NGN Peds Proctored Exam
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Practice 2019 A and B with NGN each Test
150 Questions and Correct Answers with
Rationales Guaranteed Pass
A
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires
intervention by the nurse?
a. Acrocyanosis of the extremities
b. Murmur at the left sternal border
c. Substernal chest retractions while sleeping
d. Positive Babinski reflex - Correct Answer :c. Substernal chest retractions while sleeping
Substernal chest retractions can indicate respiratory distress syndrome in the newborn. This
manifestation requires further assessment and intervention by the nurse
A nurse is assessing a client who has preeclampsia with severe features. Which of the following
manifestations should the nurse expect?
a. 2+ deep tendon reflexes
b. Hypotension
c. Polyuria
d. Blurred vision –
A+ TEST BANK 1
, NGN Peds Proctored Exam
Correct Answer :d. Blurred vision
The nurse should identify that a client who has preeclampsia with severe features can have
arteriolar vasospasms and decreased blood flow to the retina which can lead to visual
disturbances, such as blurred vision, double vision, or dark spots in the visual field.
A nurse is speaking with a client who is trying to make a decision about tubal ligation. The client
asks, "What effects will this procedure have on my sex life?" Which of the following responses
should the nurse make?
a. "I think that is something you should discuss with your doctor."
b. "This procedure should have no effect on your sexual performance or adequacy."
c. "You'll be fine. I can't imagine you and your partner will have any problems with sexual
function."
d. "If this concerns you, perhaps you should reconsider and use another form of contraception."
–
Correct Answer :b. "This procedure should have no effect on your sexual performance or
adequacy."
The nurse is giving the client the information they are seeking. Sexual function depends on
various hormonal and psychological factors. Therefore, tubal occlusion should have no
physiological effect on sexual function.
A nurse is assessing a client who has gestational diabetes mellitus and is experiencing
hyperglycemia. Which of the following findings should the nurse expect?
a. Reports blurred vision
b. Diaphoresis
c. Shallow respirations
A+ TEST BANK 2
, NGN Peds Proctored Exam
d. Reports increased urinary output –
Correct Answer :d. Reports increased urinary output
Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain, constipation,
drowsiness, and headaches are manifestations of hyperglycemia. Other manifestations include
weak rapid pulse, fruity breath odor, urine positive for sugar and acetone, and a blood glucose
level greater than 200 mg/dL.
A nurse is caring for a client who is pregnant and is at the end of their first trimester. The nurse
should place the Doppler ultrasound stethoscope in which of the following locations to begin
assessing for the fetal heart tones (FHT)?
a. Just above the umbilicus
b. Just above the symphysis pubis
c. The right lower quadrant
d. The left lower quadrant –
Correct Answer :d. Just above the symphysis pubis
At the end of the first trimester of pregnancy, the client's uterus is approximately the size of a
grapefruit and is positioned low in the pelvis slightly above the symphysis pubis. Therefore, the
nurse should begin assessing for FHT just above the symphysis pubis.
A nurse is caring for a client who is at 22 weeks of gestation and reports concern about the
blotchy hyperpigmentation on their forehead. Which of the following actions should the nurse
take?
a. Tell the client to follow up with a dermatologist.
A+ TEST BANK 3
, NGN Peds Proctored Exam
b. Explain to the client this is an expected occurrence.
c. Instruct the client to increase their intake of vitamin D.
d. Inform the client they might have an allergy to their skin care products. –
Correct Answer :b. Explain to the client this is an expected occurrence.
Chloasma, also referred to as the mask of pregnancy, is a blotchy, brown hyperpigmentation of
the skin over the cheeks, nose, and forehead. It is seen most often in dark-skinned women and is
caused by an increase in melanotropin during pregnancy. This condition appears after 16 weeks
of gestation and increases gradually until delivery for 50 to 70% of women. Therefore, the nurse
should reassure the client that this is an expected occurrence which usually fades after delivery.
A nurse in a provider's office is reviewing the medical record of a client who is in the first
trimester of pregnancy. Which of the following findings should the nurse identify as a risk factor
for the development of preeclampsia?
a. Singleton pregnancy
b. BMI of 20
c. Maternal age 32 years
d. Pregestational diabetes mellitus –
Correct Answer :d. Pregestational diabetes mellitus
Pregestational diabetes mellitus increases a client's risk for the development of preeclampsia.
Other risk factors include preexisting hypertension, renal disease, systemic lupus erythematosus,
and rheumatoid arthritis.
A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy for
newborn safety. Which of the following client statements indicates an understanding of the
teaching?
