NGN ATI MATERNAL NEWBORN
PROCTORED EXAM TEST BANK 2025/2026
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|GUARANTEED PASS
A nurse is caring for a client who is 2 hours postpartum. The nurse notes the client's perineal
pad has a large amount of lochia rubra with several clots. Which of the following actions should
the nurse take first?
Check for a full bladder.
Massage the fundus.
Measure vital signs.
Administer carboprost IM.
Massage the fundus
The primary cause of early postpartum bleeding is uterine atony manifested by a relaxed,
boggy uterus. Thus, the greatest risk for the client is hemorrhage. The nurse should massage
the client's fundus first.
A nurse is caring for a client whose membranes have ruptured and is in active labor. The fetal
monitor tracing reveals late decelerations. Which of the following actions should the nurse take
first?
Turn the client onto her left side.
Palpate the client's uterus.
Administer oxygen to the client.
Increase the client's IV fluids.
Turn the client onto her left side
Late decelerations indicate that the client is experiencing uteroplacental insufficiency. The
client might be experiencing pressure on the inferior vena cava, which decreases the oxygen
1|Page
,to the placenta and thus to the fetus. Turning the client onto her left side will relieve the
pressure and facilitate better blood flow to the placenta, thereby increasing the fetal oxygen
supply.
A nurse is planning care for a client who has a prescription for oxytocin. Which of the following
is a contraindication for the use of this medication?
Prolonged rupture of membranes at 38 weeks of gestation
Intrauterine growth restriction
Postterm pregnancy
Active genital herpes
Active genital herpes
The use of oxytocin is contraindicated for clients who have an active genital herpes infection.
The newborn can acquire the infection as they pass through the birth canal. Therefore, a
cesarean birth is recommended for clients who have an active genital herpes infection.
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following
clinical findings should the nurse expect?
Extended periods of sleep
Poor muscle tone
Respiratory rate 50/min
Exaggerated reflexes
Exaggerated reflexes
A newborn who has neonatal abstinence syndrome usually exhibits clinical findings of
hyperactivity within the central nervous system (CNS). Exaggerated reflexes are indicative of
CNS irritability.
A nurse receives report on a client who is in labor and is experiencing contractions 4 minutes
apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?
Contractions that last for 60 seconds each with a 4-min rest between contractions
Contractions that last for 60 seconds each with a 3-min rest between contractions
A contraction that lasts 4 min followed by a period of relaxation
Contractions that last 45 seconds each with a 3-min rest between contractions
2|Page
,Contractions that last for 60 seconds each with a 3-minute rest between contractions
A contraction interval is how often a uterine contraction occurs. The nurse will measure the
interval from the beginning of one contraction to the beginning of the next contraction. A
contraction lasting 60 seconds with a relaxation period of 3 min is equivalent to contractions
every 4 min.
A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of
the following findings is a risk factor for an ectopic pregnancy?
Anemia
Frequent urinary tract infections
Previous cesarean birth
Pelvic inflammatory disease (PID)
Pelvic inflammatory disease (PID)
An ectopic pregnancy occurs when the fertilized egg implants in tissue outside of the uterus
and the placenta and fetus begin to develop there. The most common site is within a fallopian
tube, but ectopic pregnancies can occasionally occur in the ovary or the abdomen. Most cases
are a result of scarring caused by a previous tubal infection or tubal surgery. Therefore, PID
places the client at risk for an ectopic pregnancy.
A nurse is caring for a client who is at 8 weeks of gestation with twins and primigravida. The
client states that even though she and her husband planned this pregnancy, she is experiencing
many ambivalent feelings about it. Which of the following responses should the nurse make?
"Have you told your husband about these feelings?"
"These feelings are quite normal at the beginning of pregnancy."
"Perhaps you should see a counselor to discuss these feelings."
"I am quite concerned about these feelings. Could you explain more?"
These feelings are quite normal at the beginning of pregnancy
This client needs reassurance that these feelings are normal and there is no reason for
concern.
