ATI PN Maternal Newborn Exam
2025/2026 / Comprehensive
ATI PN Maternal Newborn Exam
Study Guide 2025/2026 – 250+
Questions & 100% Detailed
Answers
,1. What physiological changes typically occur during pregnancy that the nurse should
monitor?
A. Increased blood volume and cardiac output
B. Decreased respiratory rate
C. Reduced renal function only in third trimester
D. Decreased heart rate
Answer: A
2. When assessing a pregnant client, which risk factors increase the likelihood of
pregnancy complications?
A. Maternal age over 35, history of hypertension, smoking, gestational diabetes
B. First pregnancy under age 20
C. Lack of prenatal vitamins only
D. Low fluid intake only
Answer: A
3. What are common signs and symptoms of preeclampsia that require immediate nursing
intervention?
A. Persistent headache, visual disturbances, hypertension, proteinuria
B. Mild nausea, occasional fatigue
C. Frequent urination
D. Lower back pain
Answer: A
4. How should the nurse manage a postpartum client experiencing heavy vaginal bleeding?
A. Assess fundal firmness, encourage bladder emptying, monitor vital signs, and notify
the provider immediately
B. Ignore bleeding unless large clots observed
C. Encourage prolonged bed rest only
D. Provide oral analgesics
Answer: A
5. What are key components of initial newborn assessment immediately after delivery?
A. Apgar scoring, airway clearance, thermoregulation, and skin color evaluation
B. Feeding immediately
C. Full body X-ray
D. Weighing only
Answer: A
6. What nursing actions are essential in identifying and managing newborn respiratory
distress?
, A. Monitor respiratory rate, observe for nasal flaring, grunting, cyanosis, maintain
oxygen therapy as prescribed
B. Delay assessment for 1 hour
C. Provide glucose immediately
D. Restrict parents’ access
Answer: A
7. What are typical maternal postpartum complications that require nursing surveillance?
A. Postpartum hemorrhage, infection, deep vein thrombosis, postpartum depression
B. Increased appetite only
C. Swelling of feet only
D. Frequent urination
Answer: A
8. How should the nurse educate a new mother on safe newborn feeding techniques?
A. Correct latch and positioning, feeding on demand, recognizing hunger cues, and
ensuring adequate hydration
B. Feed every 6 hours regardless of cues
C. Use formula only
D. Limit feeding times
Answer: A
9. What clinical manifestations would alert the nurse to a possible newborn infection?
A. Temperature instability, lethargy, poor feeding, respiratory distress
B. Excessive crying only
C. Normal newborn reflexes
D. Good weight gain
Answer: A
10.How does gestational diabetes impact maternal and newborn health, and what nursing
interventions are critical?
A. Risks include macrosomia, hypoglycemia in newborn; monitor blood glucose,
educate on diet and insulin management
B. No effects on newborn
C. Insulin is not needed
D. High glucose is normal
Answer: A
11.What psychosocial changes might a postpartum client experience, and how can nursing
support be provided?
A. Mood swings, baby blues, postpartum depression; provide emotional support, screen
for depression, offer resources and referrals
B. Only physical changes matter
C. Emotional issues resolve spontaneously
, D. Ignore patient complaints
Answer: A
12.How should a nurse handle a newborn with suspected congenital anomalies?
A. Conduct thorough assessment, notify provider, provide supportive care, and educate
family about diagnostic procedures
B. Delay evaluation until discharge
C. Only monitor feeding
D. Discharge immediately
Answer: A
13.What preventive measures should be taught to parents to ensure newborn home safety?
A. Safe sleep position, avoiding loose bedding, proper car seat use, and choking
hazards prevention
B. Keeping toys in the crib
C. Co-sleeping with adults
D. Feeding honey in first month
Answer: A
14.What is the nurse’s priority when caring for a postpartum client experiencing signs of
deep vein thrombosis?
A. Elevate affected leg, encourage ambulation when safe, monitor for pulmonary
embolism signs, and administer anticoagulants as prescribed
B. Encourage bed rest only
C. Apply heat only
D. Ignore mild leg pain
Answer: A
15.How can the nurse recognize and manage postpartum mood disorders?
A. Assess for persistent sadness, anxiety, irritability; facilitate support groups,
psychotherapy, and medication as needed
B. Mood disorders do not require intervention
C. Only physical symptoms are treated
D. Provide dietary advice only
Answer: A
16.What are the key signs of placenta previa, and what nursing actions are required?