A+ TEST BANK 4
Latest RN Maternal Newborn Online
Practice 2019 A and B with NGN each Test
150 Questions and Correct Answers with
Rationales Guaranteed Pass
A
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires
intervention by the nurse?
a. Acrocyanosis of the extremities
b. Murmur at the left sternal border
c. Substernal chest retractions while sleeping
d. Positive Babinski reflex - Correct Answer :c. Substernal chest retractions while sleeping
Substernal chest retractions can indicate respiratory distress syndrome in the newborn. This
manifestation requires further assessment and intervention by the nurse
A nurse is assessing a client who has preeclampsia with severe features. Which of the following
manifestations should the nurse expect?
a. 2+ deep tendon reflexes
b. Hypotension
c. Polyuria
d. Blurred vision –
A+ TEST BANK 1
, NGN Peds Proctored Exam
Correct Answer :d. Blurred vision
The nurse should identify that a client who has preeclampsia with severe features can have
arteriolar vasospasms and decreased blood flow to the retina which can lead to visual
disturbances, such as blurred vision, double vision, or dark spots in the visual field.
A nurse is speaking with a client who is trying to make a decision about tubal ligation. The client
asks, "What effects will this procedure have on my sex life?" Which of the following responses
should the nurse make?
a. "I think that is something you should discuss with your doctor."
b. "This procedure should have no effect on your sexual performance or adequacy."
c. "You'll be fine. I can't imagine you and your partner will have any problems with sexual
function."
d. "If this concerns you, perhaps you should reconsider and use another form of contraception."
–
Correct Answer :b. "This procedure should have no effect on your sexual performance or
adequacy."
The nurse is giving the client the information they are seeking. Sexual function depends on
various hormonal and psychological factors. Therefore, tubal occlusion should have no
physiological effect on sexual function.
A nurse is assessing a client who has gestational diabetes mellitus and is experiencing
hyperglycemia. Which of the following findings should the nurse expect?
a. Reports blurred vision
b. Diaphoresis
c. Shallow respirations
A+ TEST BANK 2
, NGN Peds Proctored Exam
d. Reports increased urinary output –
Correct Answer :d. Reports increased urinary output
Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain, constipation,
drowsiness, and headaches are manifestations of hyperglycemia. Other manifestations include
weak rapid pulse, fruity breath odor, urine positive for sugar and acetone, and a blood glucose
level greater than 200 mg/dL.
A nurse is caring for a client who is pregnant and is at the end of their first trimester. The nurse
should place the Doppler ultrasound stethoscope in which of the following locations to begin
assessing for the fetal heart tones (FHT)?
a. Just above the umbilicus
b. Just above the symphysis pubis
c. The right lower quadrant
d. The left lower quadrant –
Correct Answer :d. Just above the symphysis pubis
At the end of the first trimester of pregnancy, the client's uterus is approximately the size of a
grapefruit and is positioned low in the pelvis slightly above the symphysis pubis. Therefore, the
nurse should begin assessing for FHT just above the symphysis pubis.
A nurse is caring for a client who is at 22 weeks of gestation and reports concern about the
blotchy hyperpigmentation on their forehead. Which of the following actions should the nurse
take?
a. Tell the client to follow up with a dermatologist.
A+ TEST BANK 3
, NGN Peds Proctored Exam
b. Explain to the client this is an expected occurrence.
c. Instruct the client to increase their intake of vitamin D.
d. Inform the client they might have an allergy to their skin care products. –
Correct Answer :b. Explain to the client this is an expected occurrence.
Chloasma, also referred to as the mask of pregnancy, is a blotchy, brown hyperpigmentation of
the skin over the cheeks, nose, and forehead. It is seen most often in dark-skinned women and is
caused by an increase in melanotropin during pregnancy. This condition appears after 16 weeks
of gestation and increases gradually until delivery for 50 to 70% of women. Therefore, the nurse
should reassure the client that this is an expected occurrence which usually fades after delivery.
A nurse in a provider's office is reviewing the medical record of a client who is in the first
trimester of pregnancy. Which of the following findings should the nurse identify as a risk factor
for the development of preeclampsia?
a. Singleton pregnancy
b. BMI of 20
c. Maternal age 32 years
d. Pregestational diabetes mellitus –
Correct Answer :d. Pregestational diabetes mellitus
Pregestational diabetes mellitus increases a client's risk for the development of preeclampsia.
Other risk factors include preexisting hypertension, renal disease, systemic lupus erythematosus,
and rheumatoid arthritis.
A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy for
newborn safety. Which of the following client statements indicates an understanding of the
teaching?
A+ TEST BANK 4
