ATI PN MATERNAL NEWBORN — ASSESSMENT QUESTIONS AND ANSWERS ALREADY GRADED A+| 100% VERIFIED SOLUTIONS………...
Core Domains:
Antepartum Care and Fetal Development
Intrapartum Care and Labor Support
Postpartum Assessment and Care
Newborn Assessment and Transition
High-Risk Pregnancy and Complications
Obstetric Pharmacology and Medication Safety
Lactation and Newborn Feeding
Perinatal Loss, Grief, and Ethical Considerations
Patient Education and Health Promotion
Infection Control and Safety in Maternal Newborn Care
Introduction:
This comprehensive examination assesses the practical nurse's mastery of maternal newborn nursing concepts essential for safe, effective care of the
childbearing family. The assessment evaluates knowledge across antepartum, intrapartum, postpartum, and newborn care domains, with emphasis
on high-risk complications, pharmacology, and patient education. Questions are structured in multiple-choice and scenario-based formats to
simulate real-world clinical situations. Emphasis is placed on clinical judgment, prioritization, and application of evidence-based practice. Successful
completion demonstrates readiness to deliver competent, compassionate nursing care to mothers and newborns in diverse healthcare settings while
adhering to professional standards and regulatory requirements.
Section One: Questions 1–100
Question 1
,A PN is calculating the estimated date of delivery (EDD) for a client whose last menstrual period (LMP) began on April 10. Using Naegele's rule,
what is the EDD?
A. January 10
B. January 17
C. January 24
D. February 10
🟢 B. January 17
🔴 RATIONALE: Naegele's rule: subtract 3 months from the first day of the LMP and add 7 days and 1 year. April 10 → January 10 (subtract 3
months) → January 17 (add 7 days).
Question 2
A PN is teaching a client at 12 weeks' gestation about expected physiological changes. Which finding should the PN include as a normal
cardiovascular adaptation?
A. Decreased blood volume
B. Increased heart rate of 10–15 beats/min
C. Decreased cardiac output
D. Increased blood pressure in the first trimester
🟢 B. Increased heart rate of 10–15 beats/min
🔴 RATIONALE: Heart rate increases 10–15 bpm due to increased metabolic demands. Blood volume increases 40–50%. Blood pressure typically
decreases slightly in the second trimester.
Question 3
A client at 32 weeks' gestation reports heartburn. Which instruction should the PN provide?
A. Lie down immediately after eating
B. Eat three large meals daily
,C. Avoid fatty and spicy foods
D. Drink fluids with meals
🟢 C. Avoid fatty and spicy foods
🔴 RATIONALE: Fatty and spicy foods worsen heartburn. Clients should eat small frequent meals, avoid lying down after eating, and drink fluids
between meals.
Question 4
A PN is assessing a client at 38 weeks' gestation. Which finding should the PN report immediately?
A. Braxton Hicks contractions
B. Visual disturbances and severe headache
C. Urinary frequency
D. Lower back pain
🟢 B. Visual disturbances and severe headache
🔴 RATIONALE: Visual changes and severe headache suggest preeclampsia with severe features, which requires immediate reporting and
intervention.
Question 5
A PN is teaching a prenatal client about fetal development. At which gestational age does the fetal heart first become audible with a Doppler
stethoscope?
A. 6 to 8 weeks
B. 10 to 12 weeks
C. 16 to 18 weeks
D. 20 to 22 weeks
🟢 B. 10 to 12 weeks
🔴 RATIONALE: Fetal heart tones are typically audible with a Doppler stethoscope between 10 and 12 weeks' gestation.
, Question 6
A PN is assessing a client in the first trimester who reports nausea and vomiting. Which recommendation should the PN include in the teaching?
A. Drink large amounts of fluids with meals
B. Eat dry crackers before rising in the morning
C. Lie down immediately after eating
D. Skip breakfast to reduce stomach irritation
🟢 B. Eat dry crackers before rising in the morning
🔴 RATIONALE: Eating dry crackers before getting out of bed helps reduce morning nausea by stabilizing blood glucose and reducing gastric
irritation.
Question 7
A PN is assessing a pregnant client at 28 weeks' gestation who reports dizziness after lying on her back. Which action should the PN take?
A. Request a prescription for preeclampsia laboratory studies
B. Advise the client to lie on her side
C. Request an ultrasound to evaluate fetal well-being
D. Advise the client to add a calcium supplement to her diet
🟢 B. Advise the client to lie on her side
🔴 RATIONALE: Dizziness when supine is caused by vena cava compression from the gravid uterus. The PN should advise the client to lie on her
side.
Question 8
A PN is reviewing the laboratory results of a client at 36 weeks' gestation. Which finding should the PN report to the provider immediately?
