ATI RN MATERNAL NEWBORN NGN LATEST
EXAM 2025 EXAM |NGN MATERNAL
NEWBORN ATI PROCTORED EXAM ALL 200
QUESTIONS AND CORRECT DETAILED
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal
newborn screening. Which of the following statements should the nurse include in the
teaching?
A. "Obtain an informed consent prior to obtaining the specimen."
B. "Collect at least 1 milliliter of urine for the test."
C. "Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining
the specimen."
D. "Premature newborns may have false negative tests due to immature development of
liver - - correct ans- -C. "Ensure that the newborn has been receiving feedings for 24
hours prior to obtaining the specimen."
The nurse should ensure that the newborn has been receiving regular feedings for at
least 24 hr. prior to testing.
The universal newborn screening is mandated by law for all newborns no consent is
needed. A capillary blood sample via heel stick for the newborn screening. Urine is not
collected for this test. Premature newborns have a delayed development of liver
enzymes which can cause a false positive result.
A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in
preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water
(D5W). The nurse should set the IV infusion pump to administer how many mL/hr?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.) - - correct ans- -50 mL/hr
,2 g/hr x 500 mL = 1,000 mL/g/hr
1,000 mL/g/hr / 20g = 50 mL/hr
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of
the following actions should the nurse take?
A. Administer antiviral medication.
B. Schedule an ultrasound examination.
C. Administer Haemophilus influenzae type b vaccine.
D. Schedule an indirect Coombs' test. - - correct ans- -B. 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 performing a routine assessment on a client who is at 18 weeks of gestation.
Which of the following findings should the nurse expect?
A. Deep tendon reflexes 4+
B. Fundal height 14 cm
C. Urine protein 2+
D. FHR 152/min - - correct ans- -D. FHR 152/min
The expected range for the FHR is 110/min to 160/min. The FHR is higher earlier in
gestation with an average of approximately 160/min at 20 weeks of gestation. Therefore,
this is an expected finding by the nurse.
A nurse is providing education about family bonding to parents who recently adopted a
newborn. The nurse should make which of the following suggestions to aid the family's
7-year-old child in accepting the new family member?
,A. Allow the sibling to hold the newborn during a bath.
B. Make sure the sibling kisses the newborn each night.
C. Obtain a gift from the newborn to present to the sibling.
D. Switch the sibling's room with the nursery. - - correct ans- -C. Obtain a gift from the
newborn to present to the sibling.
Presenting a gift from the newborn to the sibling is a strategy to facilitate a school-age
sibling's acceptance of a new family member. This ensures that the sibling does not feel
left out and that they understand their role in the family.
A nurse is caring for a client who is at 30 weeks of gestation and has a prescription for
magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of
which of the following adverse effects?
A. Client reports nausea
B. Urinary output of 40 mL/hr
C. Respiratory rate 10/min
D. Client reports feeling flushed - - correct ans- -C. Respiratory rate 10/min
The nurse should report a respiratory rate of less than 12/min to the provider, because
this is a manifestation of magnesium toxicity. The nurse should ensure that the antidote,
calcium gluconate, is readily available.
Nausea is expected adverse effect. Oliguria less than 25 - 30 mL/hr. is a manifestation
of Mag toxicity.
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm
labor. The provider prescribed betamethasone 12 mg IM. Which of the following
outcomes should the nurse expect?
, A. Decreased uterine contractions
B. An increase in the client's hemoglobin levels
C. A reduction in respiratory distress in the newborn
D. Increased production of antibodies in the newborn - - correct ans- -C. A reduction in
respiratory distress in the newborn
Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and
prevent respiratory distress.
A nurse is caring for a newborn who is 70 hr old.
Which of the following findings should the nurse report to the provider?
Select all that apply.
Medical History
Newborn delivered by repeat cesarean birth at 40 weeks of gestation.
Birth weight 7 lb 12 oz (3,515 g)
Apgar scores 8 at 1 min and 9 at 5 min
Maternal history of methadone use during pregnancy.
Vital Signs
0700: Heart rate 156/minRespiratory rate 58/minTemperature 37.2° C (98.9° F) Oxygen
saturation 98% on room air
1100: Heart rat - - correct ans- -D. Central nervous system findings
The newborn is displaying inconsolability, high-pitched cry, increased muscle tone,
tremors, hyperactive Moro reflex, and excessive sucking. These findings are
manifestations of NAS and should be reported to the provider.
