(NGN)ATI MATERNAL NEWBORN PROCTORED EXAM LATEST
EXAM QUESTION AND
ANSWERS 2023
A nurse is teaching a client who is at 12 wks gestation and has HIV. What statementshould the nurse
include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancyc.
breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy
- ANSWER-d. youshould continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral medication every daydecreases the risk of
transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks gestation about manifestationsto report to the
provider during pregnancy. What info should the nurse include in the teaching?
a. nausea upon awakeningb.
blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping
- ANSWER-b. blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocinvia continuous IV
infusion. The nurse notes that the client is having contractions every 2min which last 100-110 seconds that
the fetal heart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq
- ANSWER-a. decrease the dose of oxytocin byhalf
The nurse should decrease the dose of oxytocin by half because the client isexperiencing uterine
tachysystole.
A nurse is caring for a client who is in active labor and has meconium staining of the amniotic fluid. The
nurse notes a reassuring FHR tracing from the external fetal monitor.What action should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is deliveredc. prepare
equipment needed for newborn resuscitation
,d. prepare the client for an ultrasound exam
- ANSWER-c. prepare equipment neededfor newborn resuscitation
The nurse should ensure that all supplies and equipment needed for resuscitation of thenewborn are
readily available for every delivery. Endotracheal suctioning is recommended in cases of meconium
staining only if the newborn has poor respiratory effort, decreased muscle tone, and bradycardia after
delivery.
A nurse is reviewing the medical record of a client who is at 33 wks gestation and has placenta previa
and bleeding. What scripts should the nurse clarify with the provider?a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing
- ANSWER-b. perform a vaginal exam
When a client has a placenta previa, the placenta implants in the lower part of the uterus and obstructs the
cervical os (the opening to the vagina). The nurse should clarify this prescription because any manipulation
can cause tearing of the placenta andincreased bleeding.
A nurse is caring for a client who is at 37 wks gestation and is undergoing a nonstress test. The FHR is
130 without accelerations for the past 10 min. What action should thenurse take?
a. request a script for an internal fetal scalp electrodeb.
auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds
- ANSWER-d. usevibroacoustic stim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetalactivity because the
fetus is most likely sleeping. Fetal movement should cause accelerations in the FHR.
A nurse is reviewing lab results for a client who is at 37 wks gestation. The nurse notes that the client is
rubella non-immune, positive for group A beta-hemolytic strep, and has a blood type O neg. What action
should the nurse take?
a. instruct the client to obtain a rubella immunization after deliveryb. request a
script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin
- ANSWER-a. instruct the client toobtain a rubella immunization after delivery
,A nurse is reviewing the med record of a client who is at 39 wks gestation and haspolyhydramnios. What
finding should the nurse expect?
a. total pregnancy wt gain of 3.6 kgb. fetal
GI anomaly
c. gestational HTN
d. fundal height of 34 cm
- ANSWER-b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus. Gastrointestinal
malformations and neurologic disorders are expected findings fora fetus experiencing the effects of
polyhydramnios.
A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate via continuous IV
infusion about expected adverse effects. What adverse effects shouldthe nurse include in the teaching?
a. elevated BP
b. feeling of warmth c.
generalized pruritis
d. hyperactivity
- ANSWER-b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body whilethe magnesium
sulfate is infusing.
A nurse is caring for a client who is in the latent phase of labor and is experiencing lowback pain. What
action should the nurse take?
a. position the client supine with legs elevated b. instruct
the client to pant during contractionsc. encourage the
client to soak in a warm bath
d. apply pressure to the client's sacral area during contractions
- ANSWER-d. applypressure to the client's sacral area during contractions
A nurse is teaching a client who is at 12 wks gestation about manifestations of potential complications that
she should report to her provider. What info should the nurse includein the teaching?
a. intermittent nausea
b. white vaginal dischargec.
swelling of the face
d. urinary frequency
- ANSWER-c. swelling of the face
A nurse is caring for a client who is at 32 wks gestation and is experiencing pretermlabor. What meds
should the nurse plan to administer?
a. misoprostol
b. betamethasonec.
poractant alfa
, d. methylergonovine
- ANSWER-b. betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant andasks the nurse how
the provider will confirm her pregnancy. The nurse should inform the client that what lab test will be used
to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS c.
blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
- ANSWER-a. urine test forpresence of HCG
A nurse is caring for a client who believes she may be pregnant. What finding should the nurse identify
as a positive sign of pregnancy?
a. palpable fetal movementb.
amenorrhea
c. chadwick's sign
d. positive pregnancy test
- ANSWER-a. palpable fetal movement
A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defectc.
spina bifida
d. hydrocephalus
- ANSWER-a. renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvicfracture due to blunt
abd trauma. What findings should the nurse expect?
a. uterine contractionsb.
bradycardia
c. seizures
d. bradypnea
- ANSWER-a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due toabdominal trauma.
