Comprehensive ATI PN Maternal Newborn
Exam 2025/2026
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 requiring 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 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 emotional symptoms
Answer: A
12.Which lab value is most indicative of iron deficiency anemia?
A. Low hemoglobin and hematocrit
B. Elevated WBC count
C. High serum glucose
D. Increased platelets
Answer: A
13.What nutritional advice is important for a pregnant client with nausea?
A. Eat small, frequent meals and avoid greasy foods
B. Skip meals to reduce nausea
C. Restrict all fluids
D. Increase caffeine intake
Answer: A
14.Which risk factor increases the likelihood of preterm labor?
A. Smoking
B. Regular prenatal visits
C. Low stress
D. Adequate hydration
Answer: A
15.What is the recommended folic acid intake to prevent neural tube defects?
A. 400-800 mcg daily
B. 50 mcg daily
C. 2000 mcg daily
D. None
Answer: A
16.What are signs of newborn hypoglycemia?
A. Jitteriness, poor feeding, lethargy
B. Good feeding and sleepiness
C. Crying and active movements
D. Rapid weight gain
Answer: A
17.How should a nurse assist a breastfeeding mother with milk production?
A. Encourage frequent feeding and proper latch
, B. Limit breastfeeding to every 6 hours
C. Supplement with formula only
D. Avoid nursing on one breast
Answer: A
18.What intervention helps prevent postpartum hemorrhage?
A. Early ambulation and monitoring uterine tone
B. Bed rest for one week
C. Ignore vital signs
D. Delay fundal massage
Answer: A
19.How is neonatal jaundice assessed?
A. Yellow discoloration of skin and sclera
B. Blue discoloration around the mouth
C. Red spots on the skin
D. Pale skin necessitating transfusion
Answer: A
20.Which vaccine is recommended for pregnant women?
A. Tdap (tetanus, diphtheria, pertussis)
B. MMR
C. Varicella
D. HPV
Answer: A
21.A newborn’s Apgar score at 1 minute is 6. What is the nurse’s priority action?
A. Provide oxygen and continue to monitor
B. Initiate chest compressions
C. Prepare for immediate intubation
D. No intervention needed
Answer: A
22.What intervention is essential for a client with preeclampsia showing visual
disturbances?
A. Promote bed rest and monitor blood pressure frequently
B. Encourage ambulation
C. Discharge home with follow-up
D. Encourage high-sodium intake
Answer: A
23.The nurse is teaching a pregnant client about foods high in folate. Which food should be
included?
A. Red meats
Exam 2025/2026
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 requiring 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 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 emotional symptoms
Answer: A
12.Which lab value is most indicative of iron deficiency anemia?
A. Low hemoglobin and hematocrit
B. Elevated WBC count
C. High serum glucose
D. Increased platelets
Answer: A
13.What nutritional advice is important for a pregnant client with nausea?
A. Eat small, frequent meals and avoid greasy foods
B. Skip meals to reduce nausea
C. Restrict all fluids
D. Increase caffeine intake
Answer: A
14.Which risk factor increases the likelihood of preterm labor?
A. Smoking
B. Regular prenatal visits
C. Low stress
D. Adequate hydration
Answer: A
15.What is the recommended folic acid intake to prevent neural tube defects?
A. 400-800 mcg daily
B. 50 mcg daily
C. 2000 mcg daily
D. None
Answer: A
16.What are signs of newborn hypoglycemia?
A. Jitteriness, poor feeding, lethargy
B. Good feeding and sleepiness
C. Crying and active movements
D. Rapid weight gain
Answer: A
17.How should a nurse assist a breastfeeding mother with milk production?
A. Encourage frequent feeding and proper latch
, B. Limit breastfeeding to every 6 hours
C. Supplement with formula only
D. Avoid nursing on one breast
Answer: A
18.What intervention helps prevent postpartum hemorrhage?
A. Early ambulation and monitoring uterine tone
B. Bed rest for one week
C. Ignore vital signs
D. Delay fundal massage
Answer: A
19.How is neonatal jaundice assessed?
A. Yellow discoloration of skin and sclera
B. Blue discoloration around the mouth
C. Red spots on the skin
D. Pale skin necessitating transfusion
Answer: A
20.Which vaccine is recommended for pregnant women?
A. Tdap (tetanus, diphtheria, pertussis)
B. MMR
C. Varicella
D. HPV
Answer: A
21.A newborn’s Apgar score at 1 minute is 6. What is the nurse’s priority action?
A. Provide oxygen and continue to monitor
B. Initiate chest compressions
C. Prepare for immediate intubation
D. No intervention needed
Answer: A
22.What intervention is essential for a client with preeclampsia showing visual
disturbances?
A. Promote bed rest and monitor blood pressure frequently
B. Encourage ambulation
C. Discharge home with follow-up
D. Encourage high-sodium intake
Answer: A
23.The nurse is teaching a pregnant client about foods high in folate. Which food should be
included?
A. Red meats