A. Painless bright red vaginal bleeding in the third trimester; monitor bleeding, avoid
vaginal exams, prepare for possible cesarean delivery
B. Severe abdominal pain with no bleeding
C. Uterine contractions without bleeding
D. Only fetal heart rate changes
Answer: A
2025/2026 / Comprehensive
ATI PN Maternal Newborn Exam
Study Guide 2025/2026 – 250+
Questions & 100% Detailed
Answers
,1. What physiological changes typically occur during pregnancy that the nurse should
monitor?
A. Increased blood volume and cardiac output
B. Decreased respiratory rate
C. Reduced renal function only in third trimester
D. Decreased heart rate
Answer: A
2. When assessing a pregnant client, which risk factors increase the likelihood of
pregnancy complications?
A. Maternal age over 35, history of hypertension, smoking, gestational diabetes
B. First pregnancy under age 20
C. Lack of prenatal vitamins only
D. Low fluid intake only
Answer: A
3. What are common signs and symptoms of preeclampsia that require immediate nursing
intervention?
A. Persistent headache, visual disturbances, hypertension, proteinuria
B. Mild nausea, occasional fatigue
C. Frequent urination
D. Lower back pain
Answer: A
4. How should the nurse manage a postpartum client experiencing heavy vaginal bleeding?
A. Assess fundal firmness, encourage bladder emptying, monitor vital signs, and notify
the provider immediately
B. Ignore bleeding unless large clots observed
C. Encourage prolonged bed rest only
D. Provide oral analgesics
Answer: A
5. What are key components of initial newborn assessment immediately after delivery?
A. Apgar scoring, airway clearance, thermoregulation, and skin color evaluation
B. Feeding immediately
C. Full body X-ray
D. Weighing only
Answer: A
6. What nursing actions are essential in identifying and managing newborn respiratory
distress?
, A. Monitor respiratory rate, observe for nasal flaring, grunting, cyanosis, maintain
oxygen therapy as prescribed
B. Delay assessment for 1 hour
C. Provide glucose immediately
D. Restrict parents’ access
Answer: A
7. What are typical maternal postpartum complications that require nursing surveillance?
A. Postpartum hemorrhage, infection, deep vein thrombosis, postpartum depression
B. Increased appetite only
C. Swelling of feet only
D. Frequent urination
Answer: A
8. How should the nurse educate a new mother on safe newborn feeding techniques?
A. Correct latch and positioning, feeding on demand, recognizing hunger cues, and
ensuring adequate hydration
B. Feed every 6 hours regardless of cues
C. Use formula only
D. Limit feeding times
Answer: A
9. What clinical manifestations would alert the nurse to a possible newborn infection?
A. Temperature instability, lethargy, poor feeding, respiratory distress
B. Excessive crying only
C. Normal newborn reflexes
D. Good weight gain
Answer: A
10.How does gestational diabetes impact maternal and newborn health, and what nursing
interventions are critical?
A. Risks include macrosomia, hypoglycemia in newborn; monitor blood glucose,
educate on diet and insulin management
B. No effects on newborn
C. Insulin is not needed
D. High glucose is normal
Answer: A
11.What psychosocial changes might a postpartum client experience, and how can nursing
support be provided?
A. Mood swings, baby blues, postpartum depression; provide emotional support, screen
for depression, offer resources and referrals
B. Only physical changes matter
C. Emotional issues resolve spontaneously
, D. Ignore patient complaints
Answer: A
12.How should a nurse handle a newborn with suspected congenital anomalies?
A. Conduct thorough assessment, notify provider, provide supportive care, and educate
family about diagnostic procedures
B. Delay evaluation until discharge
C. Only monitor feeding
D. Discharge immediately
Answer: A
13.What preventive measures should be taught to parents to ensure newborn home safety?
A. Safe sleep position, avoiding loose bedding, proper car seat use, and choking
hazards prevention
B. Keeping toys in the crib
C. Co-sleeping with adults
D. Feeding honey in first month
Answer: A
14.What is the nurse’s priority when caring for a postpartum client experiencing signs of
deep vein thrombosis?
A. Elevate affected leg, encourage ambulation when safe, monitor for pulmonary
embolism signs, and administer anticoagulants as prescribed
B. Encourage bed rest only
C. Apply heat only
D. Ignore mild leg pain
Answer: A
15.How can the nurse recognize and manage postpartum mood disorders?
A. Assess for persistent sadness, anxiety, irritability; facilitate support groups,
psychotherapy, and medication as needed
B. Mood disorders do not require intervention
C. Only physical symptoms are treated
D. Provide dietary advice only
Answer: A
16.What are the key signs of placenta previa, and what nursing actions are required?
A. Painless bright red vaginal bleeding in the third trimester; monitor bleeding, avoid
vaginal exams, prepare for possible cesarean delivery
B. Severe abdominal pain with no bleeding
C. Uterine contractions without bleeding
D. Only fetal heart rate changes
Answer: A
