ATI PN Maternal Newborn Practice Assessment 2026 A and B
with NGN realistic questions and verified answers with
complete solutions.
A nurse is reviewing the laboratory results of a client who is at 32 weeks of
gestation. Which of the following laboratory findings should the nurse report to the
provider?
a. BUN 14 mg/dL
b. Platelet count 200,000/mm^3
c. Hematocrit 30%
d. Creatinine 1.0 mg/dL
Hematocrit 30%
The nurse should identify that a hematocrit of 30% is below the expected reference
range of greater than 33% for a client who is pregnant. A low Hct is an indication of
anemia. Therefore, the nurse should report this finding to the provider.
A nurse is reinforcing teaching with a new parent about the prevention of newborn
abduction. Which of the following statements by the parent indicates an
understanding of the teaching?
a. "Some assistive personnel might not have name badges."
b. "A nurse will carry my baby back to the nursery in their arms for routine care
when it is needed."
c. "I will ask the nurse to take my baby back to the nursery if I need to leave my
room."
d. "I can remove my baby's security band before giving her a bath."
c. ."I will ask the nurse to take my baby back to the nursery if I need to leave my
room."
The nurse should instruct the parent not to leave the newborn unattended. If the
parent needs to leave the room, the parent should call the nurse to transport the
newborn back to the nursery.
A nurse in a prenatal clinic is caring for a client who Is at 16 weeks of gestation and
has a positive hepatitis B result. Which of the following actions should the nurse
take?
a. Instruct the client to avoid crowds until a repeat hepatitis B test is negative.
b. Tell the client that they will need to start the hepatitis B vaccine series after birth.
c. Explain to the client that they will receive the hepatitis B immune globulin
immediately.
d. Inform the client that hepatitis B cannot be transmitted to the fetus.
c. Explain to the client that they will receive the hepatitis B immune globulin
immediately.
The nurse should explain to the client the need to receive the hepatitis immune
globulin to decrease the risk of transmission to the fetus. The nurse should also
instruct the client that all sexual partners and members of the client's household
should see their providers to begin prophylactic treatment.
A nurse is caring for 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?
,a. Facilitate the storage of iron in the fetus' liver
b. Prevent certain kinds of birth defects
c. Inhibit premature labor
d. Aid in the absorption of other important nutrients
b. Prevent certain kinds of birth defects.
The nurse should inform the client that adequate folic acid intake prior to and early
during pregnancy is necessary to help prevent neural tube defects.
A nurse is caring for a client who is pregnant and has a prescription for nifedipine.
Which of the following outcomes should the nurse expect from this medication?
a. Fetal lung maturity
b. Maternal blood glucose control
c. Cessation of uterine contractions
d. Resolution of maternal nausea
c. Cessation of uterine contractions
Nifedipine is a calcium channel blocker used to decrease uterine contractions by
relaxing the smooth muscle of the uterus.
A nurse is caring for a client who is at 30 weeks of gestation. Which of the following
findings should the nurse report to the provider?
a. 2+ urinary protein
b. Leukorrhea
c. Spider nevi
d. 30 cm fundal height
a. 2+ urinary protein
The nurse should identify that 2+ proteinuria is a manifestation of preeclampsia.
Therefore, the nurse should report this finding to the provider.
A nurse is reinforcing teaching about formula feeding a newborn with a group of
new parents. Which of the following instructions should the nurse include?
a. Begin giving approximately 240 mL (8 oz) per feeding after the first week.
b. Position the bottle at a 45° angle during feedings.
c. Ensure that the newborn empties the bottle.
d. Wait to burp the newborn until the end of the feeding.
b. Position the bottle at a 45° angle during feedings.
The nurse should reinforce with the parents to position the bottle at a 45° angle
during feedings to allow the newborn to have more control during feedings and
prevent the swallowing of air.
A nurse in a prenatal clinic is caring for a group of clients. Which of the following
clients should the nurse recommend the provider see first?
a. A client who is at 37 weeks of gestation and reports a persistent headache.
b. A client who is at 38 weeks of gestation and reports irregular uterine
contractions.
c. A client who is at 12 weeks of gestation and reports abdominal cramping.
d. A client who is at 26 weeks of gestation and reports periodic numbness in the
fingers.
a. A client who is at 37 weeks of gestation and reports a persistent headache.
When using the urgent vs. non-urgent approach to care, the nurse should
determine that the priority finding is a client who is at 37 weeks gestation and
reports a persistent headache. The nurse should identify that a persistent headache
, is a manifestation of preeclampsia and recommend that the provider see this client
first.
