ATI RN MATERNAL NEWBORN PROCTORED (2023 VERSION) FINAL EXAM WITH NGN

ATI RN MATERNAL NEWBORN PROCTORED (2023 VERSION) 
FINAL EXAM WITH NGN

A nurse in a maternal-newborn unit is assisting in the care of a newborn in the nursery. The 
newborn's grandparent asks if they may take the newborn to their daughter's room. Which 
of the following responses should the nurse make? - answer-"Let me wash my hands and 
then I'll take the baby to their mother."
A nurse is assisting in the care of a newborn who has a high-pitched cry and does not 
respond to consoling efforts. Which of the following neonatal data collection tools should the 
nurse expect to complete? - answer-Neonatal Abstinence Scoring System
A nurse is reinforcing teaching about newborn umbilical cord care with a client who is 
postpartum. Which of the following statements should the nurse identify as an indication that 
the client understands the instructions? - answer-"I will report any drainage from my baby's 
umbilical cord."
A nurse on a postpartum unit is assisting in the care of a client who is experiencing 
hypovolemic shock. Which of the following actions should the nurse take? - answer-Insert an 
indwelling urinary catheter
A nurse in an antepartum clinic is reinforcing teaching about how to prevent supine 
hypotension with a client who is at 16 weeks of gestation. Which of the following responses 
by the client indicates an understanding of the teaching? - answer-"I will lie on my left side 
with my head elevated on a pillow."
A nurse is assisting in the care of a newborn who is large for gestational age and is jittery. 
Which of the following actions should the nurse take first? - answer-Check the newborn's 
blood glucose level
A nurse is assisting with the care of a client who is at 39 weeks of gestation. Which of the 
following statements should alert the nurse as a sign of a potential complication? - answer-
"I have pain in my upper right abdomen."
A nurse is planning to perform a blood collection via heel stick on a newborn. After 
performing hand hygiene and donning gloves, which of the following actions should the nurse 
plan to take next? - answer-Wrap the newborn's heel with a cloth moistened with warm 
water
A nurse is reinforcing teaching about newborn home safety precautions with a group of 
parents. Which of the following instructions should the nurse include? - answer-"You should 
ensure that crib slats are no more than 2.25 inches apart."A
A nurse is monitoring a 1-hr-old newborn for hypoglycemia. For which of the following 
findings should the nurse monitor? (Select all that apply) – answer -Hypothermia
Twitching
Tachypnea
A nurse is reinforcing teaching about car seat safety with the guardian of a newborn. Which 
of the following client statements indicates an understanding of the teaching? - answer-"If 
my baby rides in a car with no back seat, the passenger air bag must be turned off."
A nurse on an antepartum unit is assisting in the care for a client - answer-Insert a largebore intravenous catheter-INDICATED
Request a prescription for methotrexate-CONTRAINDICATED
Position client for assessment of cervical dilation by RN-CONTRAINDICATED
Obtain blood specimen for an hog level-NONESSENTIAL
Weigh perineal pads-INDICATED
A nurse is assisting in the care of a client who is in labor. The client's assessment and 
documentation are performed by the RN - answer-Place the client in Trendelenburg position
Provide oxygen at 8 to 10 L/min via non breather mask
Wrap the cord in warm, sterile, saline compresses
A nurse is caring for a client who is at 32 weeks gestation and has a prescription for 
nifedipine. Which of the following outcomes should the nurse expect from this medication? -
answer-Cessation of uterine contraction
A nurse is assisting in the care of a client during the active phase of labor. Which of the 
following actions should the nurse take to promote the client's comfort? - answer-Have the 
client perform relaxing breathing techniques
A nurse is assisting in the care of a newborn. Which of the following actions should the nurse 
plan to implement? - answer-Remind the parents to begin range-of-motion (ROM) exercises 
on the affected arm after 1 week-INDICATED
Secure padding in the newborn's fist on the affected side-NONESSENTIAL
Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirtINDICATED
