ATI PN Maternal Newborn Package 2026
Proctored Exam Comprising NGN and All
Questions and Answers
1. A nurse is caring for a client who is at 12 weeks of gestation and has
hyperemesis gravidarum. Which of the following findings should the nurse
identify as a priority?
A. Blood pressure 100/60 mm Hg
B. Urine specific gravity 1.035
C. Heart rate 88/min
D. Respiratory rate 18/min
B. Urine specific gravity 1.035
A urine specific gravity of 1.035 is elevated, indicating concentrated urine and
severe dehydration, a primary concern for a client with hyperemesis gravidarum.
This is the priority finding as it can lead to renal injury and electrolyte imbalances.
2. A nurse is teaching a client who is at 10 weeks of gestation about nutrition
during pregnancy. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I should increase my intake of folic acid to 200 micrograms daily."
B. "I should drink 1.5 liters of water each day."
C. "I should eat 1,000 extra calories per day."
D. "I should increase my iron intake to 27 milligrams daily."
D. "I should increase my iron intake to 27 milligrams daily."
The recommended daily allowance for iron during pregnancy is 27 mg. This is
a correct statement by the client. Folic acid needs are 600 mcg, water needs are
about 2-3 liters, and only 340-450 extra calories are needed in the 2nd and 3rd
trimesters.
,3. A nurse is assessing a newborn immediately following birth. Which of the
following findings should the nurse report to the provider?
A. Acrocyanosis
B. Heart rate 130/min
C. Grunting with respirations
D. Milia on the nose
C. Grunting with respirations
Grunting is a sign of respiratory distress in a newborn and indicates the need
for immediate intervention and evaluation by the provider. Acrocyanosis, a heart
rate of 130/min, and milia are common, expected findings.
4. A nurse is caring for a client who is in the first stage of labor and is
experiencing a deceleration in the fetal heart rate early in the contraction.
Which of the following actions should the nurse take first?
A. Administer oxygen at 10 L/min via face mask.
B. Reposition the client onto her left side.
C. Increase the rate of the IV fluid infusion.
D. Perform a vaginal examination.
B. Reposition the client onto her left side.
Early decelerations are a benign finding caused by head compression and
require no intervention. However, if the nurse is unsure of the type of
deceleration, repositioning the client is the first nursing action to improve
uteroplacental perfusion. Since the question states "early," the best action is to
continue monitoring, but of the options provided, repositioning is the safest and
most common first step for any non-reassuring pattern. Note: For a true early
deceleration, no action is needed. This question is likely testing the initial response
to any deceleration.
5. A nurse is providing discharge teaching to a client who is postpartum and has
a new prescription for methylergonovine. Which of the following statements by
the client indicates a need for further teaching?
A. "I will take this medication if I have heavy bleeding."
,B. "I should expect my blood pressure to increase."
C. "I will not breastfeed while taking this medication."
D. "I should report any calf pain immediately."
C. "I will not breastfeed while taking this medication."
Methylergonovine is a medication used to treat postpartum hemorrhage and
is considered safe for breastfeeding clients. Therefore, this statement indicates a
need for further teaching. The client should be taught that the medication can
cause hypertension and to report signs of thromboembolism like calf pain.
6. A nurse is caring for a newborn who is 1 hour old and has a blood glucose
level of 40 mg/dL. Which of the following actions should the nurse take?
A. Recheck the glucose level in 2 hours.
B. Administer 10 mL of D5W IV bolus.
C. Feed the newborn 10 mL of formula or breastmilk.
D. Notify the provider immediately.
C. Feed the newborn 10 mL of formula or breastmilk.
A newborn's blood glucose level should be greater than 40-45 mg/dL. A level
of 40 mg/dL indicates hypoglycemia. The initial intervention for an asymptomatic
newborn is to feed them. If the level does not improve, further intervention is
needed.
7. A nurse is reviewing the medical record of a client who is at 34 weeks of
gestation and has placenta previa. Which of the following findings is the priority
for the nurse to report?
A. Fetal heart rate 150/min
B. Painless vaginal bleeding
C. Uterine contractions
D. Blood pressure 110/70 mm Hg
C. Uterine contractions
For a client with placenta previa, uterine contractions can lead to separation
of the placenta and life-threatening hemorrhage. This is the priority finding to
, report. Painless vaginal bleeding is the classic sign of placenta previa, but the
onset of contractions is an acute emergency.
8. A nurse is teaching a client who is at 24 weeks of gestation about the glucose
tolerance test. Which of the following instructions should the nurse include?
A. "You will need to fast for 12 hours before the test."
B. "You should eat a high-carbohydrate diet for 3 days before the test."
C. "You will drink a glucose solution and have your blood drawn 1 hour later."
D. "You will need to collect your urine for 24 hours after the test."
C. "You will drink a glucose solution and have your blood drawn 1 hour
later."
The 1-hour glucose tolerance test is a screening test for gestational diabetes.
The client drinks a 50g glucose solution, and a blood sample is drawn 1 hour later.
No fasting is required for this initial screening.
9. A nurse is assessing a client who is 1 day postpartum and is breastfeeding. The
nurse notes the client's fundus is boggy and displaced to the right. Which of the
following actions should the nurse take first?
A. Massage the fundus.
B. Administer a uterotonic medication.
C. Have the client void.
D. Notify the provider.
C. Have the client void.
A boggy, displaced fundus is often caused by a full bladder, which prevents the
uterus from contracting effectively. The first action is to have the client empty her
bladder, then reassess the fundus. If it remains boggy, massage and medication
may be needed.
10. A nurse is providing teaching to a parent of a newborn about newborn
safety. Which of the following statements by the parent indicates an
understanding of the teaching?
