2023 ATI RN Maternal Newborn Proctored 2019 NGN
(REVISED FULL EXAM)
1. A client who is 16 weeks of gestation asks the nurse how to prepare her
father to a younger sibling. Statements should the nurse make?
A. You should hold your newborn in your arms when you introduce him to your
toddler
B. You should move your toddler out of her crib 2 weeks prior to your due date
C. You should give your toddler a gift from the baby when she visits you in the
facility.
D. You should place your toddler in timeout if she exhibits regressive Behavior
after the baby is born
ANS C. You should give your toddler a gift from the baby when she visits you in
the facility.
2. A nurse is observing an adolescent client who is offering her newborn a
bottle while he is laying in the bassinet. When the nurse offers to pick the
newborn up and place them in the client's arms, the mother States, "No, the
baby is too tired to be held." Which of the following actions should the nurse
take?
A. Insist that the mother pick up the newborn to feed him
,B. Demonstrate how to hold a newborn and allow the client to practice
C. Persuade the client to breastfeed the newborn to promote bonding
D. Offer to take the newborn to the nursery to finish his feeding
ANS B. Demonstratehow to hold a newborn and allow the client to practice
3. A nurse is assessing a client who is in preterm labor and has a new
prescription or terbutaline 0.25 mg subcutaneous. For which of the following
findings should the nurse Withhold the medication and report to the provider?
A. Fasting blood glucose 75 mg / DL
B. Blood pressure 88/58 mmhg
C. Urinary output 40 ml /hr
D. FHR 120/min
ANS B. Blood pressure 88/58 mmhg
4. A nurse is providing teaching to the parents of a newborn about the
plastibell circumcision technique. Which of the following is included in the
teaching?
A. The plastibell will be removed 4 hours after the procedure
B. Notify the provider is the end of your penis appears dark red
C. Make sure the newborn's diaper is snug
D. Yellow exudate will form at the surgical site in 24 hours
ANS D. Yellow exudate willform at the surgical site in 24 hours
, 5. A nurse is planning care immediately following birth for a newborn who has
Myelomeningocele that is cerebrospinal fluid. Which of the following actions
should the nurse include in the plan of care?
A. Administer broad-spectrum antibiotics
B. Cleanse the site with Povidone iodine
C. Monitor the rectal temperature every 4 hours
D. Prepare for surgical closure after 72 hours
ANS A. Administer broad-spectrumantibiotics
6. A nurse is caring for a newborn boy 6 hours old and has a bedside glucose
meter reading of 65 mg/dl. The New Orleans mother has Type 2 diabetes
mellitus. Which of the following actions should the nurse take?
A. Administer 50 mL of dextrose solution IV
B. Obtain a blood sample of serum glucose level
C. Reassess the blood glucose level prior to the next feeding
D. Feed the newborn immediately
ANS C. Reassess the blood glucose level prior tothe next feeding
7. A nurse is caring for four enter-partum clients. Which of the following clients
should the nurse assess first?
A. A client who is at 7 weeks of gestation and reports urinary frequency.
(REVISED FULL EXAM)
1. A client who is 16 weeks of gestation asks the nurse how to prepare her
father to a younger sibling. Statements should the nurse make?
A. You should hold your newborn in your arms when you introduce him to your
toddler
B. You should move your toddler out of her crib 2 weeks prior to your due date
C. You should give your toddler a gift from the baby when she visits you in the
facility.
D. You should place your toddler in timeout if she exhibits regressive Behavior
after the baby is born
ANS C. You should give your toddler a gift from the baby when she visits you in
the facility.
2. A nurse is observing an adolescent client who is offering her newborn a
bottle while he is laying in the bassinet. When the nurse offers to pick the
newborn up and place them in the client's arms, the mother States, "No, the
baby is too tired to be held." Which of the following actions should the nurse
take?
A. Insist that the mother pick up the newborn to feed him
,B. Demonstrate how to hold a newborn and allow the client to practice
C. Persuade the client to breastfeed the newborn to promote bonding
D. Offer to take the newborn to the nursery to finish his feeding
ANS B. Demonstratehow to hold a newborn and allow the client to practice
3. A nurse is assessing a client who is in preterm labor and has a new
prescription or terbutaline 0.25 mg subcutaneous. For which of the following
findings should the nurse Withhold the medication and report to the provider?
A. Fasting blood glucose 75 mg / DL
B. Blood pressure 88/58 mmhg
C. Urinary output 40 ml /hr
D. FHR 120/min
ANS B. Blood pressure 88/58 mmhg
4. A nurse is providing teaching to the parents of a newborn about the
plastibell circumcision technique. Which of the following is included in the
teaching?
A. The plastibell will be removed 4 hours after the procedure
B. Notify the provider is the end of your penis appears dark red
C. Make sure the newborn's diaper is snug
D. Yellow exudate will form at the surgical site in 24 hours
ANS D. Yellow exudate willform at the surgical site in 24 hours
, 5. A nurse is planning care immediately following birth for a newborn who has
Myelomeningocele that is cerebrospinal fluid. Which of the following actions
should the nurse include in the plan of care?
A. Administer broad-spectrum antibiotics
B. Cleanse the site with Povidone iodine
C. Monitor the rectal temperature every 4 hours
D. Prepare for surgical closure after 72 hours
ANS A. Administer broad-spectrumantibiotics
6. A nurse is caring for a newborn boy 6 hours old and has a bedside glucose
meter reading of 65 mg/dl. The New Orleans mother has Type 2 diabetes
mellitus. Which of the following actions should the nurse take?
A. Administer 50 mL of dextrose solution IV
B. Obtain a blood sample of serum glucose level
C. Reassess the blood glucose level prior to the next feeding
D. Feed the newborn immediately
ANS C. Reassess the blood glucose level prior tothe next feeding
7. A nurse is caring for four enter-partum clients. Which of the following clients
should the nurse assess first?
A. A client who is at 7 weeks of gestation and reports urinary frequency.