Reinforce to parents to limit physical handling for 2 weeks-CONTRAINDICATED
Monitor extremity for edema-NONESSENTIAL
A nurse is assisting in the care of a client who is planning to become pregnant. The client 
asks the nurse why folic acid supplements are necessary. The nurse should inform the client 
that the purpose of the folic acid supplement is to do which of the following? - answerPrevent certain kinds of birth defects
A nurse is observing a client bathe their 1-day-old newborn. Which of the following actions 
should the nurse identify as an indication that the client understands how to bathe the 
newborn? - answer-The client washes the newborn's hair before unwrapping them
A nurse is assisting in the care of a client who is in preterm labor and is receiving 
betamethasone. Which of the following actions should the nurse take? - answer-Inject the 
medication into the client's vests laterals muscle
A nurse in a provider's office is assisting in the care of an adolescent. Which of the following 
findings should the nurse identify as requiring further evaluation? - answer-Sexual Activity
Last Menstrual period
Pain in abdomen 
Temperature
Vulvar edema
Vaginal Discharge
The nurse determines the adolescent's findings are consistent with which of the following 
conditions? - answer-Abdominal pain-GONORRHEA
Greenish discharge-GONORRHEA
Vulvar Edema- GONORRHEA, CANDIDIASIS
Urinary manifestations- GONORRHEA, CANDIDIASIS
The nurse is continuing to care for the adolescent. Which of the following should the nurse 
take? - answer-Administer ceftriaxone into the ventrogluteal muscle
Reinforce education to the adolescent about safe sex practice
The nurse should anticipate a provider's prescription for - answer-Ceftriaxone
Doxycycline
The nurse is reviewing the provider's prescription in the adolescent's medical chart. The 
nurse should first implement... - answer-Reinforcing education on medication
Administering ceftriaxone
A nurse is reinforcing teaching about breastfeeding with a client who has a 12-hr-old 
newborn. Which of the following statements should the nurse identify as an indication that 
the client understands the instructions? - answer-"I should wake up my baby to feed during 
the night"
A nurse in a prenatal clinic is assisting in the care of a client who is at 16 weeks of gestation 
and has a positive hepatitis B test result. Which of the following actions should the nurse 
take? - answer-Explain to the client that they will receive the hepatitis B immune globulin 
immediately
A nurse is assisting with the care of a client who is postpartum and is receiving lactated 
Ringer's 1,500 ml IV to infuse over 10 hr. The nurse should verify that the IV pump's setting 
will deliver how many mL/hr? - answer-150 mL/hr
A nurse is contributing to the plan of care for a client who is pregnant and has intermittent 
constipation. Which of the following interventions should the nurse recommend in the plan? -
answer-Drink 2 L of water per day
A nurse is reinforcing teaching about food source high in folate with a group of clients who 
are pregnant. Which of the following foods should the nurse recommend to this group as the 
best source of folate? - answer-1/2 cup dried peas
A nurse is collecting data from a client who is receiving magnesium sulfate IV for 
preeclampsia. The nurse should identify which of the following findings as an indication of 
toxicity to report to the provider? - answer-Respiratory rate 10/min
A nurse on a postpartum unit is organizing care for a group of clients after receiving 
change-of-shift report. Which of the following clients should the nurse plan to see first? -
answer-A client who is receiving methylergonovine and has a blood pressure of 148/96 mm 
Hg
A nurse is preparing to administer phytonadione to a newborn. The nurse should plan to 
administer the medication by which of the following routes? - answer-Intramuscular
A nurse is collecting data from a client who is primigravida and has hyperthyroidism. Which 
of the following findings should the nurse expect? - answer-Diaphoresis
A nurse is reinforcing family planning options with a client who is requesting information 
about contraceptives. Which of the following client statements indicates an understanding of 
the teaching? - answer-"I can use water-soluble lubricant when my partner wears a latex 
condom"