A nurse is assessing a newborn who is 12 hours old and notes mild jaundice of the face and
trunk. Which of the following actions should the nurse take?
Administer phytonadione IM.
Obtain a stat prescription for a bilirubin level.
3|Page
, Obtain a bagged urine specimen.
Perform a gestational age assessment.
Obtain a stat prescription for a bilirubin level
Jaundice in the first 24 hr of life is pathologic. The nurse should notify the provider and obtain
a stat prescription for a bilirubin level.
A nurse is teaching a client who has active genital herpes simplex virus, type 2. Which of the
following statements should the nurse include in the teaching?
"You will have a cesarean birth prior to the onset of labor."
"Your baby will receive erythromycin eye ointment after birth to treat the infection."
"You should take oral metronidazole for 7 days prior to 37 weeks of gestation."
"You should schedule a cesarean birth after your water breaks."
You will have a cesarean birth prior to the onset of labor
Whenever possible, the cesarean birth should be scheduled prior to the onset of labor or
rupture of membranes to reduce the risk of neonatal transmission of herpes.
A nurse is caring for a client who has a prescription for naloxone. Which of the following is the
intended action of the medication in relation to the central nervous system?
Accentuate effects of narcotics on the CNS
Depress activity of the CNS
Block effects of narcotics on the CNS
Stimulate activity of the CNS
Blocks effects of narcotics on the CNS
By blocking the effects of narcotics on the CNS, naloxone prevents CNS and respiratory
depression in the newborn following delivery.
A nurse in a prenatal clinic is caring for a client who is within the recommended guidelines for
weight. The client asks the nurse how much weight is safe for her to gain during her pregnancy.
Which of the following responses should the nurse make?
"Your provider can discuss an appropriate amount of weight gain with you."
"A weight gain of about 14 pounds each trimester is suggested."
"If you eat nutritious foods when you feel hungry, the amount of weight gain is insignificant."
"A weight gain of about 25 to 35 pounds is good."
A weight gain of about 25-35 pounds is good
4|Page
PROCTORED EXAM TEST BANK 2025/2026
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|GUARANTEED PASS
A nurse is caring for a client who is 2 hours postpartum. The nurse notes the client's perineal
pad has a large amount of lochia rubra with several clots. Which of the following actions should
the nurse take first?
Check for a full bladder.
Massage the fundus.
Measure vital signs.
Administer carboprost IM.
Massage the fundus
The primary cause of early postpartum bleeding is uterine atony manifested by a relaxed,
boggy uterus. Thus, the greatest risk for the client is hemorrhage. The nurse should massage
the client's fundus first.
A nurse is caring for a client whose membranes have ruptured and is in active labor. The fetal
monitor tracing reveals late decelerations. Which of the following actions should the nurse take
first?
Turn the client onto her left side.
Palpate the client's uterus.
Administer oxygen to the client.
Increase the client's IV fluids.
Turn the client onto her left side
Late decelerations indicate that the client is experiencing uteroplacental insufficiency. The
client might be experiencing pressure on the inferior vena cava, which decreases the oxygen
1|Page
,to the placenta and thus to the fetus. Turning the client onto her left side will relieve the
pressure and facilitate better blood flow to the placenta, thereby increasing the fetal oxygen
supply.
A nurse is planning care for a client who has a prescription for oxytocin. Which of the following
is a contraindication for the use of this medication?
Prolonged rupture of membranes at 38 weeks of gestation
Intrauterine growth restriction
Postterm pregnancy
Active genital herpes
Active genital herpes
The use of oxytocin is contraindicated for clients who have an active genital herpes infection.
The newborn can acquire the infection as they pass through the birth canal. Therefore, a
cesarean birth is recommended for clients who have an active genital herpes infection.
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following
clinical findings should the nurse expect?
Extended periods of sleep
Poor muscle tone
Respiratory rate 50/min
Exaggerated reflexes
Exaggerated reflexes
A newborn who has neonatal abstinence syndrome usually exhibits clinical findings of
hyperactivity within the central nervous system (CNS). Exaggerated reflexes are indicative of
CNS irritability.