A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole.What findings should
the nurse expect?
a. hypothermia
b. dark brown vaginal dischargec.
fetal heart tones
d. decreased urinary output
- ANSWER-b. dark brown vaginal discharge
EXAM QUESTION AND
ANSWERS 2023
A nurse is teaching a client who is at 12 wks gestation and has HIV. What statementshould the nurse
include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancyc.
breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy
- ANSWER-d. youshould continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral medication every daydecreases the risk of
transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks gestation about manifestationsto report to the
provider during pregnancy. What info should the nurse include in the teaching?
a. nausea upon awakeningb.
blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping
- ANSWER-b. blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocinvia continuous IV
infusion. The nurse notes that the client is having contractions every 2min which last 100-110 seconds that
the fetal heart rate is reassuring. What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq
- ANSWER-a. decrease the dose of oxytocin byhalf
The nurse should decrease the dose of oxytocin by half because the client isexperiencing uterine
tachysystole.
A nurse is caring for a client who is in active labor and has meconium staining of the amniotic fluid. The
nurse notes a reassuring FHR tracing from the external fetal monitor.What action should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is deliveredc. prepare
equipment needed for newborn resuscitation
,d. prepare the client for an ultrasound exam
- ANSWER-c. prepare equipment neededfor newborn resuscitation
The nurse should ensure that all supplies and equipment needed for resuscitation of thenewborn are
readily available for every delivery. Endotracheal suctioning is recommended in cases of meconium
staining only if the newborn has poor respiratory effort, decreased muscle tone, and bradycardia after
delivery.
A nurse is reviewing the medical record of a client who is at 33 wks gestation and has placenta previa
and bleeding. What scripts should the nurse clarify with the provider?a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing
- ANSWER-b. perform a vaginal exam
When a client has a placenta previa, the placenta implants in the lower part of the uterus and obstructs the
cervical os (the opening to the vagina). The nurse should clarify this prescription because any manipulation
can cause tearing of the placenta andincreased bleeding.
A nurse is caring for a client who is at 37 wks gestation and is undergoing a nonstress test. The FHR is
130 without accelerations for the past 10 min. What action should thenurse take?
a. request a script for an internal fetal scalp electrodeb.
auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds
- ANSWER-d. usevibroacoustic stim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetalactivity because the
fetus is most likely sleeping. Fetal movement should cause accelerations in the FHR.
A nurse is reviewing lab results for a client who is at 37 wks gestation. The nurse notes that the client is
rubella non-immune, positive for group A beta-hemolytic strep, and has a blood type O neg. What action
should the nurse take?
a. instruct the client to obtain a rubella immunization after deliveryb. request a
script for an antibiotic until delivery
c. inform the client that she will have to deliver via c-section
d. administer a dose of Pho(D) immune globulin
- ANSWER-a. instruct the client toobtain a rubella immunization after delivery
,A nurse is reviewing the med record of a client who is at 39 wks gestation and haspolyhydramnios. What
finding should the nurse expect?
a. total pregnancy wt gain of 3.6 kgb. fetal
GI anomaly
c. gestational HTN
d. fundal height of 34 cm
- ANSWER-b. fetal GI anomaly
Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus. Gastrointestinal
malformations and neurologic disorders are expected findings fora fetus experiencing the effects of
polyhydramnios.
A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate via continuous IV
infusion about expected adverse effects. What adverse effects shouldthe nurse include in the teaching?
a. elevated BP
b. feeling of warmth c.
generalized pruritis
d. hyperactivity
- ANSWER-b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all over her body whilethe magnesium
sulfate is infusing.
A nurse is caring for a client who is in the latent phase of labor and is experiencing lowback pain. What
action should the nurse take?
a. position the client supine with legs elevated b. instruct
the client to pant during contractionsc. encourage the
client to soak in a warm bath
d. apply pressure to the client's sacral area during contractions
- ANSWER-d. applypressure to the client's sacral area during contractions
A nurse is teaching a client who is at 12 wks gestation about manifestations of potential complications that
she should report to her provider. What info should the nurse includein the teaching?
a. intermittent nausea
b. white vaginal dischargec.
swelling of the face
d. urinary frequency
- ANSWER-c. swelling of the face
A nurse is caring for a client who is at 32 wks gestation and is experiencing pretermlabor. What meds
should the nurse plan to administer?
a. misoprostol
b. betamethasonec.
poractant alfa
, d. methylergonovine
- ANSWER-b. betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant andasks the nurse how
the provider will confirm her pregnancy. The nurse should inform the client that what lab test will be used
to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS c.
blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
- ANSWER-a. urine test forpresence of HCG
A nurse is caring for a client who believes she may be pregnant. What finding should the nurse identify
as a positive sign of pregnancy?
a. palpable fetal movementb.
amenorrhea
c. chadwick's sign
d. positive pregnancy test
- ANSWER-a. palpable fetal movement
A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defectc.
spina bifida
d. hydrocephalus
- ANSWER-a. renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvicfracture due to blunt
abd trauma. What findings should the nurse expect?
a. uterine contractionsb.
bradycardia
c. seizures
d. bradypnea
- ANSWER-a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due toabdominal trauma.
A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole.What findings should
the nurse expect?
a. hypothermia
b. dark brown vaginal dischargec.
fetal heart tones
d. decreased urinary output
- ANSWER-b. dark brown vaginal discharge
