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ATI MATERNAL NEWBORN PROCTORED EXAM 2025-2026/NGN QUESTIONS WITH/100% CORRECT ANSWERS AND, Exams of Nursing

Johns Hopkins University (JHU)Nursing

ATI MATERNAL NEWBORN PROCTORED EXAM 2025-2026/NGN QUESTIONS WITH/100% CORRECT ANSWERS AND RATIONALES/A+ GRADE

Typology: Exams

2024/2025

Available from 04/09/2025

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ATI MATERNAL NEWBORN PROCTORED EXAM

2025-2026/NGN QUESTIONS WITH/100% CORRECT

ANSWERS AND RATIONALES/A+ GRADE

Question 1.

A nurse on the postpartum unit is caring for a client following a cesarean birth. Which of the

following assessments is the nurse’s priority?

Amount of lochia

- When using the airway, breathing, circulation approach to client care, the nurse should

place the priority in the immediate postpartum period on assessing the amount of

postpartum lochia. The greatest risk to the client is bleeding and postpartum

hemorrhage.

Question 2.

A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior

position. The client is dilated to 8 cm and reports back pain. Which of the following actions

should the nurse take?

Apply sacral counterpressure

- Sacral counterpressure assists in relieving back labor pain related to fetal

posterior position.

Question 3.

A nurse is demonstrating to a client how to bathe her newborn. In which order should the

nurse perform the following actions?

Wipe the newborn’s eyes from the inner canthus outward. Wash the newborn’s

neck by lifting the newborn’s chin. Cleanse the skin around the newborn’s

umbilical cord stump. Wash the newborn’s legs and feet. Clean the newborn’s

diaper area.

- Use a head to toe, clean to dirty approach when washing a newborn.

Question 4.

A nurse is caring for a client and her partner who have experienced a fetal death. Which of the

following actions should the nurse take?

Take photos of the newborn to give to the parents.

Partial preview of the text

Download ATI MATERNAL NEWBORN PROCTORED EXAM 2025-2026/NGN QUESTIONS WITH/100% CORRECT ANSWERS AND and more Exams Nursing in PDF only on Docsity!

ATI MATERNAL NEWBORN PROCTORED EXAM

2025 - 2026 /NGN QUESTIONS WITH/100% CORRECT

ANSWERS AND RATIONALES/A+ GRADE

Question 1. A nurse on the postpartum unit is caring for a client following a cesarean birth. Which of the following assessments is the nurse’s priority? Amount of lochia

When using the airway, breathing, circulation approach to client care, the nurseshould place the priority in the immediate postpartum period on assessing the amount of postpartum lochia. The greatest risk to the client is bleeding and postpartum hemorrhage. Question 2. A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of thefollowing actions should the nurse take? Apply sacral counterpressure
Sacral counterpressure assists in relieving back labor pain related to fetal posterior position. Question 3. A nurse is demonstrating to a client how to bathe her newborn. In which order shouldthe nurse perform the following actions? Wipe the newborn’s eyes from the inner canthus outward. Wash the newborn’s neck by lifting the newborn’s chin. Cleanse the skin around the newborn’s umbilical cord stump. Wash the newborn’s legs and feet. Clean the newborn’s diaper area.
Use a head to toe, clean to dirty approach when washing a newborn. Question 4. A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following actions should the nurse take? Take photos of the newborn to give to the parents.

The nurse should create a memory box that includes mementos of the newborn(ex: photos, the newborn’s ID bands, the newborn’s hat, & the newborn’s blanket). Question 5. 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 thefollowing diagnostic tests? Biophysical profile
A positive contraction stress test indicates that further evaluation of the fetus is necessary (baby’s heart slowed or showed abnormality during contraction). A biophysical profile will provide further evaluation with real-time ultrasound. Question 6. A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to theprovider? Platelets 50,000/mm
A platelet count of 50,000/mm3 is below the expected reference range, which can indicate disseminated intravascular coagulation. The nurse should report thisresult to the provider. Question 7. A nurse is assessing a newborn who was born at 26 weeks of gestation using the NewBallard Score. Which of the following findings should the nurse expect? Minimal arm recoil
The nurse should expect a newborn who was born at 26 weeks gestation to have decreased muscular tone, or minimal arm recoil. Question 8. A nurse is assessing a newborn following circumcision. Which of the following findingsshould the nurse identify as an indication that the newborn is experiencing pain? Chin quivering

Perform Leopold maneuvers.

