MATERNAL NEWBORN ATI (NGN) EXAM 2025-2026
VERIFIED QUESTIONS AND CORRECT DETAILED
ANSWERS GRADED A.
A nurse is reviewing discharge teaching with a client who has
premature rupture of membranes
at 26 weeks of gestation. Which of the following instructions should the
nurse include in the teaching?
a. use a condom with sexual intercourse
b. avoid bubble bath solution when taking a tub bath
c. wipe from the back to the front when performing perineal hygiene
d. keep a daily record of fetal kick counts - CORRECT ANSWER>> d
A nurse in the labor and delivery unit receives a phone call from a client
who reports that her
contractions started about 2 hr ago, did not go away when she had two
glasses of water and
rested, and became stronger since she started walking. Her
contractions occur every 10 min and
last about 30 seconds. She hasn't had any fluid leak from her vagina.
However, she saw some blood when she wiped after voiding. Based
on this report, which of the following clinical findings should the nurse
recognize that the client is experiencing?
,a. braxton hicks contractions
b. rupture of membranes
c. fetal descent
d. true contractions - CORRECT ANSWER>> d
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A nurse in the labor and delivery unit is caring for a client in labor and
applies an external fetal
monitor and tocotransducer. The FHR is around 140/min. Contractions
are occurring every 8
min and 30-40 seconds in duration. The nurse performs a vaginal exam
and finds the
cervix 2 cm dilated, 50% effaced, and the fetus is at a -2 station.
Which of the following stages and phases of labor is this client
experiencing?
a. first stage, latent phase
b. first stage, active phase
c. first stage, transition phase
d. second stage of labor - CORRECT ANSWER>> a
,A client experiences a large gush of fluid from her vagina while walking
in the hallway of the birthing unit. Which of the following actions
should the nurse take first?
a. check the amniotic fluid for meconium
b. monitor FHR for distress
c. dry the client and make her comfortable
d. monitor uterine contractions - CORRECT ANSWER>> b
A nurse in labor and delivery unit is completing an admission
assessment for a client who is at
39 weeks of gestation. The client reports that she has been leaking fluid
from her vagina for 2 days. Which of the following conditions is the
client at risk for developing? a. cord prolapse
b. infection
c. postpartum hemorrhage
d. hydramnios - CORRECT ANSWER>> b
A nurse is caring for a client who is in active labor and becomes
nauseous and vomits. The client is very irritable and feels the
urge to have a bowel movement. She states, "I've had enough. I
can't do this anymore. I want to go home right now." Which of the
following stages of labor is the client experiencing?
a. second stage
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Material b. fourth stage
c. transition phase
d. latent phase - CORRECT ANSWER>> c
A nurse is caring for a client who is at 40 weeks of gestation and
experiencing contractions every
3 to 5 min and becoming stronger. A vaginal exam reveals that the
client's cervix is 3 cm dilated,
80% effaced, and -1 station. The client asks for pain medication. Which
of the following actions
should the nurse take? (SATA)
a. encourage use of patterned breathing techniques
b. insert an indwelling urinary catheter
c. administer opioid analgesic medication
d. suggest application of cold
e. provides ice chips - CORRECT ANSWER>> ac
d
A nurse is caring for a client who is in active labor. The client reports
lower-back pain. The nurse suspects that this pain is related to a
persistent occiput posterior fetal position. Which of the
VERIFIED QUESTIONS AND CORRECT DETAILED
ANSWERS GRADED A.
A nurse is reviewing discharge teaching with a client who has
premature rupture of membranes
at 26 weeks of gestation. Which of the following instructions should the
nurse include in the teaching?
a. use a condom with sexual intercourse
b. avoid bubble bath solution when taking a tub bath
c. wipe from the back to the front when performing perineal hygiene
d. keep a daily record of fetal kick counts - CORRECT ANSWER>> d
A nurse in the labor and delivery unit receives a phone call from a client
who reports that her
contractions started about 2 hr ago, did not go away when she had two
glasses of water and
rested, and became stronger since she started walking. Her
contractions occur every 10 min and
last about 30 seconds. She hasn't had any fluid leak from her vagina.
However, she saw some blood when she wiped after voiding. Based
on this report, which of the following clinical findings should the nurse
recognize that the client is experiencing?
,a. braxton hicks contractions
b. rupture of membranes
c. fetal descent
d. true contractions - CORRECT ANSWER>> d
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A nurse in the labor and delivery unit is caring for a client in labor and
applies an external fetal
monitor and tocotransducer. The FHR is around 140/min. Contractions
are occurring every 8
min and 30-40 seconds in duration. The nurse performs a vaginal exam
and finds the
cervix 2 cm dilated, 50% effaced, and the fetus is at a -2 station.
Which of the following stages and phases of labor is this client
experiencing?
a. first stage, latent phase
b. first stage, active phase
c. first stage, transition phase
d. second stage of labor - CORRECT ANSWER>> a
,A client experiences a large gush of fluid from her vagina while walking
in the hallway of the birthing unit. Which of the following actions
should the nurse take first?
a. check the amniotic fluid for meconium
b. monitor FHR for distress
c. dry the client and make her comfortable
d. monitor uterine contractions - CORRECT ANSWER>> b
A nurse in labor and delivery unit is completing an admission
assessment for a client who is at
39 weeks of gestation. The client reports that she has been leaking fluid
from her vagina for 2 days. Which of the following conditions is the
client at risk for developing? a. cord prolapse
b. infection
c. postpartum hemorrhage
d. hydramnios - CORRECT ANSWER>> b
A nurse is caring for a client who is in active labor and becomes
nauseous and vomits. The client is very irritable and feels the
urge to have a bowel movement. She states, "I've had enough. I
can't do this anymore. I want to go home right now." Which of the
following stages of labor is the client experiencing?
a. second stage
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Material b. fourth stage
c. transition phase
d. latent phase - CORRECT ANSWER>> c
A nurse is caring for a client who is at 40 weeks of gestation and
experiencing contractions every
3 to 5 min and becoming stronger. A vaginal exam reveals that the
client's cervix is 3 cm dilated,
80% effaced, and -1 station. The client asks for pain medication. Which
of the following actions
should the nurse take? (SATA)
a. encourage use of patterned breathing techniques
b. insert an indwelling urinary catheter
c. administer opioid analgesic medication
d. suggest application of cold
e. provides ice chips - CORRECT ANSWER>> ac
d
A nurse is caring for a client who is in active labor. The client reports
lower-back pain. The nurse suspects that this pain is related to a
persistent occiput posterior fetal position. Which of the
