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ATI PN Maternal Newborn 2026 Proctored
Exam Comprising NGN and Questions 1–200
|| All Questions and Answers | 100% Pass
Guaranteed | Graded A+
1. A nurse is caring for a client at 38 weeks' gestation who reports a sudden gush of fluid
from the vagina. Which of the following actions should the nurse take first?
A. Prepare the client for an immediate cesarean birth
B. Assess the fetal heart rate and characteristics of the fluid
C. Obtain a urine specimen for culture
D. Administer oxytocin intravenously
ANS: B
Explanation: When a client reports spontaneous rupture of membranes, the priority
nursing action is to assess fetal well-being by monitoring the fetal heart rate and
evaluating the fluid for color, amount, and odor. This helps detect complications such as
cord prolapse or meconium staining. Immediate cesarean birth and oxytocin
administration are not first-line actions without further assessment.
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2. A nurse is teaching a client at 10 weeks' gestation about expected physiological changes
during pregnancy. Which of the following statements by the client indicates
understanding?
A. "I should expect my blood pressure to increase significantly."
B. "My heart rate will decrease as my pregnancy progresses."
C. "I may experience nasal stuffiness due to increased blood flow."
D. "My hemoglobin level will rise above my pre-pregnancy level."
ANS: C
Explanation: During pregnancy, increased estrogen levels and vascular congestion
cause nasal mucosa swelling, leading to nasal stuffiness and epistaxis. Blood pressure
typically remains stable or slightly decreases, heart rate increases, and hemoglobin levels
decrease due to hemodilution.
3. A nurse is assessing a newborn immediately after birth. Which of the following findings
should the nurse report to the provider?
A. Heart rate of 130/min
B. Respiratory rate of 50/min
C. Central cyanosis
D. Acrocyanosis
ANS: C
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Explanation: Central cyanosis involving the trunk and mucous membranes indicates
inadequate oxygenation and requires immediate intervention. Acrocyanosis (bluish
extremities) is a normal finding in the first hours after birth. A heart rate of 130/min and
respiratory rate of 50/min are within normal newborn ranges.
4. A nurse is caring for a client in the first stage of labor who is experiencing contractions
every 3 minutes lasting 60 seconds. The client reports intense pain. Which of the
following nonpharmacological interventions should the nurse suggest first?
A. Administer an epidural
B. Encourage slow, patterned breathing
C. Provide IV opioid analgesia
D. Restrict oral intake
ANS: B
Explanation: Slow, patterned breathing is a nonpharmacological comfort measure that
promotes relaxation and reduces pain perception during labor. Epidurals and IV opioids
are pharmacological interventions. Restricting oral intake does not address pain.
5. A nurse is reviewing the medical record of a client at 36 weeks' gestation. Which of the
following findings should the nurse identify as a risk factor for postpartum hemorrhage?
A. Previous vaginal delivery
B. History of placenta previa
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C. Maternal age of 25 years
D. Singleton pregnancy
ANS: B
Explanation: Placenta previa increases the risk of postpartum hemorrhage due to
abnormal placental implantation and potential uterine atony. Previous vaginal delivery,
maternal age of 25, and singleton pregnancy are not significant risk factors for
postpartum hemorrhage.
6. A nurse is teaching a postpartum client about breastfeeding. Which of the following
statements indicates a need for further teaching?
A. "I should feed my baby every 2 to 3 hours."
B. "I will ensure a deep latch to prevent nipple pain."
C. "I should supplement with formula to ensure adequate intake."
D. "I will wake my baby if they sleep longer than 4 hours."
ANS: C
Explanation: Routine formula supplementation is not recommended for breastfeeding
newborns unless medically indicated, as it can interfere with milk supply and
breastfeeding success. Feeding every 2 to 3 hours, ensuring a deep latch, and waking a
sleepy newborn are appropriate breastfeeding practices.
ATI PN Maternal Newborn 2026 Proctored
Exam Comprising NGN and Questions 1–200
|| All Questions and Answers | 100% Pass
Guaranteed | Graded A+
1. A nurse is caring for a client at 38 weeks' gestation who reports a sudden gush of fluid
from the vagina. Which of the following actions should the nurse take first?
A. Prepare the client for an immediate cesarean birth
B. Assess the fetal heart rate and characteristics of the fluid
C. Obtain a urine specimen for culture
D. Administer oxytocin intravenously
ANS: B
Explanation: When a client reports spontaneous rupture of membranes, the priority
nursing action is to assess fetal well-being by monitoring the fetal heart rate and
evaluating the fluid for color, amount, and odor. This helps detect complications such as
cord prolapse or meconium staining. Immediate cesarean birth and oxytocin
administration are not first-line actions without further assessment.
, 2
2. A nurse is teaching a client at 10 weeks' gestation about expected physiological changes
during pregnancy. Which of the following statements by the client indicates
understanding?
A. "I should expect my blood pressure to increase significantly."
B. "My heart rate will decrease as my pregnancy progresses."
C. "I may experience nasal stuffiness due to increased blood flow."
D. "My hemoglobin level will rise above my pre-pregnancy level."
ANS: C
Explanation: During pregnancy, increased estrogen levels and vascular congestion
cause nasal mucosa swelling, leading to nasal stuffiness and epistaxis. Blood pressure
typically remains stable or slightly decreases, heart rate increases, and hemoglobin levels
decrease due to hemodilution.
3. A nurse is assessing a newborn immediately after birth. Which of the following findings
should the nurse report to the provider?
A. Heart rate of 130/min
B. Respiratory rate of 50/min
C. Central cyanosis
D. Acrocyanosis
ANS: C
, 3
Explanation: Central cyanosis involving the trunk and mucous membranes indicates
inadequate oxygenation and requires immediate intervention. Acrocyanosis (bluish
extremities) is a normal finding in the first hours after birth. A heart rate of 130/min and
respiratory rate of 50/min are within normal newborn ranges.
4. A nurse is caring for a client in the first stage of labor who is experiencing contractions
every 3 minutes lasting 60 seconds. The client reports intense pain. Which of the
following nonpharmacological interventions should the nurse suggest first?
A. Administer an epidural
B. Encourage slow, patterned breathing
C. Provide IV opioid analgesia
D. Restrict oral intake
ANS: B
Explanation: Slow, patterned breathing is a nonpharmacological comfort measure that
promotes relaxation and reduces pain perception during labor. Epidurals and IV opioids
are pharmacological interventions. Restricting oral intake does not address pain.
5. A nurse is reviewing the medical record of a client at 36 weeks' gestation. Which of the
following findings should the nurse identify as a risk factor for postpartum hemorrhage?
A. Previous vaginal delivery
B. History of placenta previa
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C. Maternal age of 25 years
D. Singleton pregnancy
ANS: B
Explanation: Placenta previa increases the risk of postpartum hemorrhage due to
abnormal placental implantation and potential uterine atony. Previous vaginal delivery,
maternal age of 25, and singleton pregnancy are not significant risk factors for
postpartum hemorrhage.
6. A nurse is teaching a postpartum client about breastfeeding. Which of the following
statements indicates a need for further teaching?
A. "I should feed my baby every 2 to 3 hours."
B. "I will ensure a deep latch to prevent nipple pain."
C. "I should supplement with formula to ensure adequate intake."
D. "I will wake my baby if they sleep longer than 4 hours."
ANS: C
Explanation: Routine formula supplementation is not recommended for breastfeeding
newborns unless medically indicated, as it can interfere with milk supply and
breastfeeding success. Feeding every 2 to 3 hours, ensuring a deep latch, and waking a
sleepy newborn are appropriate breastfeeding practices.