EXAM 2025 EXAM |NGN MATERNAL
NEWBORN ATI PROCTORED EXAM ALL 200
QUESTIONS AND CORRECT DETAILED
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal
newborn screening. Which of the following statements should the nurse include in the
teaching?
A. "Obtain an informed consent prior to obtaining the specimen."
B. "Collect at least 1 milliliter of urine for the test."
C. "Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining
the specimen."
D. "Premature newborns may have false negative tests due to immature development of
liver - - correct ans- -C. "Ensure that the newborn has been receiving feedings for 24
hours prior to obtaining the specimen."
The nurse should ensure that the newborn has been receiving regular feedings for at
least 24 hr. prior to testing.
The universal newborn screening is mandated by law for all newborns no consent is
needed. A capillary blood sample via heel stick for the newborn screening. Urine is not
collected for this test. Premature newborns have a delayed development of liver
enzymes which can cause a false positive result.
A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in
preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water
(D5W). The nurse should set the IV infusion pump to administer how many mL/hr?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.) - - correct ans- -50 mL/hr
,2 g/hr x 500 mL = 1,000 mL/g/hr
1,000 mL/g/hr / 20g = 50 mL/hr
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of
the following actions should the nurse take?
A. Administer antiviral medication.
B. Schedule an ultrasound examination.
C. Administer Haemophilus influenzae type b vaccine.
D. Schedule an indirect Coombs' test. - - correct ans- -B. 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 performing a routine assessment on a client who is at 18 weeks of gestation.
Which of the following findings should the nurse expect?
A. Deep tendon reflexes 4+
B. Fundal height 14 cm
C. Urine protein 2+
D. FHR 152/min - - correct ans- -D. FHR 152/min
The expected range for the FHR is 110/min to 160/min. The FHR is higher earlier in
gestation with an average of approximately 160/min at 20 weeks of gestation. Therefore,
this is an expected finding by the nurse.
A nurse is providing education about family bonding to parents who recently adopted a
newborn. The nurse should make which of the following suggestions to aid the family's
7-year-old child in accepting the new family member?
,A. Allow the sibling to hold the newborn during a bath.
B. Make sure the sibling kisses the newborn each night.
C. Obtain a gift from the newborn to present to the sibling.
D. Switch the sibling's room with the nursery. - - correct ans- -C. Obtain a gift from the
newborn to present to the sibling.
Presenting a gift from the newborn to the sibling is a strategy to facilitate a school-age
sibling's acceptance of a new family member. This ensures that the sibling does not feel
left out and that they understand their role in the family.
A nurse is caring for a client who is at 30 weeks of gestation and has a prescription for
magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of
which of the following adverse effects?
A. Client reports nausea
B. Urinary output of 40 mL/hr
C. Respiratory rate 10/min
D. Client reports feeling flushed - - correct ans- -C. Respiratory rate 10/min
The nurse should report a respiratory rate of less than 12/min to the provider, because
this is a manifestation of magnesium toxicity. The nurse should ensure that the antidote,
calcium gluconate, is readily available.
Nausea is expected adverse effect. Oliguria less than 25 - 30 mL/hr. is a manifestation
of Mag toxicity.
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm
labor. The provider prescribed betamethasone 12 mg IM. Which of the following
outcomes should the nurse expect?
, A. Decreased uterine contractions
B. An increase in the client's hemoglobin levels
C. A reduction in respiratory distress in the newborn
D. Increased production of antibodies in the newborn - - correct ans- -C. A reduction in
respiratory distress in the newborn
Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and
prevent respiratory distress.
A nurse is caring for a newborn who is 70 hr old.
Which of the following findings should the nurse report to the provider?
Select all that apply.
Medical History
Newborn delivered by repeat cesarean birth at 40 weeks of gestation.
Birth weight 7 lb 12 oz (3,515 g)
Apgar scores 8 at 1 min and 9 at 5 min
Maternal history of methadone use during pregnancy.
Vital Signs
0700: Heart rate 156/minRespiratory rate 58/minTemperature 37.2° C (98.9° F) Oxygen
saturation 98% on room air
1100: Heart rat - - correct ans- -D. Central nervous system findings
The newborn is displaying inconsolability, high-pitched cry, increased muscle tone,
tremors, hyperactive Moro reflex, and excessive sucking. These findings are
manifestations of NAS and should be reported to the provider.
