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ATI RN MATERNAL-NEWBORN
PROCTORED EXAM 2023 NGN
Question 1
A nurse is assessing a client at 36 weeks gestation who reports sudden
swelling of the face and hands. Which of the following findings should
the nurse identify as a priority?
A. Headache
B. Proteinuria
C. Blurred vision
D. Pitting edema
Answer: C. Blurred vision
Rationale: Blurred vision may indicate preeclampsia with CNS
involvement. Visual changes require immediate attention, even before
headache or edema.
Question 2
A postpartum client reports heavy lochia rubra on day 2 after delivery.
What is the nurse’s priority action?
A. Document findings in the chart
B. Assess fundal firmness
C. Notify the physician immediately
D. Encourage ambulation
,2
Answer: B. Assess fundal firmness
Rationale: Excessive bleeding postpartum can indicate uterine atony.
Assessing fundal tone is the first step to identify the cause and guide
interventions.
Question 3
A nurse is caring for a newborn immediately after birth. Which action
should the nurse take first?
A. Administer vitamin K
B. Assess Apgar score
C. Dry and stimulate the newborn
D. Place identification bands
Answer: C. Dry and stimulate the newborn
Rationale: Maintaining thermoregulation and initiating breathing
through drying and stimulation is the first priority. Other interventions
follow stabilization.
Question 4
A client at 28 weeks gestation is prescribed magnesium sulfate for
preeclampsia. Which finding indicates magnesium toxicity?
A. Flushing
B. Hyperreflexia
C. Respiratory depression
D. Hypotension
Answer: C. Respiratory depression
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Rationale: Respiratory depression is a serious sign of magnesium
toxicity. Early toxicity signs include loss of deep tendon reflexes, while
flushing and hypotension are common side effects.
Question 5
A nurse is teaching a postpartum client about breastfeeding. Which
statement indicates correct understanding?
A. “I should feed my baby every 4–6 hours.”
B. “I need to alternate breasts at each feeding.”
C. “I should use formula if my breasts feel full.”
D. “I need to avoid expressing milk between feedings.”
Answer: B. “I need to alternate breasts at each feeding.”
Rationale: Alternating breasts ensures equal milk production and
prevents engorgement. Feeding should be on demand, not strictly
scheduled.
Question 6
A client is in labor and requests pain relief. Which of the following
options is safest during early labor for a low-risk pregnancy?
A. Epidural anesthesia
B. IV opioids
C. Non-pharmacologic techniques
D. Spinal anesthesia
Answer: C. Non-pharmacologic techniques
, 4
Rationale: Non-pharmacologic methods such as breathing, relaxation,
and position changes are safe during early labor and have minimal risk
to the mother and fetus.
Question 7
A nurse is caring for a newborn with jaundice. Which finding indicates
pathologic jaundice?
A. Yellowing at 24 hours of life
B. Yellowing of the face only
C. Jaundice resolving by day 7
D. Yellowing of palms and soles
Answer: A. Yellowing at 24 hours of life
Rationale: Jaundice appearing within 24 hours is abnormal and may
indicate hemolysis or infection. Physiologic jaundice usually appears
after 24 hours and resolves by day 7.
Question 8
During a prenatal visit, a client reports decreased fetal movement.
What is the nurse’s priority action?
A. Ask the client to return next week
B. Perform a non-stress test
C. Educate on kick counts
D. Document findings
Answer: B. Perform a non-stress test
ATI RN MATERNAL-NEWBORN
PROCTORED EXAM 2023 NGN
Question 1
A nurse is assessing a client at 36 weeks gestation who reports sudden
swelling of the face and hands. Which of the following findings should
the nurse identify as a priority?
A. Headache
B. Proteinuria
C. Blurred vision
D. Pitting edema
Answer: C. Blurred vision
Rationale: Blurred vision may indicate preeclampsia with CNS
involvement. Visual changes require immediate attention, even before
headache or edema.
Question 2
A postpartum client reports heavy lochia rubra on day 2 after delivery.
What is the nurse’s priority action?
A. Document findings in the chart
B. Assess fundal firmness
C. Notify the physician immediately
D. Encourage ambulation
,2
Answer: B. Assess fundal firmness
Rationale: Excessive bleeding postpartum can indicate uterine atony.
Assessing fundal tone is the first step to identify the cause and guide
interventions.
Question 3
A nurse is caring for a newborn immediately after birth. Which action
should the nurse take first?
A. Administer vitamin K
B. Assess Apgar score
C. Dry and stimulate the newborn
D. Place identification bands
Answer: C. Dry and stimulate the newborn
Rationale: Maintaining thermoregulation and initiating breathing
through drying and stimulation is the first priority. Other interventions
follow stabilization.
Question 4
A client at 28 weeks gestation is prescribed magnesium sulfate for
preeclampsia. Which finding indicates magnesium toxicity?
A. Flushing
B. Hyperreflexia
C. Respiratory depression
D. Hypotension
Answer: C. Respiratory depression
,3
Rationale: Respiratory depression is a serious sign of magnesium
toxicity. Early toxicity signs include loss of deep tendon reflexes, while
flushing and hypotension are common side effects.
Question 5
A nurse is teaching a postpartum client about breastfeeding. Which
statement indicates correct understanding?
A. “I should feed my baby every 4–6 hours.”
B. “I need to alternate breasts at each feeding.”
C. “I should use formula if my breasts feel full.”
D. “I need to avoid expressing milk between feedings.”
Answer: B. “I need to alternate breasts at each feeding.”
Rationale: Alternating breasts ensures equal milk production and
prevents engorgement. Feeding should be on demand, not strictly
scheduled.
Question 6
A client is in labor and requests pain relief. Which of the following
options is safest during early labor for a low-risk pregnancy?
A. Epidural anesthesia
B. IV opioids
C. Non-pharmacologic techniques
D. Spinal anesthesia
Answer: C. Non-pharmacologic techniques
, 4
Rationale: Non-pharmacologic methods such as breathing, relaxation,
and position changes are safe during early labor and have minimal risk
to the mother and fetus.
Question 7
A nurse is caring for a newborn with jaundice. Which finding indicates
pathologic jaundice?
A. Yellowing at 24 hours of life
B. Yellowing of the face only
C. Jaundice resolving by day 7
D. Yellowing of palms and soles
Answer: A. Yellowing at 24 hours of life
Rationale: Jaundice appearing within 24 hours is abnormal and may
indicate hemolysis or infection. Physiologic jaundice usually appears
after 24 hours and resolves by day 7.
Question 8
During a prenatal visit, a client reports decreased fetal movement.
What is the nurse’s priority action?
A. Ask the client to return next week
B. Perform a non-stress test
C. Educate on kick counts
D. Document findings
Answer: B. Perform a non-stress test
