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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+
Question 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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Question 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 .
Question 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
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ANS: C
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 .
Question 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 .
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Question 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
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 .
Question 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."
ATI PN Maternal Newborn 2026
Proctored Exam Comprising NGN and
Questions 1- 200 || All Questions and
Answers | 100% Pass Guaranteed |
Graded A+
Question 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
Question 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 .
Question 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
,3
ANS: C
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 .
Question 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 .
, 4
Question 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
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 .
Question 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."