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?
a. "The diaphragm should be removed 2 hours after having intercourse."
b. "I can use water-soluble lubricant when my partner wears a latex condom."
c. "It is okay for me to remove the birth control sponge within 2 hours after having
intercourse."
d. "When I use the birth control patch, it must be changed once a month."
b. "I can use a water-soluble lubricant when my partner wears a latex condom."
Water-soluble lubricants should be used with male latex condoms, because the use
of any other lubricant can compromise the integrity of the condom.
A nurse is assisting with collecting data from a newborn who was born 2 hr ago
and has repiratory distress. Which of the following findings should the nurse report
to the provider?
a. Acrocyanosis
b. Tachypnea
c. Nasal flaring
d. Retractions
e. Expiratory grunting
Tachypnea is correct. Tachypnea is a respiratory rate greater than 60/min and is a
finding associated with respiratory distress in the newborn.
Nasal flaring is correct. Nasal flaring is a finding associated with respiratory
distress in the newborn.
Retractions is correct. Retractions are a finding associated with respiratory
distress in the newborn.
Expiratory grunting is correct. Expiratory grunting is a finding associated with
respiratory distress in the newborn..
Acrocyanosis is incorrect. Acrocyanosis is a bluish discoloration of the hands and
feet of the newborn and is an expected finding during the first 48 hr after birth.
A nurse is caring for a newborn.
For each potential nursing action, click to specify if the intervention is indicated or
contraindicated for the newborn.
Physical Examination:
1830: Absent Moro reflex noted in right arm.Right shoulder and arm are internally
rotated and adducted. Elbow extended. Forearm pronated with wrist and fingers
flexed.Positive palmar grasp reflex bilaterally.Diagnosis: Brachial plexus injury
resulting in Erb-Duchenne (Erb's palsy) paralysis.
Which of the following actions should the nurse plan to implement?
a. Remind the parents to begin range-of-motion (ROM) exercises on the affected
arm after 1 week.
b. Check grasp reflex.
c. Immobilize the arm across the abdomen by pinning the newborn's sleeve to their
shirt.
d. Reinforce to parents to limit physical handling for 2 weeks.
a. Remind the parents to begin range-of-motion (ROM) exercises on the affected
arm after 1 week. Indicated
with NGN realistic questions and verified answers with
complete solutions.
A nurse is reviewing the laboratory results of a client who is at 32 weeks of
gestation. Which of the following laboratory findings should the nurse report to the
provider?
a. BUN 14 mg/dL
b. Platelet count 200,000/mm^3
c. Hematocrit 30%
d. Creatinine 1.0 mg/dL
Hematocrit 30%
The nurse should identify that a hematocrit of 30% is below the expected reference
range of greater than 33% for a client who is pregnant. A low Hct is an indication of
anemia. Therefore, the nurse should report this finding to the provider.
A nurse is reinforcing teaching with a new parent about the prevention of newborn
abduction. Which of the following statements by the parent indicates an
understanding of the teaching?
a. "Some assistive personnel might not have name badges."
b. "A nurse will carry my baby back to the nursery in their arms for routine care
when it is needed."
c. "I will ask the nurse to take my baby back to the nursery if I need to leave my
room."
d. "I can remove my baby's security band before giving her a bath."
c. ."I will ask the nurse to take my baby back to the nursery if I need to leave my
room."
The nurse should instruct the parent not to leave the newborn unattended. If the
parent needs to leave the room, the parent should call the nurse to transport the
newborn back to the nursery.
A nurse in a prenatal clinic is caring for a client who Is at 16 weeks of gestation and
has a positive hepatitis B result. Which of the following actions should the nurse
take?
a. Instruct the client to avoid crowds until a repeat hepatitis B test is negative.
b. Tell the client that they will need to start the hepatitis B vaccine series after birth.
c. Explain to the client that they will receive the hepatitis B immune globulin
immediately.
d. Inform the client that hepatitis B cannot be transmitted to the fetus.
c. Explain to the client that they will receive the hepatitis B immune globulin
immediately.
The nurse should explain to the client the need to receive the hepatitis immune
globulin to decrease the risk of transmission to the fetus. The nurse should also
instruct the client that all sexual partners and members of the client's household
should see their providers to begin prophylactic treatment.
A nurse is caring for 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?
,a. Facilitate the storage of iron in the fetus' liver
b. Prevent certain kinds of birth defects
c. Inhibit premature labor
d. Aid in the absorption of other important nutrients
b. Prevent certain kinds of birth defects.