The nurse should perform Leopold maneuvers to assess the position of the fetusto best determine the optimal placement for the external fetal monitoring transducer. Question 14. A nurse is caring for a client who is in active labor and has had no cervical change in thelast 4 hours. Which of the following statements should the nurse make? Your provider will insert an intrauterine pressure catheter to monitor the strength of yourcontractions.
Insertion of an intrauterine pressure catheter is necessary to determine uterine contraction intensity, which will identify whether or not the contractions are adequate for the progression of labor. Question 15. A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse takenext? Massage the client’s fundus.
The greatest risk to the client is hemorrhage. Therefore, the next action the nurse should take is to massage the client’s fundus to expel clots and promote contractions. Question 16. A nurse is reviewing the medical record of a client who is one day postpartum. The client had a vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding which of the following prescriptions? Bisacodyl rectal suppository daily as needed for constipation
The nurse should not administer a rectal suppository or enema to a client who has a fourth-degree perineal laceration. These can cause separation of the suture line, bleeding, or infection. Question 17.

A nurse is caring for a client who is at 26 weeks gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client’s headto one side, which of the following actions should the nurse take immediately after the seizure? Administer oxygen via a nonrebreather mask.

When using the airway, breathing, and circulation approach to client care, thenurse should place the priority on administering oxygen to the client via a nonrebreather mask to ensure adequate oxygenation to mother and fetus. Question 18. A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make? ” You can miss your period for several other reasons. Describe your typical menstrual cycle”.
Amenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore,the nurse should explore the client’s menstrual cycle to determine other necessary interventions. Question 19. A nurse is providing discharge teaching to a client who is postpartum and was taking insulin for gestational diabetes mellitus. Which of the following instructions should thenurse include in the teaching? ” You should get a 2 - hour oral glucose tolerance test in 6 - 12 weeks.”
The nurse should instruct the client to get 2 - hour oral glucose tolerance test 6 - 12 weeks postpartum and every 3 years to screen for type 2 diabetes. The nurse should instruct the client that blood glucose levels return to the expected reference range after childbirth. Therefore, the client does not need to monitor her blood glucose levels or continue the insulin at home. Question 20. A nurse on an antepartum unit is caring for 4 clients. Which of the following clientsshould the nurse identify as the priority? A client who is at 34 weeks gestation and reports epigastric pain

Fundal height measurement of 30cm

A fundal height measurement of 30 should be reported to the provider. Fundal height should be measured in centimeters and should equal the number of gestational weeks +/- 2 weeks from 18-32 weeks gestation. Therefore, a fundal height of 30 at 26 weeks is greater than expected. 1 - hour glucose tolerance testresults should be less than 130- 140mg/dL. Hematocrit should be greater than 33%, and FHR should be between 110 - 160/min. Question 25. A nurse is performing a routine assessment on a client who is at 18 weeks gestation.Which of the following findings should the nurse expect? FHR of 152/min
The expected range of FHR is 110 - 160/min with rates at the higher end of rangeearly in the pregnancy (<20 weeks). Deep tendon reflexes are an indication of the balance between the cerebral cortex and spinal cord. The nurse should expect the client’s deep tendon reflexes to be 2+. A deep tendon reflex of 4+ indicates hyperreflexia. The normal range for urine protein is less than 1 +. Question 26. A nurse is teaching a client who is Rh negative about Rh0(D) immune globulin. Which ofthe following statements by the client indicates an understanding of the teaching ”I will need this medication if I have an amniocentesis.”
Rh0(D) immune globulin is given to clients who are Rh negative following an amniocentesis because of the potential of fetal RBCs entering the maternal circulation. Rh0(D) immune globulin is administered at 28 weeks gestation to mothers who are Rh-negative and following the birth of a newborn who is Rh- positive. Question 27. A nurse is caring for a client who is anemic at 32 weeks gestation and is in pretermlabor. The provider prescribed betamethasone 12mg IM. Which of the following outcomes should the nurse expect? A reduction in respiratory distress in the newborn

Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturityand prevent respiratory distress. Question 28. A nurse is teaching a client who is at 8 weeks gestation about exercise. Which of thefollowing instructions should the nurse include in the teaching ”You should exercise for 30 minutes each day.”
The nurse should instruct the client to engage in 30 minutes of moderate exercise every day to improve muscle tone throughout her pregnancy. The clientshould also take her pulse every 10-15 minutes during exercise, decrease weight-bearing exercises as the pregnancy progresses, and rest in a lateral position for 10 minutes following exercise. Question 29. A nurse is assessing a newborn 12 hours after birth. Which of the followingmanifestations should the nurse report to the provider? Jaundice
Jaundice occurring within the first 24 hours of birth is associated with ABO incompatibility, hemolysis, or Rh-isoimmunization. Acrocyanosis is a bluish discoloration of the hands and feet and is expected in a newborn 12 hours after birth. Transient strabismus is a normal variation in the newborn’s eyes that can persist until 4 months of age. Caput succedaneum is a benign edematous area ofthe scalp that is commonly found on the occiput. Question 30. A nurse is planning care for a client who is to undergo a nonstress test. Which of thefollowing actions should the nurse include in the plan of care? Instruct the client to press the provided button each time fetal movement is detected.
Fetal movement may not be evident on the fetal monitor and tracing. Instructing the client to press the button when she detects fetal movement will ensure that the fetal movement is noted. Massaging the abdomen does not stimulate fetal movement. The client should be placed in a semi-Fowler’s or sitting position andtilted to the right or left to promote uterine perfusion and prevent supine hypotension. There is no indication for the client to be NPO, and sometimes clients are encouraged to drink liquids to promote adequate hydration. Question 31.

begins to efface and dilate. This is an indication that the client should go to thehospital. Question 35. A nurse is caring for a client who is at 35 weeks gestation and is undergoing a nonstress test that reveals a variable deceleration in the FHR. Which of the followingactions should the nurse take? Have the client change positions.

Having the client change positions is the first intervention for a variable deceleration to relieve umbilical cord compression. Question 36. A staff nurse on an obstetric unit is caring for a client who is scheduled for an induced abortion. The staff nurse informs the nurse manager that she has a moral issue with theclient’s decision. Which of the following actions should the nurse manager take? Reassign the client to another staff nurse.
The nurse manager should take into account the staff nurse’s moral beliefs and recognize that she also has rights and responsibilities concerning the care of aclient who is undergoing an induced abortion. Question 37. A nurse in the antepartum clinic is assessing a client’s adaptation to pregnancy. Theclient states that she is, “happy one minute and crying the next.” The nurse should interpret the client’s statement as an indication of which of the following? Emotional lability
The nurse should recognize and interpret the client’s statement as an indication of emotional lability. Many women experience rapid and unpredictable changes inmood during pregnancy. Intense hormonal changes may be responsible for moodchanges that occur during pregnancy. Tears and anger alternate with feelings of joy or cheerfulness for little or no reason. The focusing phase is the third phase of the father’s emotional response to the pregnancy. It is characterized by his active involvement in the pregnancy and his relationship with the child. Cognitive restructuring is accepting the idea of pregnancy and assimilating it into the woman’s life. The degree of acceptance is shown in the mother’s emotional responses. Couvade syndrome is pregnancy-life manifestations experienced by

the expectant father. Manifestations may include nausea, weight gain, and otherphysical manifestations of pregnancy. Question 38. A nurse is teaching a client who is at 10 weeks gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understandingof the teaching? ”I should take 600 micrograms of folic acid each day.”

A client who is pregnant should increase her folic acid intake to 600mcg daily. Folic acid assists with preventing neural tube birth defects. A client who is pregnant should also increase her protein intake to 71g daily, water intake to 3L daily, increase her caloric intake by 340 during the second trimester, and by 452 during the third trimester. Question 39. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? Schedule an ultrasound examination.
The nurse should schedule serial ultrasound examinations to monitor the fetusduring the pregnancy to detect the possible development of fetal hydrops. Question 40. A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how toperform Leopold maneuvers. Which of the following images indicates the first step of Leopold maneuvers?

diaphragm should be replaced every 2 years. The client should have an emptybladder prior to insertion and avoid using oil-based products because they weaken the rubber of the diaphragm. Question 45. A nurse is caring for a client who is 36 weeks gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the clientfor an ultrasound? To locate a pocket of fluid

