ATI RN Maternal Newborn Proctored Exam 2023
- 2026 Test Bank Versions A & B With Retake
NGN | 300 Premium Practice Questions with
100% Verified Answers & Rationales
(GUARANTEED PASS)
This is a Nursing subject, specifically focused on Maternal-Newborn
Nursing. The exam covers comprehensive care for clients during the
antepartum, intrapartum, and postpartum periods, as well as newborn
assessment and care.Maximize your course revenue with the ultimate,
highly dense study companion specifically engineered for the maternal-
newborn proctored assessment. This premium resource features 300
expert-vetted multiple-choice questions complete with verified answers,
clear physiological equations, and comprehensive clinical rationales
outlining high-risk interventions, labor stages, and neonatal care. Ideal for
nursing students seeking targeted remediation, this test bank ensures
complete mastery of core laboratory values, electronic fetal monitoring,
and NGN clinical judgment frameworks.
,Part 1: Antepartum Care & Fetal Assessment
Question 1
A nurse is assessing a pregnant client at 26 weeks of gestation. The
client’s 1-hour oral glucose tolerance test (GTT) result is \(142\text{
mg/dL}\). Which of the following actions should the nurse plan to take?
A) Document the finding as normal and continue routine prenatal
monitoring.
B) Instruct the client to immediately begin a carbohydrate-free diet.
C) Schedule the client for a 3-hour oral glucose tolerance test.
D) Administer a statutory dose of regular insulin subcutaneously.
Answer: C) Schedule the client for a 3-hour oral glucose tolerance
test.
Rationale: A 1-hour oral glucose tolerance test value of \(130\text{
mg/dL}\) to \(140\text{ mg/dL}\) or higher constitutes a positive
screening result for potential gestational diabetes mellitus. This
finding is not diagnostic on its own but necessitates definitive
confirmation via a 3-hour oral glucose tolerance test. Options A, B,
and D are clinically inappropriate because gestational diabetes has
not yet been formally diagnosed, and a carbohydrate-free diet is
contraindicated during pregnancy due to the risk of maternal
ketosis.
Question 2
,A nurse in a prenatal clinic is calculating a client's estimated date of
delivery (EDD) using Nagele's rule. The client's last menstrual period
(LMP) began on October 8, 2025. What is the client's expected date of
delivery?
A) July 1, 2026
B) July 15, 2026
C) July 8, 2026
D) June 15, 2026
Answer: B) July 15, 2026
Rationale: Nagele's rule calculates the estimated date of delivery
using the formula:
\(\text{EDD}=\text{LMP}-3\text{\ months}+7\text{\ days}+1\text{\
year}\)
Applying this mathematical rule to an LMP starting October 8, 2025:
subtracting 3 months yields July 8; adding 7 days yields July 15;
advancing the calendar year yields July 15, 2026. Options A, C, and D
represent mathematical miscalculations of this clinical formula.
Question 3
A nurse is assessing a client who is at 32 weeks of gestation. The nurse
measures the fundal height at \(27\text{ cm}\). Which of the following
conditions should the nurse suspect?
A) Polyhydramnios
, B) Macrosomia
C) Intrauterine growth restriction (IUGR)
D) Multifetal gestation
Answer: C) Intrauterine growth restriction (IUGR)
Rationale: Between 20 and 36 weeks of gestation, the fundal height
in centimeters should mathematically correlate within \(\pm
2\text{ cm}\) to the current week of gestation. A fundal height
measurement of \(27\text{ cm}\) for a client at 32 weeks of
gestation demonstrates a significant negative deviation (\(\Delta =
-5\text{ cm}\)), indicating potential intrauterine growth restriction
(IUGR) or oligohydramnios. Options A, B, and D would
characteristically produce a positive deviation where the fundal
height is larger than expected for gestational age.
Question 4
A nurse is reviewing the laboratory results of a pregnant client at 12
weeks of gestation. The maternal hematocrit is reported as \(31\%\).
Which of the following interventions should the nurse anticipate?
A) Advise the client to increase dietary intake of iron and expect oral iron
supplementation.
B) Prepare the client for an emergency packed red blood cell transfusion.
C) Inform the provider that the client requires immediate intravenous
fluid restriction.