A. Hemoglobin 11.2 g/dL
B. Platelet count 140,000/mm³
Core Domains:
Antepartum Care and Fetal Development
Intrapartum Care and Labor Support
Postpartum Assessment and Care
Newborn Assessment and Transition
High-Risk Pregnancy and Complications
Obstetric Pharmacology and Medication Safety
Lactation and Newborn Feeding
Perinatal Loss, Grief, and Ethical Considerations
Patient Education and Health Promotion
Infection Control and Safety in Maternal Newborn Care
Introduction:
This comprehensive examination assesses the practical nurse's mastery of maternal newborn nursing concepts essential for safe, effective care of the
childbearing family. The assessment evaluates knowledge across antepartum, intrapartum, postpartum, and newborn care domains, with emphasis
on high-risk complications, pharmacology, and patient education. Questions are structured in multiple-choice and scenario-based formats to
simulate real-world clinical situations. Emphasis is placed on clinical judgment, prioritization, and application of evidence-based practice. Successful
completion demonstrates readiness to deliver competent, compassionate nursing care to mothers and newborns in diverse healthcare settings while
adhering to professional standards and regulatory requirements.
Section One: Questions 1–100
Question 1
,A PN is calculating the estimated date of delivery (EDD) for a client whose last menstrual period (LMP) began on April 10. Using Naegele's rule,
what is the EDD?
A. January 10
B. January 17
C. January 24
D. February 10
🟢 B. January 17
🔴 RATIONALE: Naegele's rule: subtract 3 months from the first day of the LMP and add 7 days and 1 year. April 10 → January 10 (subtract 3
months) → January 17 (add 7 days).
Question 2
A PN is teaching a client at 12 weeks' gestation about expected physiological changes. Which finding should the PN include as a normal
cardiovascular adaptation?
A. Decreased blood volume
B. Increased heart rate of 10–15 beats/min
C. Decreased cardiac output
D. Increased blood pressure in the first trimester
🟢 B. Increased heart rate of 10–15 beats/min
🔴 RATIONALE: Heart rate increases 10–15 bpm due to increased metabolic demands. Blood volume increases 40–50%. Blood pressure typically
decreases slightly in the second trimester.
Question 3
A client at 32 weeks' gestation reports heartburn. Which instruction should the PN provide?
A. Lie down immediately after eating
B. Eat three large meals daily
,C. Avoid fatty and spicy foods
D. Drink fluids with meals
🟢 C. Avoid fatty and spicy foods
🔴 RATIONALE: Fatty and spicy foods worsen heartburn. Clients should eat small frequent meals, avoid lying down after eating, and drink fluids
between meals.
Question 4
A PN is assessing a client at 38 weeks' gestation. Which finding should the PN report immediately?
A. Braxton Hicks contractions
B. Visual disturbances and severe headache
C. Urinary frequency
D. Lower back pain
🟢 B. Visual disturbances and severe headache
🔴 RATIONALE: Visual changes and severe headache suggest preeclampsia with severe features, which requires immediate reporting and
intervention.
Question 5
A PN is teaching a prenatal client about fetal development. At which gestational age does the fetal heart first become audible with a Doppler
stethoscope?
A. 6 to 8 weeks
B. 10 to 12 weeks
C. 16 to 18 weeks
D. 20 to 22 weeks
🟢 B. 10 to 12 weeks
🔴 RATIONALE: Fetal heart tones are typically audible with a Doppler stethoscope between 10 and 12 weeks' gestation.
, Question 6
A PN is assessing a client in the first trimester who reports nausea and vomiting. Which recommendation should the PN include in the teaching?
A. Drink large amounts of fluids with meals
B. Eat dry crackers before rising in the morning
C. Lie down immediately after eating
D. Skip breakfast to reduce stomach irritation
🟢 B. Eat dry crackers before rising in the morning
🔴 RATIONALE: Eating dry crackers before getting out of bed helps reduce morning nausea by stabilizing blood glucose and reducing gastric
irritation.
Question 7
A PN is assessing a pregnant client at 28 weeks' gestation who reports dizziness after lying on her back. Which action should the PN take?
A. Request a prescription for preeclampsia laboratory studies
B. Advise the client to lie on her side
C. Request an ultrasound to evaluate fetal well-being
D. Advise the client to add a calcium supplement to her diet
🟢 B. Advise the client to lie on her side
🔴 RATIONALE: Dizziness when supine is caused by vena cava compression from the gravid uterus. The PN should advise the client to lie on her
side.
Question 8
A PN is reviewing the laboratory results of a client at 36 weeks' gestation. Which finding should the PN report to the provider immediately?
A. Hemoglobin 11.2 g/dL
B. Platelet count 140,000/mm³
