ATI PN
MATERNAL NEWBORN
PROCTORED EXAM
(NGN-Style & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI PN test contains:
➢ passing score Guarantee
➢ Format Set of Multiple-choice
➢ questions with incorporating Next
Generation NCLEX (NGN) and Case Scenario
➢ Expert-Verified Explanations & Solutions
,1.
A nurse is reinforcing teaching about breastfeeding with a client who has a 12-
hour-old newborn. Which statement indicates understanding?
A. "I should only feed my baby when she cries for milk."
B. "I should wake up my baby to feed during the night."
C. "I can wait 6 hours between feedings."
D. "I do not need to burp my baby after feedings."
Correct Answer: B
Rationale: Newborns need to be fed every 2–3 hours, including overnight, to maintain
glucose and hydration. Frequent feeding also establishes lactation.
2.
A nurse is reinforcing teaching about newborn home safety precautions with a
group of parents. Which instruction should the nurse include?
A. "Place the baby’s crib near the window for better ventilation."
B. "You should ensure that crib slats are no more than 2.25 inches apart."
C. "Keep bumper pads in the crib to prevent injuries."
D. "Hang toys from the crib rails for stimulation."
Correct Answer: B
Rationale: Crib slats must be less than 2.25 inches apart to prevent newborn
entrapment. Other options increase the risk for injury or suffocation.
3.
A nurse is reinforcing teaching with a client who is at 8 weeks of gestation. Which
of the following responses by the client indicates an understanding of the
teaching?
,A. “I should expect to have white vaginal discharge during pregnancy.”
B. “I will not have any vaginal drainage during pregnancy.”
C. “Any pink or brown discharge is a sign of infection.”
D. “If I have any discharge, I need to go to the emergency room.”
Correct Answer: A
Rationale: Normal leukorrhea, a white, thin vaginal discharge, increases during
pregnancy due to hormonal changes. Options B, C, and D are incorrect interpretations
and could result in unnecessary concern or mismanagement.
---
4.
A nurse is reinforcing family planning options. Which client statement indicates
understanding?
A. "Using oil-based lubricants is safe with latex condoms."
B. "I can use water-soluble lubricant when my partner wears a latex condom."
C. "I don’t need another form of protection with a diaphragm."
D. "Withdrawal is the most effective method of contraception."
Correct Answer: B
Rationale: Water-soluble lubricants are compatible with latex condoms and don’t cause
degradation. Oil-based products damage latex. C and D are factually incorrect about
contraception reliability.
---
5.
A nurse is assisting in the care of a newborn who is large for gestational age and
is jittery. Which action should the nurse take first?
,A. Initiate feeding.
B. Check the newborn’s blood glucose level.
C. Notify the provider.
D. Keep the newborn warm.
Correct Answer: B
Rationale: Jitteriness in LGA newborns is a potential sign of hypoglycemia. Blood
glucose assessment is the priority to guide immediate intervention.
---
6.
A nurse in a prenatal clinic is assisting in the care of a client at 16 weeks
gestation with a positive hepatitis B test. What action should the nurse take?
A. Start antibiotics.
B. Explain to the client they will receive hepatitis B immune globulin immediately.
C. Restrict breastfeeding.
D. Schedule a cesarean delivery.
Correct Answer: B
Rationale: Infants born to mothers with hepatitis B should receive hepatitis B immune
globulin and the first vaccine dose within 12 hours of birth. The other options are
incorrect management.
---
7.
A nurse is reinforcing teaching about car seat safety for a newborn’s guardian.
Which statement indicates understanding?
,A. "Front seat is safest for my baby with a car seat."
B. "If my baby rides in a car with no back seat, the passenger air bag must be turned
off."
C. "My baby can sit upright in the car seat."
D. "I can use a secondhand car seat if it's over 10 years old."
Correct Answer: B
Rationale: Airbags must be off if a rear-facing seat is placed in the front due to risk of
injury. Only use car seats on back seats, properly installed.
---
8.
A nurse is assisting in the care of a client who has had a cesarean birth. Which
action decreases the client's risk for thrombophlebitis?
A. Limit movement until fully healed.
B. Apply cold compresses to the legs.
C. Have the client ambulate several times each day.
D. Massage the lower extremities frequently.
Correct Answer: C
Rationale: Early and frequent ambulation improves circulation and reduces the risk for
blood clots. Massage may dislodge thrombi if present.
---
9.
A nurse is planning to perform a blood collection via heel stick on a newborn.
After hand hygiene and donning gloves, what action should the nurse take next?
,A. Wrap the newborn’s heel with a cloth moistened with warm water.
B. Cleanse the puncture site with alcohol.
C. Restrain the newborn.
D. Puncture the heel immediately.
Correct Answer: A
Rationale: Warming the heel increases blood flow and makes the collection easier and
less traumatic.
---
10.
A nurse is reinforcing teaching about newborn umbilical cord care. Which
statement indicates understanding?