Locating a pocket of fluid using the ultrasound prior to the amniocentesis reducesthe risk of injury to the fetus. Question 46. A nurse is caring for a client who becomes unresponsive upon delivery of the placenta.Which of the following actions should the nurse take first? Determine respiratory function.
The priority using the airway, breathing, circulation approach is to determine the respiratory function and the need for cardiopulmonary resuscitation. Question 47. A nurse is teaching a client who is pregnant about managing nausea and vomiting.Which of the following instructions should the nurse include in the teaching? ”Eat high carbohydrate foods.”
The nurse should instruct the client to eat high carbohydrate foods such as toast, potatoes, and rice to decrease nausea and vomiting. The client should also be instructed to avoid spicy, fatty, or fried foods. Question 48. A nurse is calculating a client’s expected date of birth using Naegele’s rule. The clienttells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the clients expected date of birth? September 3 rd
Naegele’s rule = first day of last cycle – 3 months + 7 days

Question 49. A nurse is observing a new mother caring for her crying newborn who is bottle feeding.Which of the following actions by the mother should the nurse recognize as positive parenting behavior? Lays the newborn across her lap and gently sways

This tactile stimulation promotes a sense of security for the new born and is a correct technique for quieting a newborn. Question 50. A nurse is teaching a client who is in preterm labor about terbutaline. Which of thefollowing statements by the client indicates an understanding of the teaching? ”I will have blood tests because my potassium might decrease.”
Terbutaline is administered subcutaneously every 4 hours for no longer than 24 hours. The adverse effects are hyperglycemia, hypokalemia, and hypotension. Question 51. A nurse is reviewing the laboratory report of a client who is 24 hours postpartum following a vaginal delivery. Which of the following laboratory results should the nurseidentify as an indication of a postpartum infection? Erythrocyte Sedimentation Rate (ESR) 26 mm/hr
The nurse should recognize that this exceeds the expected reference range for a postpartum client and indicates infection. Question 52. A nurse is planning discharge for a client who is 3 days postpartum. Which of the following nonpharmacological interventions should the nurse include in the plan of carefor lactation suppression? Apply cabbage leaves to the breasts
Plant sterols and salicylates from cabbage leaves can help to relieve swellingand discomfort caused by breast engorgement Question 53.

Question 57. A nurse in a prenatal clinic is assessing a group of clients. Which of the following clientsshould the nurse request the provider see first? A client who is at 11 weeks gestation and reports abdominal cramping

When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is a client who is at 11 weeks gestation and reports abdominal cramping. Abdominal cramping can indicate an ectopic pregnancy or manifestations of spontaneous abortion. The nurse should requestthat the provider see this client first. Question 58. A nurse is assessing a client who gave birth vaginally 12 hours ago and palpates her uterus to the right above the umbilicus. Which of the following interventions should thenurse perform? Assist the client to empty her bladder.
The nurse should assist the client to empty her bladder because the assessment findings indicate that the bladder is distended. This can prevent the uterus from contracting, resulting in increased vaginal bleeding or postpartum hemorrhage. Simethicone should be administered to reduce bloating, discomfort, or paincaused by excessive gas. Question 59. A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. Which of the following actions should thenurse take? Maintain the client on bed rest.
The client should remain on bed rest to decrease the risk of dislodging the clot, which could cause a pulmonary embolism. A client receiving anticoagulant therapy, such as heparin, should not receive aspirin due to the risk of bleeding. The nurse should avoid massaging the affected leg to decrease the risk of dislodging the clot, which could cause a pulmonary embolism. The nurse should apply warm compresses to the affected area to promote circulation and decreaseedema. Question 60.

A nurse is providing teaching about comfort measures to a client who is breastfeeding and is experiencing engorgement. Which of the following nonpharmacological measuresshould the nurse include in the teaching? ”You should use cold compresses after each feeding.”