The nurse should inform the client that adequate folic acid intake prior to and early
during pregnancy is necessary to help prevent neural tube defects.
A nurse is caring for a client who is pregnant and has a prescription for nifedipine.
Which of the following outcomes should the nurse expect from this medication?
a. Fetal lung maturity
b. Maternal blood glucose control
c. Cessation of uterine contractions
d. Resolution of maternal nausea
c. Cessation of uterine contractions
Nifedipine is a calcium channel blocker used to decrease uterine contractions by
relaxing the smooth muscle of the uterus.
A nurse is caring for a client who is at 30 weeks of gestation. Which of the following
findings should the nurse report to the provider?
a. 2+ urinary protein
b. Leukorrhea
c. Spider nevi
d. 30 cm fundal height
a. 2+ urinary protein
The nurse should identify that 2+ proteinuria is a manifestation of preeclampsia.
Therefore, the nurse should report this finding to the provider.
A nurse is reinforcing teaching about formula feeding a newborn with a group of
new parents. Which of the following instructions should the nurse include?
a. Begin giving approximately 240 mL (8 oz) per feeding after the first week.
b. Position the bottle at a 45° angle during feedings.
c. Ensure that the newborn empties the bottle.
d. Wait to burp the newborn until the end of the feeding.
b. Position the bottle at a 45° angle during feedings.
The nurse should reinforce with the parents to position the bottle at a 45° angle
during feedings to allow the newborn to have more control during feedings and
prevent the swallowing of air.
A nurse in a prenatal clinic is caring for a group of clients. Which of the following
clients should the nurse recommend the provider see first?
a. A client who is at 37 weeks of gestation and reports a persistent headache.
b. A client who is at 38 weeks of gestation and reports irregular uterine
contractions.
c. A client who is at 12 weeks of gestation and reports abdominal cramping.
d. A client who is at 26 weeks of gestation and reports periodic numbness in the
fingers.
a. A client who is at 37 weeks of gestation and reports a persistent headache.
When using the urgent vs. non-urgent approach to care, the nurse should
determine that the priority finding is a client who is at 37 weeks gestation and
reports a persistent headache. The nurse should identify that a persistent headache
, is a manifestation of preeclampsia and recommend that the provider see this client
first.
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?
a. "The diaphragm should be removed 2 hours after having intercourse."
b. "I can use water-soluble lubricant when my partner wears a latex condom."
c. "It is okay for me to remove the birth control sponge within 2 hours after having
intercourse."
d. "When I use the birth control patch, it must be changed once a month."
b. "I can use a water-soluble lubricant when my partner wears a latex condom."
Water-soluble lubricants should be used with male latex condoms, because the use
of any other lubricant can compromise the integrity of the condom.
A nurse is assisting with collecting data from a newborn who was born 2 hr ago
and has repiratory distress. Which of the following findings should the nurse report
to the provider?
a. Acrocyanosis
b. Tachypnea
c. Nasal flaring
d. Retractions
e. Expiratory grunting
Tachypnea is correct. Tachypnea is a respiratory rate greater than 60/min and is a
finding associated with respiratory distress in the newborn.
Nasal flaring is correct. Nasal flaring is a finding associated with respiratory
distress in the newborn.
Retractions is correct. Retractions are a finding associated with respiratory
distress in the newborn.
Expiratory grunting is correct. Expiratory grunting is a finding associated with
respiratory distress in the newborn..
Acrocyanosis is incorrect. Acrocyanosis is a bluish discoloration of the hands and
feet of the newborn and is an expected finding during the first 48 hr after birth.
A nurse is caring for a newborn.
For each potential nursing action, click to specify if the intervention is indicated or
contraindicated for the newborn.
Physical Examination:
1830: Absent Moro reflex noted in right arm.Right shoulder and arm are internally
rotated and adducted. Elbow extended. Forearm pronated with wrist and fingers
flexed.Positive palmar grasp reflex bilaterally.Diagnosis: Brachial plexus injury
resulting in Erb-Duchenne (Erb's palsy) paralysis.
Which of the following actions should the nurse plan to implement?
a. Remind the parents to begin range-of-motion (ROM) exercises on the affected
arm after 1 week.
b. Check grasp reflex.
c. Immobilize the arm across the abdomen by pinning the newborn's sleeve to their
shirt.
d. Reinforce to parents to limit physical handling for 2 weeks.
a. Remind the parents to begin range-of-motion (ROM) exercises on the affected
arm after 1 week. Indicated
