(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM
NEWEST 2024 -2025 TEST BANK /ACTUAL EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) / ALREADY GRADED A+
A nurse is reviewing the med record of a client who is at 39 wks. gestation and has
polyhydramnios. What finding should the nurse expect?
a. total pregnancy wt. gain of 3.6 kg
b. fetal GI anomaly
c. gestational HTN
d. fundal height of 34 cm - Correct Answer - b. fetal GI anomaly
RATIONALE:
Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn
fetus. Gastrointestinal malformations and neurologic disorders are expected findings for
a 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 should
the nurse include in the teaching?
a. elevated BP
b. feeling of warmth
c. generalized pruritic
d. hyperactivity - Correct Answer - b. feeling of warmth
RATIONALE:
The nurse should tell the client to expect the feeling of warmth all over her body while
the magnesium sulfate is infusing.
A nurse is caring for a client who is in the latent phase of labor and is experiencing low
back pain. What action should the nurse take?
pg. 1
,a. position the client supine with legs elevated
b. instructs the client to pant during contractions
c. encourages the client to soak in a warm bath
d. apply pressure to the client's sacral area during contractions - Correct Answer - d.
apply pressure 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 include
in the teaching?
a. intermittent nausea
b. white vaginal discharge
c. swelling of the face
d. urinary frequency - Correct Answer - c. swelling of the face
A nurse is assessing a newborn who was born at 39 wks. gestation. What finding should
the nurse expect?
a. symmetric rib cage
b. lanugo abundant on the back
c. dry, wrinkled skin
d. vernix over the entire body - Correct Answer - a. symmetric rib cage
A nurse is caring for a client who is at 32 wks. gestation and is experiencing
preterm labor. What meds should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. proacting alfa
d. methylergonovine - Correct Answer - b. betamethasone
pg. 2
,A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and
asks 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 - Correct Answer - a. urine test
for presence of HCG
A nurse is assessing a client who is 14 hr. postpartum and has a 3rd degree perineal
laceration. The client's temp is 37.8 C (100F), her fundus is firm and slightly deviated to
the right. The client reports a gush of blood when she ambulates and no bm since
delivery. What action should the nurse take?
a. notify the provider about the elevated temp
b. massage the client's fundus
c. administer bisacodyl supp
d. assist the client to empty her bladder - Correct Answer - d. assist the client to empty
her bladder
When the client's fundus is deviated to the right or left it can indicate that her bladder is
full. The nurse should assist the client to empty her bladder to prevent uterine atony and
excessive lochia.
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 movement
b. amenorrhea
c. Chadwick’s sign
d. positive pregnancy test - Correct Answer - a. palpable fetal movement
pg. 3
, A nurse is teaching a client who is at 10 wks. gestation about an Abd. ultrasound in the
first trimester. What info should the nurse include in the teaching?
a. you will need to have a full bladder during the ultrasound
b. you will have a non-stress test prior to the ultrasound
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the ultrasound - Correct Answer - a. you
will need to have a full bladder during the ultrasound
A nurse is caring for a client who is at 39 wks. gestation and is in the active phase of
labor. The nurse observes late decals in the FHR. What finding should the nurse identify
as the cause of late decals?
a. umbilical cord compression
b. fetal head compression
c. uteroplacental insufficiency
d. fetal ventricular septal defect - Correct Answer - c. uteroplacental insufficiency
A nurse is assessing a client who is at 35 wks. gestation and is receiving
magnesium sulfate via continuous IV infusion for severe pre-eclampsia. What
finding should the nurse report to the provider?
a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr. - Correct Answer - d. urinary output 20 mL/hr.
The nurse should report a urinary output of 20 mL/hr. because this can indicate
inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A
decrease in urinary output can also indicate a decrease in renal perfusion secondary to
a worsening of the client's pre-eclampsia.
pg. 4
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