A nurse receives report on a client who is in labor and is experiencing contractions 4 minutes
apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?
Contractions that last for 60 seconds each with a 4-min rest between contractions
Contractions that last for 60 seconds each with a 3-min rest between contractions
A contraction that lasts 4 min followed by a period of relaxation
Contractions that last 45 seconds each with a 3-min rest between contractions
2|Page
,Contractions that last for 60 seconds each with a 3-minute rest between contractions
A contraction interval is how often a uterine contraction occurs. The nurse will measure the
interval from the beginning of one contraction to the beginning of the next contraction. A
contraction lasting 60 seconds with a relaxation period of 3 min is equivalent to contractions
every 4 min.
A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of
the following findings is a risk factor for an ectopic pregnancy?
Anemia
Frequent urinary tract infections
Previous cesarean birth
Pelvic inflammatory disease (PID)
Pelvic inflammatory disease (PID)
An ectopic pregnancy occurs when the fertilized egg implants in tissue outside of the uterus
and the placenta and fetus begin to develop there. The most common site is within a fallopian
tube, but ectopic pregnancies can occasionally occur in the ovary or the abdomen. Most cases
are a result of scarring caused by a previous tubal infection or tubal surgery. Therefore, PID
places the client at risk for an ectopic pregnancy.
A nurse is caring for a client who is at 8 weeks of gestation with twins and primigravida. The
client states that even though she and her husband planned this pregnancy, she is experiencing
many ambivalent feelings about it. Which of the following responses should the nurse make?
"Have you told your husband about these feelings?"
"These feelings are quite normal at the beginning of pregnancy."
"Perhaps you should see a counselor to discuss these feelings."
"I am quite concerned about these feelings. Could you explain more?"
These feelings are quite normal at the beginning of pregnancy
This client needs reassurance that these feelings are normal and there is no reason for
concern.
A nurse is assessing a newborn who is 12 hours old and notes mild jaundice of the face and
trunk. Which of the following actions should the nurse take?
Administer phytonadione IM.
Obtain a stat prescription for a bilirubin level.
3|Page
, Obtain a bagged urine specimen.
Perform a gestational age assessment.
Obtain a stat prescription for a bilirubin level
Jaundice in the first 24 hr of life is pathologic. The nurse should notify the provider and obtain
a stat prescription for a bilirubin level.
A nurse is teaching a client who has active genital herpes simplex virus, type 2. Which of the
following statements should the nurse include in the teaching?
"You will have a cesarean birth prior to the onset of labor."
"Your baby will receive erythromycin eye ointment after birth to treat the infection."
"You should take oral metronidazole for 7 days prior to 37 weeks of gestation."
"You should schedule a cesarean birth after your water breaks."
You will have a cesarean birth prior to the onset of labor
Whenever possible, the cesarean birth should be scheduled prior to the onset of labor or
rupture of membranes to reduce the risk of neonatal transmission of herpes.
A nurse is caring for a client who has a prescription for naloxone. Which of the following is the
intended action of the medication in relation to the central nervous system?
Accentuate effects of narcotics on the CNS
Depress activity of the CNS
Block effects of narcotics on the CNS
Stimulate activity of the CNS
Blocks effects of narcotics on the CNS
By blocking the effects of narcotics on the CNS, naloxone prevents CNS and respiratory
depression in the newborn following delivery.
A nurse in a prenatal clinic is caring for a client who is within the recommended guidelines for
weight. The client asks the nurse how much weight is safe for her to gain during her pregnancy.
Which of the following responses should the nurse make?
"Your provider can discuss an appropriate amount of weight gain with you."
"A weight gain of about 14 pounds each trimester is suggested."
"If you eat nutritious foods when you feel hungry, the amount of weight gain is insignificant."
"A weight gain of about 25 to 35 pounds is good."
A weight gain of about 25-35 pounds is good
4|Page
