ATI RN MATERNAL NEWBORN EXAM LATEST 100 COMPLETE QUESTIONS AND
VERIFIED ANSWERS WITH NGN
A nurse is providing teaching for a client who has a new prescription for combined oral
contraceptives. Which of the following findings should the nurse include as an adverse effect of
this medication?
A. Depression
B. Polyuria
C. Hypotension
D. Urticaria
A. Depression
The nurse should instruct the client that depression is a common adverse effect of combined oral
contraceptives. Other common adverse effects of the medication include amenorrhea, weight
gain, headache, nausea, breakthrough bleeding, and breast tenderness.
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)
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.
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which
of the following complications should the nurse assess?
A. Abruptio placenta
B. Placenta previa
C. Preeclampsia
D. Maternal bradycardia
,A. Abruptio placenta
Cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for
hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
A. Feed the newborn 1 oz of water every 4 hr.
B. Apply lotion to the newborn's skin three times per day.
C. Remove all clothing from the newborn except the diaper.
D. Discontinue therapy if the newborn develops a rash.
C. Remove all clothing from the newborn except the diaper.
The nurse should remove all the newborn's clothing except the diaper while under phototherapy.
Maximum skin exposure to the ultraviolet light is needed to break down the excess bilirubin.
A nurse is transporting a newborn back to the parent's room following a procedure. Which of the
following actions should the nurse take?
A. Verify that the parent's identification band matches the newborn's identification band.
B. Scan the newborn's identification band to verify their identity.
C. Check the newborn's security tag number to ensure it matches the newborn's medical record.
D. Match the newborn's date and time of birth to the information in the parent's medical record.
A. Verify that the parent's identification band matches the newborn's identification band.
The nurse should verify the newborn's identity every time the newborn is returned to the parents.
The nurse should match the information on the parent's identification band to the information on
the newborn's identification band.
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should
the nurse report to the provider?
A. Acrocyanosis
B. Transient strabismus
C. Jaundice
D. Caput succedaneum
C. Jaundice
Jaundice occurring within the first 24 hr. of birth is associated with ABO incompatibility,
hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the provider.
A nurse is providing teaching to a client about the physiological changes that occur during
pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference
, range. Which of the following client statements indicates an understanding of the teaching?
A. "I will not gain more than 15 to 20 pounds during my pregnancy."
B. "I will likely need to use alternative positions for sexual intercourse."
C. "I'm glad I had a breast reduction years ago, so they will not enlarge with my pregnancy."
D. "I'm glad I have a light complexion and will not get any stretch marks."
B. "I will likely need to use alternative positions for sexual intercourse."
The weight gain of pregnancy will likely require alternative positions for sexual intercourse. This
client statement indicates that she understands the nurse's teaching about the physiological
changes that occur during pregnancy.
A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress
test. The nurse should plan to prepare the client for which of the following diagnostic tests?
A. Biophysical profile
B. Amniocentesis
C. Cordocentesis
D. Kleihauer-Betke test
A. Biophysical profile
A positive contraction stress test indicates that further evaluation of the fetus is necessary. A
biophysical profile will provide further evaluation with a real-time ultrasound.
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a
cesarean birth. The nurse notes a respiratory rate of 8/min. Which of the following medications
should the nurse administer?
A. Fentanyl
B. Butorphanol
C. Naloxone
D. Meperidine
C. Naloxone
Morphine is a common opioid analgesic used for postoperative pain management that can cause
central nervous system depression and can cause respiratory depression. The nurse should
administer naloxone, an opioid antagonist, to reverse the opioid-induced respiratory
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.
VERIFIED ANSWERS WITH NGN
A nurse is providing teaching for a client who has a new prescription for combined oral
contraceptives. Which of the following findings should the nurse include as an adverse effect of
this medication?
A. Depression
B. Polyuria
C. Hypotension
D. Urticaria
A. Depression
The nurse should instruct the client that depression is a common adverse effect of combined oral
contraceptives. Other common adverse effects of the medication include amenorrhea, weight
gain, headache, nausea, breakthrough bleeding, and breast tenderness.
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)
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.
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which
of the following complications should the nurse assess?
A. Abruptio placenta
B. Placenta previa
C. Preeclampsia
D. Maternal bradycardia
,A. Abruptio placenta
Cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for
hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
A. Feed the newborn 1 oz of water every 4 hr.
B. Apply lotion to the newborn's skin three times per day.
C. Remove all clothing from the newborn except the diaper.
D. Discontinue therapy if the newborn develops a rash.
C. Remove all clothing from the newborn except the diaper.
The nurse should remove all the newborn's clothing except the diaper while under phototherapy.
Maximum skin exposure to the ultraviolet light is needed to break down the excess bilirubin.
A nurse is transporting a newborn back to the parent's room following a procedure. Which of the
following actions should the nurse take?
A. Verify that the parent's identification band matches the newborn's identification band.
B. Scan the newborn's identification band to verify their identity.
C. Check the newborn's security tag number to ensure it matches the newborn's medical record.
D. Match the newborn's date and time of birth to the information in the parent's medical record.
A. Verify that the parent's identification band matches the newborn's identification band.
The nurse should verify the newborn's identity every time the newborn is returned to the parents.
The nurse should match the information on the parent's identification band to the information on
the newborn's identification band.
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should
the nurse report to the provider?
A. Acrocyanosis
B. Transient strabismus
C. Jaundice
D. Caput succedaneum
C. Jaundice
Jaundice occurring within the first 24 hr. of birth is associated with ABO incompatibility,
hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the provider.
A nurse is providing teaching to a client about the physiological changes that occur during
pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference
, range. Which of the following client statements indicates an understanding of the teaching?
A. "I will not gain more than 15 to 20 pounds during my pregnancy."
B. "I will likely need to use alternative positions for sexual intercourse."
C. "I'm glad I had a breast reduction years ago, so they will not enlarge with my pregnancy."
D. "I'm glad I have a light complexion and will not get any stretch marks."
B. "I will likely need to use alternative positions for sexual intercourse."
The weight gain of pregnancy will likely require alternative positions for sexual intercourse. This
client statement indicates that she understands the nurse's teaching about the physiological
changes that occur during pregnancy.
A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress
test. The nurse should plan to prepare the client for which of the following diagnostic tests?
A. Biophysical profile
B. Amniocentesis
C. Cordocentesis
D. Kleihauer-Betke test
A. Biophysical profile
A positive contraction stress test indicates that further evaluation of the fetus is necessary. A
biophysical profile will provide further evaluation with a real-time ultrasound.
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a
cesarean birth. The nurse notes a respiratory rate of 8/min. Which of the following medications
should the nurse administer?
A. Fentanyl
B. Butorphanol
C. Naloxone
D. Meperidine
C. Naloxone
Morphine is a common opioid analgesic used for postoperative pain management that can cause
central nervous system depression and can cause respiratory depression. The nurse should
administer naloxone, an opioid antagonist, to reverse the opioid-induced respiratory
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.
