NGN ATI Maternal Newborn Proctored
Exam – Forms A & B | 70 Verified
Questions Each with Correct Answers &
Rationales (A+ Graded)
A nurse is teaching a client who is at 13 wks gestation about
the treatment of incompetent cervix with cervical cerclage.
What statement by the client indicates an understanding of
teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in
place
c. I am sad that I won't be able to get pregnant again
d. I can resume having sex as soon as I feel up to it -
...ANSWER...a. I should go to the hospital if I think I may be
in labor
RATIONALE: Cervical cerclage prevents premature opening
of the cervix during pregnancy. The client should immediately
go to a facility for evaluation if she experiences any
manifestations of labor while the cerclage is in place. If the
client experiences preterm uterine contractions she might
require tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing
moderate bright red vaginal bleeding. What action should the
nurse take?
a. obtain blood samples for baseline lab values
,b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation -
...ANSWER...a. obtain blood samples for baseline lab values
RATIONALE: The nurse should obtain samples of the
client's blood for baseline testing of hemoglobin and
hematocrit levels.
A nurse is caring for a client who is at 38 wks of gestation and
reports no fetal movement for 24 hr. What action should the
nurse take?
a. auscultate for a FHR
b. reassure the client that a term fetus is less active
c. have the client drink orange juice
d. palpate the uterus for fetal movement - ...ANSWER...a.
auscultate for a FHR
RATIONALE: Presence of a fetal heart rate is a reassuring
manifestation of fetal well-being. The nurse should auscultate
for the fetal heart rate using a Doppler device or an external
fetal monitor. This is the priority nursing action.
A nurse is caring for a client who is at 35 wks gestation and has
severe pre-eclampsia. What assessment provides the most
accurate info regarding the client's fluid and electrolyte status.
a. daily wt
b. bp
c. severity of edema
d. I&O - ...ANSWER...a. daily wt
,A nurse is teaching a client who is at 30 wks gestation about
warning signs of complications that she should report to her
provider. What finding should the nurse include in the
teaching?
a. 10 fetal movements per hour
b. mild constipation
c. vaginal bleeding
d. nasal congestion - ...ANSWER...c. vaginal bleeding
RATIONALE: Vaginal bleeding can be an abnormal finding
during pregnancy that might indicate a complication such as
placental abruption, placenta previa, or preterm labor.
A nurse is teaching a client who is at 8 wks gestation and has
a uterine fibroid about potential effects of the fibroid during
pregnancy. What info should the nurse include?
a. you will have to undergo a c-section birth because of the
fibroid
b. the fibroid can increase the risk for postpartum hemorrhage
c. the fibroid will shrink during pregnancy
d. you will receive an injection of medroxyprogesterone
acetate to shrink the fibroid - ...ANSWER...b. the fibroid can
increase the risk for postpartum hemorrhage
A nurse is caring for a client who is at 26 wks gestation and
reports constipation. What responses by the nurse is
appropriate?
a. you should drink 1 ounce of mineral oil q morning
b. you should eat at least 3 ounces of red meat/day
c. you should walk for at least 30 minutes q day
, d. you should stop taking your prenatal - ...ANSWER...c. you
should walk for at least 30 minutes q day
The nurse should encourage the client to participate in
moderate physical activity, such as walking or swimming,
every day. This activity increases intestinal peristalsis, which
will help alleviate constipation.
A nurse is planning care for a newborn who is receiving
phototherapy for an elevated bilirubin level. What action
should the nurse take?
a. apply barrier ointment to the newborn's perianal region
b. offer the newborn glucose water between feedings
c. use photometer to monitor the lamp's energy
d. keep the newborn's eye patches on during feedings -
...ANSWER...c. use photometer to monitor the lamp's energy
RATIONALE:The nurse should monitor the lamp's energy
throughout the therapy to ensure the newborn is receiving the
appropriate amount to be effective.
A nurse is assessing a 4 hr old newborn who is to breastfeed
and notes hands and feet that are cool and slightly blue What
action should the nurse take?
a. check the newborns temp using temporal thermometer
b. place the naked newborn on the mothers bare chest and cover
both with a blanket
c. apply an o2 hood over the newborns head and neck
d. give the newborn glucose water between feedings -
...ANSWER...b. place the naked newborn on the mothers bare
chest and cover both with a blanket
Exam – Forms A & B | 70 Verified
Questions Each with Correct Answers &
Rationales (A+ Graded)
A nurse is teaching a client who is at 13 wks gestation about
the treatment of incompetent cervix with cervical cerclage.