The nurse should suggest applying cold compresses or ice packs to alleviate the discomforts of engorgement in the client who is breastfeeding. The client should avoid the use of breast binders because they can decrease the milk supply. Applying colostrum to the nipples helps with sore nipples, and breast shells maybe worn to promote circulation of air and prevent clothing from touching sore nipples. Question 61. A nurse is teaching a new mother about steps the nurses will take to promote the security and safety of the newborn. Which of the following statements should the nursemake? ”Staff members who take care of your baby will be wearing a photo identificationbadge.”
The nurse should teach the client that all staff members that care for newborns are required to wear a photo identification badge so that the client will be reassured of her newborn’s safety. When entering the unit, visitors must only provide the name of the client they are visiting. Clients are allowed to have anyone visit them on the unit without documentation of the visitor’s relationship tothe client. The nurse should teach the mother to place the baby in the bassinet on the side of the bed away from the door while she is sleeping. Question 62. A nurse is assessing a late preterm newborn. Which of the following clinicalmanifestations is an indication of hypoglycemia? Respiratory distress
Late preterm newborns are at an increased risk for hypoglycemia due to decreased glycogen stores and immature insulin secretion. Respiratory distressis a clinical manifestation of hypoglycemia. Other manifestations include an abnormal cry, jitteriness, lethargy, poor feeding, apnea, and seizures. Question 63.

Decreased platelet count

A client who has ITP has an autoimmune response that results in a decreasedplatelet count. An increased ESR is an indication of chronic renal failure, and increased WBCs is an indication of infection. Question 67. A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client’s history should the nurserecognize as a contraindication to oral contraceptives? Cholecystitis, HTN, and migraine headaches
A history of gallbladder disease (cholecystitis), HTN, or migraines are all contraindications for oral contraceptives. Question 68. nurse is teaching a new mother how to use a bulb syringe to suction her newborn’s secretions. Which of the following instructions should the nurse include? Stop suctioning when the newborn’s cry sounds clear.
The client should stop suctioning when the newborn’s cry no longer sounds like tiis coming through a bubble of fluid or mucus. The client should compress the bulb before inserting the syringe tip to avoid pushing/blowing the secretions further inside. The newborn’s mouth should always be suctioned before the nose (Nobody wants to taste their own snot!), and the syringe should be inserted into the side of the mouth to avoid triggering the gag reflex. Question 69. A nurse is assessing a client who is in active labor and notes early decelerations in the FHR on the monitor tracing. The client is 39 weeks gestation and is receiving a continuous IV infusion of oxytocin. Which of the following actions should the nurse take? Continue monitoring the client.
Early decelerations in the FHR are considered benign and occur due to compression of the fetal head during contractions, vaginal exams, and pushingduring the second stage of labor. No interventions are necessary for early decelerations.

Question 70. A nurse is teaching a group of parents about newborn safety. Which of the followingstatements by a parent indicates an understanding of the teaching? ”I will dress my baby in flame-retardant clothing.”

Flame-retardant clothing will help prevent injury to the baby. Parents should avoid using plastic in the crib or bibs around the newborn’s neck at night to avoidsuffocation and choking. The parents should not heat formula in a microwave to prevent uneven warming. Question 71. A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma.Which of the following manifestations should the nurse expect? Vaginal pressure
The nurse should expect a client with a vaginal hematoma to report pressure in the vagina due to the blood that leaked into the tissues and persistent vaginal orrectal pain. Lochia serosa vaginal drainage is a manifestation for a client who is 4 - 10 days postpartum. Question 72. A charge nurse on the postpartum unit is observing a newly licensed nurse who is preparing to administer pain medication to a client. The charge nurse should intervenewhen the newly licensed nurse uses which of the following secondary identifiers to identify the client? The client’s room number
The client’s room number can change and places the client at risk for a medication error. Question 73. A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include”You can still become pregnant if you are breastfeeding.”
The nurse should inform the client that breastfeeding does not prevent ovulation. Contraception that is safe during breastfeeding should be discussed with this

ATI MATERNAL NEWBORN PROCTORED EXAM 2025-2026/NGN QUESTIONS WITH/100% CORRECT ANSWERS AND, Exams of Nursing

Related documents

Partial preview of the text

Download ATI MATERNAL NEWBORN PROCTORED EXAM 2025-2026/NGN QUESTIONS WITH/100% CORRECT ANSWERS AND and more Exams Nursing in PDF only on Docsity!

ATI MATERNAL NEWBORN PROCTORED EXAM

2025 - 2026 /NGN QUESTIONS WITH/100% CORRECT

ANSWERS AND RATIONALES/A+ GRADE