ATI RN Maternal Newborn with NGN proctored Exam/ Real Exam
Questions with Correct Detailed Answers/ Latest Update 2024 –
RATED A+
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical
manifestations should the nurse identify as a complication of the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia
✓ C. Facial Palsy
Most babies delivered by forceps suffer no long-term problems, but in rare cases an injury is sustained to
the facial nerve, due to the pressure of the forceps blade on the baby's head.
A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse
expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
✓ Chest circumference 2 cm (0.8 in) smaller than the head circumference
head circumference is always 2cm more than the chest in normal term babies
A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following
interventions should the nurse include in the plan of care?
A. Increase the newborn's visual stimulation
pg. 1
,B. Weigh the newborn every other day
C. Discourage parental interaction until after a social evaluation
D. Swaddle the newborn in a flexed position
✓ Swaddle the newborn in a flexed position
to increase comfort that newborn is receiving
.A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/ dL. The
newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?
A. Obtain a blood sample for a serum glucose level
B. Feed the newborn immediately
C. Administer 50 mL of dextrose solution IV
D. Reassess the blood glucose level prior to the next feeding
✓ Reassess the blood glucose level prior to the next feeding
newborn blood glucose is normal because it has separated from it's source of energy which is the
mother. Blood glucose for newborn to be considered hypoglycemic is 45mg/dl and below.
A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of
the following statement by client indicates an understanding of the teaching?
A." The medication could cause me to experience heart palpitation"
B. "This medication could cause me to experience blurred vision"
C. "This medication could cause me to experience ringing in my ears"
D. "This medication could cause me to experience frequent blurry vison"
✓ A." The medication could cause me to experience heart palpitation" .
A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests
should the nurse anticipate?
A . Urine Ketones
B. Rapid plasma regain
C. Prothrombin time
pg. 2
,D. Urine culture
✓ Urine Ketones
A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which
of the following nursing actions promotes client comfort?
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hours
✓ Assisting the client into squatting position
A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following
findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge
✓ Malodorous Discharge
A nurse is caring for a client who is 14 weeks of gestation. At which the following locations should the
nurse place the Doppler device when assessing the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process
✓ Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the
following findings should the nurse report to the provider?
pg. 3
, A. Urine protein concentration 200 mg/ 24 hr
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60.000/ mm3
✓ Platelet Count 60.000/ mm3
platelet count of less than 100,000 correlates with how severe the condition is.
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the
following adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills
✓ C. breast Tenderness
Breast tenderness is a common side effect of clomiphene citrate. This is due to the hormonal changes
induced by the medication.
Here is a table summarizing some common and less common side effects of clomiphene citrate:
Common Side Effects
-Breast tenderness
-Hot flushes
-Bloating
-Nausea
Less Common Side Effects:
- Visual disturbances
-Mood changes
-Headaches
pg. 4
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