A. "I will place my baby on his stomach to sleep."
B. "I will use a car seat that faces forward."
Proctored Exam Comprising NGN and All
Questions and Answers
1. A nurse is caring for a client who is at 12 weeks of gestation and has
hyperemesis gravidarum. Which of the following findings should the nurse
identify as a priority?
A. Blood pressure 100/60 mm Hg
B. Urine specific gravity 1.035
C. Heart rate 88/min
D. Respiratory rate 18/min
B. Urine specific gravity 1.035
A urine specific gravity of 1.035 is elevated, indicating concentrated urine and
severe dehydration, a primary concern for a client with hyperemesis gravidarum.
This is the priority finding as it can lead to renal injury and electrolyte imbalances.
2. A nurse is teaching a client who is at 10 weeks of gestation about nutrition
during pregnancy. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I should increase my intake of folic acid to 200 micrograms daily."
B. "I should drink 1.5 liters of water each day."
C. "I should eat 1,000 extra calories per day."
D. "I should increase my iron intake to 27 milligrams daily."
D. "I should increase my iron intake to 27 milligrams daily."
The recommended daily allowance for iron during pregnancy is 27 mg. This is
a correct statement by the client. Folic acid needs are 600 mcg, water needs are
about 2-3 liters, and only 340-450 extra calories are needed in the 2nd and 3rd
trimesters.
,3. A nurse is assessing a newborn immediately following birth. Which of the
following findings should the nurse report to the provider?
A. Acrocyanosis
B. Heart rate 130/min
C. Grunting with respirations
D. Milia on the nose
C. Grunting with respirations
Grunting is a sign of respiratory distress in a newborn and indicates the need
for immediate intervention and evaluation by the provider. Acrocyanosis, a heart
rate of 130/min, and milia are common, expected findings.
4. A nurse is caring for a client who is in the first stage of labor and is
experiencing a deceleration in the fetal heart rate early in the contraction.
Which of the following actions should the nurse take first?
A. Administer oxygen at 10 L/min via face mask.
B. Reposition the client onto her left side.
C. Increase the rate of the IV fluid infusion.
D. Perform a vaginal examination.
B. Reposition the client onto her left side.
Early decelerations are a benign finding caused by head compression and
require no intervention. However, if the nurse is unsure of the type of
deceleration, repositioning the client is the first nursing action to improve
uteroplacental perfusion. Since the question states "early," the best action is to
continue monitoring, but of the options provided, repositioning is the safest and
most common first step for any non-reassuring pattern. Note: For a true early
deceleration, no action is needed. This question is likely testing the initial response
to any deceleration.
5. A nurse is providing discharge teaching to a client who is postpartum and has
a new prescription for methylergonovine. Which of the following statements by
the client indicates a need for further teaching?
A. "I will take this medication if I have heavy bleeding."
,B. "I should expect my blood pressure to increase."
C. "I will not breastfeed while taking this medication."
D. "I should report any calf pain immediately."
C. "I will not breastfeed while taking this medication."
Methylergonovine is a medication used to treat postpartum hemorrhage and
is considered safe for breastfeeding clients. Therefore, this statement indicates a
need for further teaching. The client should be taught that the medication can
cause hypertension and to report signs of thromboembolism like calf pain.
6. A nurse is caring for a newborn who is 1 hour old and has a blood glucose
level of 40 mg/dL. Which of the following actions should the nurse take?
A. Recheck the glucose level in 2 hours.
B. Administer 10 mL of D5W IV bolus.
C. Feed the newborn 10 mL of formula or breastmilk.
D. Notify the provider immediately.
C. Feed the newborn 10 mL of formula or breastmilk.
A newborn's blood glucose level should be greater than 40-45 mg/dL. A level
of 40 mg/dL indicates hypoglycemia. The initial intervention for an asymptomatic
newborn is to feed them. If the level does not improve, further intervention is
needed.
7. A nurse is reviewing the medical record of a client who is at 34 weeks of
gestation and has placenta previa. Which of the following findings is the priority
for the nurse to report?
A. Fetal heart rate 150/min
B. Painless vaginal bleeding
C. Uterine contractions
D. Blood pressure 110/70 mm Hg
C. Uterine contractions
For a client with placenta previa, uterine contractions can lead to separation
of the placenta and life-threatening hemorrhage. This is the priority finding to
, report. Painless vaginal bleeding is the classic sign of placenta previa, but the
onset of contractions is an acute emergency.
8. A nurse is teaching a client who is at 24 weeks of gestation about the glucose
tolerance test. Which of the following instructions should the nurse include?
A. "You will need to fast for 12 hours before the test."
B. "You should eat a high-carbohydrate diet for 3 days before the test."
C. "You will drink a glucose solution and have your blood drawn 1 hour later."
D. "You will need to collect your urine for 24 hours after the test."
C. "You will drink a glucose solution and have your blood drawn 1 hour
later."
The 1-hour glucose tolerance test is a screening test for gestational diabetes.
The client drinks a 50g glucose solution, and a blood sample is drawn 1 hour later.
No fasting is required for this initial screening.
9. A nurse is assessing a client who is 1 day postpartum and is breastfeeding. The
nurse notes the client's fundus is boggy and displaced to the right. Which of the
following actions should the nurse take first?
A. Massage the fundus.
B. Administer a uterotonic medication.
C. Have the client void.
D. Notify the provider.
C. Have the client void.
A boggy, displaced fundus is often caused by a full bladder, which prevents the
uterus from contracting effectively. The first action is to have the client empty her
bladder, then reassess the fundus. If it remains boggy, massage and medication
may be needed.
10. A nurse is providing teaching to a parent of a newborn about newborn
safety. Which of the following statements by the parent indicates an
understanding of the teaching?
A. "I will place my baby on his stomach to sleep."
B. "I will use a car seat that faces forward."