A. "I will apply baby powder to the cord stump."
B. "I will report any drainage from my baby's umbilical cord."
C. "I should keep the cord moist with petroleum jelly."
D. "I will remove the dried cord stump myself after 3 days."
Correct Answer: B
Rationale: Any drainage may indicate infection and should be reported. The cord
should be kept dry; do not apply substances or forcibly remove the stump.
---
11. (Matrix Multiple Response, Prioritization)
A nurse in a prenatal clinic is assisting with a group of clients. Which client
should the nurse recommend the provider see first? (Select one)
,| Client | Priority Action |
|-----------------------------------|---------------------------------|
| 1. 29 weeks, intermittent cramps | See after higher priority |
| 2. 24 weeks, normal movement | Routine follow-up |
| 3. 37 weeks, persistent headache | See first |
| 4. 18 weeks, mild nausea | See after higher priority |
Correct Answer: 3
Rationale: Persistent headache at 37 weeks could indicate preeclampsia and requires
prompt evaluation.
---
12.
A nurse is reinforcing discharge teaching about methods to prevent engorgement
during lactation suppression. Which statement indicates understanding?
A. "I will use a warm compress on my breasts."
B. "I will breastfeed twice daily."
C. "I will apply cold cabbage leaves to my breasts throughout the day."
D. "I will massage my breasts often."
Correct Answer: C
Rationale: Cabbage leaves help relieve engorgement. Warm compresses or massage
increase milk production, which is not desired during suppression.
---
13.
A nurse on postpartum unit is caring for a client with a hypotonic uterus and
excessive vaginal bleeding. Which action should the nurse take first?
, A. Measure vital signs.
B. Provide fundal massage for the client.
C. Notify the provider.
D. Insert a urinary catheter.
Correct Answer: B
Rationale: Uterine massage addresses the underlying cause—uterine atony—and may
stop the hemorrhage. All other actions are important but not the immediate priority.
---
14.
A nurse is reviewing laboratory results of a 4-hour-old newborn. Which finding
should the nurse identify as associated with neonatal sepsis and report to the
provider?
A. WBC <5,000 or >30,000/mm³
B. Platelet count 150,000/mm³
C. Hemoglobin 17 g/dL
D. Glucose 55 mg/dL
Correct Answer: A
Rationale: Abnormal WBC counts are significant for infection/sepsis. Platelets,
hemoglobin, and glucose values listed are within acceptable newborn ranges.
---
15.
A nurse is assisting the care of a newborn with high-pitched cry and poor
consolability. Which neonatal tool should the nurse expect to complete?
MATERNAL NEWBORN
PROCTORED EXAM
(NGN-Style & Case Scenario)
Actual Qs & Ans to Pass the Exam
This ATI PN test contains:
➢ passing score Guarantee
➢ Format Set of Multiple-choice
➢ questions with incorporating Next
Generation NCLEX (NGN) and Case Scenario
➢ Expert-Verified Explanations & Solutions
,1.
A nurse is reinforcing teaching about breastfeeding with a client who has a 12-
hour-old newborn. Which statement indicates understanding?
A. "I should only feed my baby when she cries for milk."
B. "I should wake up my baby to feed during the night."
C. "I can wait 6 hours between feedings."
D. "I do not need to burp my baby after feedings."
Correct Answer: B
Rationale: Newborns need to be fed every 2–3 hours, including overnight, to maintain
glucose and hydration. Frequent feeding also establishes lactation.
2.
A nurse is reinforcing teaching about newborn home safety precautions with a
group of parents. Which instruction should the nurse include?
A. "Place the baby’s crib near the window for better ventilation."
B. "You should ensure that crib slats are no more than 2.25 inches apart."
C. "Keep bumper pads in the crib to prevent injuries."
D. "Hang toys from the crib rails for stimulation."
Correct Answer: B
Rationale: Crib slats must be less than 2.25 inches apart to prevent newborn
entrapment. Other options increase the risk for injury or suffocation.
3.
A nurse is reinforcing teaching with a client who is at 8 weeks of gestation. Which
of the following responses by the client indicates an understanding of the
teaching?
,A. “I should expect to have white vaginal discharge during pregnancy.”
B. “I will not have any vaginal drainage during pregnancy.”
C. “Any pink or brown discharge is a sign of infection.”
D. “If I have any discharge, I need to go to the emergency room.”
Correct Answer: A
Rationale: Normal leukorrhea, a white, thin vaginal discharge, increases during
pregnancy due to hormonal changes. Options B, C, and D are incorrect interpretations
and could result in unnecessary concern or mismanagement.
---
4.
A nurse is reinforcing family planning options. Which client statement indicates
understanding?
A. "Using oil-based lubricants is safe with latex condoms."
B. "I can use water-soluble lubricant when my partner wears a latex condom."
C. "I don’t need another form of protection with a diaphragm."
D. "Withdrawal is the most effective method of contraception."
Correct Answer: B
Rationale: Water-soluble lubricants are compatible with latex condoms and don’t cause
degradation. Oil-based products damage latex. C and D are factually incorrect about
contraception reliability.