What statement by the client indicates an understanding of
teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in
place
c. I am sad that I won't be able to get pregnant again
d. I can resume having sex as soon as I feel up to it -
...ANSWER...a. I should go to the hospital if I think I may be
in labor
RATIONALE: Cervical cerclage prevents premature opening
of the cervix during pregnancy. The client should immediately
go to a facility for evaluation if she experiences any
manifestations of labor while the cerclage is in place. If the
client experiences preterm uterine contractions she might
require tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing
moderate bright red vaginal bleeding. What action should the
nurse take?
a. obtain blood samples for baseline lab values
,b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation -
...ANSWER...a. obtain blood samples for baseline lab values
RATIONALE: The nurse should obtain samples of the
client's blood for baseline testing of hemoglobin and
hematocrit levels.
A nurse is caring for a client who is at 38 wks of gestation and
reports no fetal movement for 24 hr. What action should the
nurse take?
a. auscultate for a FHR
b. reassure the client that a term fetus is less active
c. have the client drink orange juice
d. palpate the uterus for fetal movement - ...ANSWER...a.
auscultate for a FHR
RATIONALE: Presence of a fetal heart rate is a reassuring
manifestation of fetal well-being. The nurse should auscultate
for the fetal heart rate using a Doppler device or an external
fetal monitor. This is the priority nursing action.
A nurse is caring for a client who is at 35 wks gestation and has
severe pre-eclampsia. What assessment provides the most
accurate info regarding the client's fluid and electrolyte status.
a. daily wt
b. bp
c. severity of edema
d. I&O - ...ANSWER...a. daily wt
,A nurse is teaching a client who is at 30 wks gestation about
warning signs of complications that she should report to her
provider. What finding should the nurse include in the
teaching?
a. 10 fetal movements per hour
b. mild constipation
c. vaginal bleeding
d. nasal congestion - ...ANSWER...c. vaginal bleeding
RATIONALE: Vaginal bleeding can be an abnormal finding
during pregnancy that might indicate a complication such as
placental abruption, placenta previa, or preterm labor.
A nurse is teaching a client who is at 8 wks gestation and has
a uterine fibroid about potential effects of the fibroid during
pregnancy. What info should the nurse include?
a. you will have to undergo a c-section birth because of the
fibroid
b. the fibroid can increase the risk for postpartum hemorrhage
c. the fibroid will shrink during pregnancy
d. you will receive an injection of medroxyprogesterone
acetate to shrink the fibroid - ...ANSWER...b. the fibroid can
increase the risk for postpartum hemorrhage
A nurse is caring for a client who is at 26 wks gestation and
reports constipation. What responses by the nurse is
appropriate?
a. you should drink 1 ounce of mineral oil q morning
b. you should eat at least 3 ounces of red meat/day
c. you should walk for at least 30 minutes q day
, d. you should stop taking your prenatal - ...ANSWER...c. you
should walk for at least 30 minutes q day
The nurse should encourage the client to participate in
moderate physical activity, such as walking or swimming,
every day. This activity increases intestinal peristalsis, which
will help alleviate constipation.
A nurse is planning care for a newborn who is receiving
phototherapy for an elevated bilirubin level. What action
should the nurse take?
a. apply barrier ointment to the newborn's perianal region
b. offer the newborn glucose water between feedings
c. use photometer to monitor the lamp's energy
d. keep the newborn's eye patches on during feedings -
...ANSWER...c. use photometer to monitor the lamp's energy
RATIONALE:The nurse should monitor the lamp's energy
throughout the therapy to ensure the newborn is receiving the
appropriate amount to be effective.
A nurse is assessing a 4 hr old newborn who is to breastfeed
and notes hands and feet that are cool and slightly blue What
action should the nurse take?
a. check the newborns temp using temporal thermometer
b. place the naked newborn on the mothers bare chest and cover
both with a blanket
c. apply an o2 hood over the newborns head and neck
d. give the newborn glucose water between feedings -
...ANSWER...b. place the naked newborn on the mothers bare
chest and cover both with a blanket
