ATI RN Maternal Newborn Online Practice Exam
2019–2025 with NGN Questions | Comprehensive
Review, Answers, and Rationales for Nursing
Students
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid
replacement. Which of the following findings should the nurse report to the provider?
A. BUN 25 mg/dL
B. Serum creatinine 0.8 mg/dL
C. Urine output of 280 mL within 8 hr
D. Urine negative for ketones - - correct ans- -A. BUN 25 mg/dL
The nurse should report an elevated BUN to the provider since it can indicate
dehydration.
A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal
visit. Which of the following findings should the nurse report to the provider?
A. Blood pressure 136/88 mm Hg
B. Report of insomnia
C. Weight gain of 2.2 kg (4.8 lb)
D. Report of Braxton Hicks contractions - - correct ans- -C. Weight gain of 2.2 kg (4.8 lb)
A weight gain of 2.2 kg (4.8 lb) in a week is above the expected reference range and
could indicate complications. Therefore, this finding should be reported to the provider.
A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy
for newborn safety. Which of the following client statements indicates an understanding
of the teaching?
,A. "My sister will be able to carry my baby from the nursery to my room when she
arrives."
B. "The nurse will match my wrist band to my baby's crib card when they bring him to
me."
C. "The person who comes to take my baby's pictures will be wearing a photo
identification badge."
D. "My baby doesn't n - - correct ans- -C. "The person who comes to take my baby's
pictures will be wearing a photo identification badge."
All personnel working on the unit should be wearing a photo identification badge. The
nurse should instruct the parent to never allow anyone who is not wearing an
identification badge to come in contact with the newborn.
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 caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. Which of the following laboratory tests should the nurse expect the
provider to prescribe?
A. Kleihauer-Betke test
B. Progesterone serum level
C. Lecithin/sphingomyelin (L/S) ratio
D. Maternal Alpha-fetoprotein (AFP) - - correct ans- -A. Kleihauer-Betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who
has suspected placental abruption to determine if fetal blood is in maternal circulation.
, This test is useful to determine if Rho-(D) immune globulin therapy should be
administered to a client who is Rh-negative.
Progesterone: confirm pregnancy and if ectopic
L/S ratio: part of amniocentesis to evaluate fetal lung maturity
Maternal AFP: neural tube defects or chromosome disorder.
A nurse is demonstrating to a client how to bathe their newborn. In which order should
the nurse perform the following actions? (Move the steps into the box on the right,
placing them in the selected order of performance. Use all the steps.)
A. Clean the newborn's diaper area.
B. Wash the newborn's neck by lifting the newborn's chin.
C. Wipe the newborn's eyes from the inner canthus outward.
D. Cleanse the skin around the newborn's umbilical cord stump.
E. Wash the newborn's legs and feet. - - correct ans- -C. Wipe the newborn's eyes from
the inner canthus outward.
B. Wash the newborn's neck by lifting the newborn's chin.
D. Cleanse the skin around the newborn's umbilical cord stump.
E. Wash the newborn's legs and feet.
A. Clean the newborn's diaper area.
The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to
dirty, approach. Therefore, the nurse should first wipe the newborn's eyes from the inner
canthus outward using plain water. The nurse should then wash the newborn's neck by
lifting the newborn's chin. Next, the nurse should cleanse the skin around the umbilical
cord stump followed by washing the newborn's legs and feet. The last step of the bath
should be to clean the newborn's diaper area.
2019–2025 with NGN Questions | Comprehensive
Review, Answers, and Rationales for Nursing
Students
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid
replacement. Which of the following findings should the nurse report to the provider?
A. BUN 25 mg/dL
B. Serum creatinine 0.8 mg/dL
C. Urine output of 280 mL within 8 hr
D. Urine negative for ketones - - correct ans- -A. BUN 25 mg/dL
The nurse should report an elevated BUN to the provider since it can indicate
dehydration.
A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal
visit. Which of the following findings should the nurse report to the provider?
A. Blood pressure 136/88 mm Hg
B. Report of insomnia
C. Weight gain of 2.2 kg (4.8 lb)
D. Report of Braxton Hicks contractions - - correct ans- -C. Weight gain of 2.2 kg (4.8 lb)
A weight gain of 2.2 kg (4.8 lb) in a week is above the expected reference range and
could indicate complications. Therefore, this finding should be reported to the provider.
A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy
for newborn safety. Which of the following client statements indicates an understanding
of the teaching?
,A. "My sister will be able to carry my baby from the nursery to my room when she
arrives."
B. "The nurse will match my wrist band to my baby's crib card when they bring him to
me."
C. "The person who comes to take my baby's pictures will be wearing a photo
identification badge."
D. "My baby doesn't n - - correct ans- -C. "The person who comes to take my baby's
pictures will be wearing a photo identification badge."
All personnel working on the unit should be wearing a photo identification badge. The
nurse should instruct the parent to never allow anyone who is not wearing an
identification badge to come in contact with the newborn.
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 caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. Which of the following laboratory tests should the nurse expect the
provider to prescribe?
A. Kleihauer-Betke test
B. Progesterone serum level
C. Lecithin/sphingomyelin (L/S) ratio
D. Maternal Alpha-fetoprotein (AFP) - - correct ans- -A. Kleihauer-Betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who
has suspected placental abruption to determine if fetal blood is in maternal circulation.
, This test is useful to determine if Rho-(D) immune globulin therapy should be
administered to a client who is Rh-negative.
Progesterone: confirm pregnancy and if ectopic
L/S ratio: part of amniocentesis to evaluate fetal lung maturity
Maternal AFP: neural tube defects or chromosome disorder.
A nurse is demonstrating to a client how to bathe their newborn. In which order should
the nurse perform the following actions? (Move the steps into the box on the right,
placing them in the selected order of performance. Use all the steps.)
A. Clean the newborn's diaper area.
B. Wash the newborn's neck by lifting the newborn's chin.
C. Wipe the newborn's eyes from the inner canthus outward.
D. Cleanse the skin around the newborn's umbilical cord stump.
E. Wash the newborn's legs and feet. - - correct ans- -C. Wipe the newborn's eyes from
the inner canthus outward.
B. Wash the newborn's neck by lifting the newborn's chin.
D. Cleanse the skin around the newborn's umbilical cord stump.
E. Wash the newborn's legs and feet.
A. Clean the newborn's diaper area.
The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to
dirty, approach. Therefore, the nurse should first wipe the newborn's eyes from the inner
canthus outward using plain water. The nurse should then wash the newborn's neck by
lifting the newborn's chin. Next, the nurse should cleanse the skin around the umbilical
cord stump followed by washing the newborn's legs and feet. The last step of the bath
should be to clean the newborn's diaper area.
