor. What findings should the nurse identifiy as possible cause of early
decels?
a. prolapsed umbilical cord
b. placenta previa
c. fetal head compression
d. maternal hypotension - ANSWER c. fetal head compression
A staff nurse on an obstetric unit is caring for a client who is scheduled for an
induced abortion. The staff nurse informs the nurse manager that she has a moral
issue with the client's decision. What action should the nurse manager take?
a. inform the staff nurse that she is required to care for the client
b. advise the staff nurse that she will likely receive disciplinary action
c. reassign the client to another staff nurse
d. advise the staff nurse to transfer to another unit - ANSWER c. reassign the
client to another staff nurse
, A nurse is planning care for a client who is in labor and is to have amniotomy.
What assessment should the nurse identify as the priority
a. O2 saturation
b. temp
c. BP
d. urinary output - ANSWER b. temp
A nurse is teaching a client who is 8 ks gestation about exercise. What instructions
should the nurse include in the teaching?
a. you should increase weight-bearing exercises as your pregnancy progresses
b. you should lie on your back to rest for 5 minutes after exercising
c. you should take your pulse every 20 minutes while you are exercising
d. you should exercise for 30 min each day - ANSWER d. you should exercise for
30 min each day
A nurse is caring for a client who becomes unresponsive upon delivery of the
placenta. What action should the nurse take first?
a. determine resp function
b. increase the IV fluid rate
c. access emergency meds from cart
d. collect maternal blood sample for coagulopathy studies - ANSWER a.
determine resp function