- 2026 Test Bank Versions A & B With Retake
NGN | 300 Premium Practice Questions with
100% Verified Answers & Rationales
(GUARANTEED PASS)
This is a Nursing subject, specifically focused on Maternal-Newborn
Nursing. The exam covers comprehensive care for clients during the
antepartum, intrapartum, and postpartum periods, as well as newborn
assessment and care.Maximize your course revenue with the ultimate,
highly dense study companion specifically engineered for the maternal-
newborn proctored assessment. This premium resource features 300
expert-vetted multiple-choice questions complete with verified answers,
clear physiological equations, and comprehensive clinical rationales
outlining high-risk interventions, labor stages, and neonatal care. Ideal for
nursing students seeking targeted remediation, this test bank ensures
complete mastery of core laboratory values, electronic fetal monitoring,
and NGN clinical judgment frameworks.
,Part 1: Antepartum Care & Fetal Assessment
Question 1
A nurse is assessing a pregnant client at 26 weeks of gestation. The
client’s 1-hour oral glucose tolerance test (GTT) result is \(142\text{
mg/dL}\). Which of the following actions should the nurse plan to take?
A) Document the finding as normal and continue routine prenatal
monitoring.
B) Instruct the client to immediately begin a carbohydrate-free diet.
C) Schedule the client for a 3-hour oral glucose tolerance test.
D) Administer a statutory dose of regular insulin subcutaneously.
Answer: C) Schedule the client for a 3-hour oral glucose tolerance
test.
Rationale: A 1-hour oral glucose tolerance test value of \(130\text{
mg/dL}\) to \(140\text{ mg/dL}\) or higher constitutes a positive
screening result for potential gestational diabetes mellitus. This
finding is not diagnostic on its own but necessitates definitive
confirmation via a 3-hour oral glucose tolerance test. Options A, B,
and D are clinically inappropriate because gestational diabetes has
not yet been formally diagnosed, and a carbohydrate-free diet is
contraindicated during pregnancy due to the risk of maternal
ketosis.
Question 2
,A nurse in a prenatal clinic is calculating a client's estimated date of
delivery (EDD) using Nagele's rule. The client's last menstrual period
(LMP) began on October 8, 2025. What is the client's expected date of
delivery?
A) July 1, 2026
B) July 15, 2026
C) July 8, 2026
D) June 15, 2026
Answer: B) July 15, 2026
Rationale: Nagele's rule calculates the estimated date of delivery
using the formula:
\(\text{EDD}=\text{LMP}-3\text{\ months}+7\text{\ days}+1\text{\
year}\)
Applying this mathematical rule to an LMP starting October 8, 2025:
subtracting 3 months yields July 8; adding 7 days yields July 15;
advancing the calendar year yields July 15, 2026. Options A, C, and D
represent mathematical miscalculations of this clinical formula.
Question 3
A nurse is assessing a client who is at 32 weeks of gestation. The nurse
measures the fundal height at \(27\text{ cm}\). Which of the following
conditions should the nurse suspect?
A) Polyhydramnios
, B) Macrosomia
C) Intrauterine growth restriction (IUGR)
D) Multifetal gestation
Answer: C) Intrauterine growth restriction (IUGR)
Rationale: Between 20 and 36 weeks of gestation, the fundal height
in centimeters should mathematically correlate within \(\pm
2\text{ cm}\) to the current week of gestation. A fundal height
measurement of \(27\text{ cm}\) for a client at 32 weeks of
gestation demonstrates a significant negative deviation (\(\Delta =
-5\text{ cm}\)), indicating potential intrauterine growth restriction
(IUGR) or oligohydramnios. Options A, B, and D would
characteristically produce a positive deviation where the fundal
height is larger than expected for gestational age.
Question 4
A nurse is reviewing the laboratory results of a pregnant client at 12
weeks of gestation. The maternal hematocrit is reported as \(31\%\).
Which of the following interventions should the nurse anticipate?
A) Advise the client to increase dietary intake of iron and expect oral iron
supplementation.
B) Prepare the client for an emergency packed red blood cell transfusion.
C) Inform the provider that the client requires immediate intravenous
fluid restriction.
