RN MATERNAL NEWBORN ATI PROCTORED
EXAM WITH NGN QESTIONS AND ANS LATEST
VERSIONS 2025/26
A nurse is teaching a client who is at 12 wks 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 - d. you should continue to take zidovudine throughout
the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral
medication every day decreases the risk of transmission of HIV to her
newborn.
A nurse is providing teaching to a client who is at 8 wks gestation about
manifestations to report to the provider during pregnancy. What info
should the nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping - b. blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and is
receiving oxytocin via continuous IV infusion. The nurse notes that the
client is having contractions every 2 min which last 100-110 seconds
that the fetal heart rate is reassuring. What action should the nurse
take?
,a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq - a. decrease the dose of oxytocin
by half
The nurse should decrease the dose of oxytocin by half because the
client is experiencing uterine tachysystole.
A nurse is caring for a client who is in active labor and has meconium
staining of the amniotic fluid. The nurse notes a reassuring FHR tracing
from the external fetal monitor. What action should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam - c. prepare equipment
needed for newborn resuscitation
The nurse should ensure that all supplies and equipment needed for
resuscitation of the newborn are readily available for every delivery.
Endotracheal suctioning is
,recommended in cases of meconium staining only if the newborn has
poor respiratory effort, decreased muscle tone, and bradycardia after
delivery.
A nurse is reviewing the medical record of a client who is at 33 wks
gestation and has placenta previa and bleeding. What scripts should
the nurse clarify with the provider?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing - b. perform a vaginal exam
When a client has a placenta previa, the placenta implants in the lower
part of the uterus and obstructs the cervical os (the opening to the
vagina). The nurse should clarify this prescription because any
manipulation can cause tearing of the placenta and increased bleeding.
A nurse is caring for a client who is at 37 wks gestation and is
undergoing a nonstress test. The FHR is 130 without accelerations for
the past 10 min. What action should the nurse take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds - d. use
vibroacoustic stim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's
abdomen to elicit fetal activity because the fetus is most likely sleeping.
Fetal movement should cause accelerations in the FHR.
A nurse is reviewing lab results for a client who is at 37 wks gestation.
The nurse notes that the client is rubella non-immune, positive for
group A beta-hemolytic strep, and has a blood type O neg. What action
should the nurse take?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
, c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin - a. instruct the client to
obtain a rubella immunization after delivery
A nurse is reviewing the med record of a client who is at 39 wks
gestation and has polyhydramnios. What finding should the nurse
expect?
a. total pregnancy wt gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm - b. fetal GI anomaly
EXAM WITH NGN QESTIONS AND ANS LATEST
VERSIONS 2025/26
A nurse is teaching a client who is at 12 wks 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 - d. you should continue to take zidovudine throughout
the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral
medication every day decreases the risk of transmission of HIV to her
newborn.
A nurse is providing teaching to a client who is at 8 wks gestation about
manifestations to report to the provider during pregnancy. What info
should the nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping - b. blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and is
receiving oxytocin via continuous IV infusion. The nurse notes that the
client is having contractions every 2 min which last 100-110 seconds
that the fetal heart rate is reassuring. What action should the nurse
take?
,a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq - a. decrease the dose of oxytocin
by half
The nurse should decrease the dose of oxytocin by half because the
client is experiencing uterine tachysystole.
A nurse is caring for a client who is in active labor and has meconium
staining of the amniotic fluid. The nurse notes a reassuring FHR tracing
from the external fetal monitor. What action should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam - c. prepare equipment
needed for newborn resuscitation
The nurse should ensure that all supplies and equipment needed for
resuscitation of the newborn are readily available for every delivery.
Endotracheal suctioning is
,recommended in cases of meconium staining only if the newborn has
poor respiratory effort, decreased muscle tone, and bradycardia after
delivery.
A nurse is reviewing the medical record of a client who is at 33 wks
gestation and has placenta previa and bleeding. What scripts should
the nurse clarify with the provider?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing - b. perform a vaginal exam
When a client has a placenta previa, the placenta implants in the lower
part of the uterus and obstructs the cervical os (the opening to the
vagina). The nurse should clarify this prescription because any
manipulation can cause tearing of the placenta and increased bleeding.
A nurse is caring for a client who is at 37 wks gestation and is
undergoing a nonstress test. The FHR is 130 without accelerations for
the past 10 min. What action should the nurse take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds - d. use
vibroacoustic stim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's
abdomen to elicit fetal activity because the fetus is most likely sleeping.
Fetal movement should cause accelerations in the FHR.
A nurse is reviewing lab results for a client who is at 37 wks gestation.
The nurse notes that the client is rubella non-immune, positive for
group A beta-hemolytic strep, and has a blood type O neg. What action
should the nurse take?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
, c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin - a. instruct the client to
obtain a rubella immunization after delivery
A nurse is reviewing the med record of a client who is at 39 wks
gestation and has polyhydramnios. What finding should the nurse
expect?
a. total pregnancy wt gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm - b. fetal GI anomaly