---
5.
A nurse is assisting in the care of a newborn who is large for gestational age and
is jittery. Which action should the nurse take first?
,A. Initiate feeding.
B. Check the newborn’s blood glucose level.
C. Notify the provider.
D. Keep the newborn warm.
Correct Answer: B
Rationale: Jitteriness in LGA newborns is a potential sign of hypoglycemia. Blood
glucose assessment is the priority to guide immediate intervention.
---
6.
A nurse in a prenatal clinic is assisting in the care of a client at 16 weeks
gestation with a positive hepatitis B test. What action should the nurse take?
A. Start antibiotics.
B. Explain to the client they will receive hepatitis B immune globulin immediately.
C. Restrict breastfeeding.
D. Schedule a cesarean delivery.
Correct Answer: B
Rationale: Infants born to mothers with hepatitis B should receive hepatitis B immune
globulin and the first vaccine dose within 12 hours of birth. The other options are
incorrect management.
---
7.
A nurse is reinforcing teaching about car seat safety for a newborn’s guardian.
Which statement indicates understanding?
,A. "Front seat is safest for my baby with a car seat."
B. "If my baby rides in a car with no back seat, the passenger air bag must be turned
off."
C. "My baby can sit upright in the car seat."
D. "I can use a secondhand car seat if it's over 10 years old."
Correct Answer: B
Rationale: Airbags must be off if a rear-facing seat is placed in the front due to risk of
injury. Only use car seats on back seats, properly installed.
---
8.
A nurse is assisting in the care of a client who has had a cesarean birth. Which
action decreases the client's risk for thrombophlebitis?
A. Limit movement until fully healed.
B. Apply cold compresses to the legs.
C. Have the client ambulate several times each day.
D. Massage the lower extremities frequently.
Correct Answer: C
Rationale: Early and frequent ambulation improves circulation and reduces the risk for
blood clots. Massage may dislodge thrombi if present.
---
9.
A nurse is planning to perform a blood collection via heel stick on a newborn.
After hand hygiene and donning gloves, what action should the nurse take next?
,A. Wrap the newborn’s heel with a cloth moistened with warm water.
B. Cleanse the puncture site with alcohol.
C. Restrain the newborn.
D. Puncture the heel immediately.
Correct Answer: A
Rationale: Warming the heel increases blood flow and makes the collection easier and
less traumatic.
---
10.
A nurse is reinforcing teaching about newborn umbilical cord care. Which
statement indicates understanding?
A. "I will apply baby powder to the cord stump."
B. "I will report any drainage from my baby's umbilical cord."
C. "I should keep the cord moist with petroleum jelly."
D. "I will remove the dried cord stump myself after 3 days."
Correct Answer: B
Rationale: Any drainage may indicate infection and should be reported. The cord
should be kept dry; do not apply substances or forcibly remove the stump.
---
11. (Matrix Multiple Response, Prioritization)
A nurse in a prenatal clinic is assisting with a group of clients. Which client
should the nurse recommend the provider see first? (Select one)
,| Client | Priority Action |
|-----------------------------------|---------------------------------|
| 1. 29 weeks, intermittent cramps | See after higher priority |
| 2. 24 weeks, normal movement | Routine follow-up |
| 3. 37 weeks, persistent headache | See first |
| 4. 18 weeks, mild nausea | See after higher priority |
Correct Answer: 3
Rationale: Persistent headache at 37 weeks could indicate preeclampsia and requires
prompt evaluation.
---
12.
A nurse is reinforcing discharge teaching about methods to prevent engorgement
during lactation suppression. Which statement indicates understanding?
A. "I will use a warm compress on my breasts."
B. "I will breastfeed twice daily."
C. "I will apply cold cabbage leaves to my breasts throughout the day."
D. "I will massage my breasts often."
Correct Answer: C
Rationale: Cabbage leaves help relieve engorgement. Warm compresses or massage
increase milk production, which is not desired during suppression.
---
13.
A nurse on postpartum unit is caring for a client with a hypotonic uterus and
excessive vaginal bleeding. Which action should the nurse take first?
, A. Measure vital signs.
B. Provide fundal massage for the client.
C. Notify the provider.
D. Insert a urinary catheter.
Correct Answer: B
Rationale: Uterine massage addresses the underlying cause—uterine atony—and may
stop the hemorrhage. All other actions are important but not the immediate priority.
---
14.
A nurse is reviewing laboratory results of a 4-hour-old newborn. Which finding
should the nurse identify as associated with neonatal sepsis and report to the
provider?
A. WBC <5,000 or >30,000/mm³
B. Platelet count 150,000/mm³
C. Hemoglobin 17 g/dL
D. Glucose 55 mg/dL
Correct Answer: A
Rationale: Abnormal WBC counts are significant for infection/sepsis. Platelets,
hemoglobin, and glucose values listed are within acceptable newborn ranges.
---
15.
A nurse is assisting the care of a newborn with high-pitched cry and poor
consolability. Which neonatal tool should the nurse expect to complete?
