PN Maternal Newborn 2026 Proctered

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Sample questions from PN Maternal Newborn 2026 Proctered

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A 24-year-old client is 2 hours postpartum after a vaginal birth. The PN finds a boggy fundus, heavy lochia, and a pulse of 112/min; the client reports feeling faint. Which action should the PN take first?

   • A.Massage the fundus while calling the RN for assistance
   • B.Offer the client oral fluids and help her to the bathroom
   • C.Document the amount of lochia and reassess in 30 minutes
   • D.Teach the client that increased bleeding is expected after birth

   Rationale: Fundal massage is an immediate basic intervention for a boggy uterus, and the PN should promptly summon the RN because heavy bleeding and tachycardia may indicate hemorrhage. Waiting to document or reassess delays treatment. Oral fluids and reassurance do not address the potential emergency.

2. 2.A 30-year-old client at 34 weeks' gestation is hospitalized for preeclampsia. The PN notes a blood pressure of 168/110 mm Hg, a severe headache, and new blurred vision. What should the PN do?

   • A.Recheck the blood pressure in 1 hour before reporting it
   • B.Provide a low-sodium snack and dim the room
   • C.Encourage ambulation to lower the blood pressure
   • D.Notify the RN immediately and remain with the client

   Rationale: Severe-range blood pressure with neurologic symptoms can precede eclampsia or stroke and requires immediate escalation to the RN. Delaying the report for an hour is unsafe. Ambulation and a snack do not treat the acute warning signs; a quiet environment may be supportive but must not delay reporting.

3. 3.A 27-year-old client is 1 day postpartum after a cesarean birth. The PN is organizing care with an RN and assistive personnel. Which tasks are appropriate for the PN to perform or assign to assistive personnel? Select all that apply.

   • A.Develop the client's initial teaching plan for home incision care
   • B.Assess the incision for dehiscence and determine whether the plan of care is effective
   • C.Reinforce the RN's instructions about splinting the incision when coughing
   • D.Measure and record the client's urine output
   • E.Assist a stable client with walking after the RN has assessed readiness

   Rationale: The PN may reinforce established teaching, collect and document urine output, and assist a stable client with mobility after readiness has been assessed. The RN is responsible for the initial assessment and evaluating the plan of care, so those tasks are not delegated to the PN. Creating the initial teaching plan is also an RN responsibility; the PN may reinforce it.

4. 4.A 19-year-old client at 39 weeks' gestation is receiving oxytocin during labor. The PN observes six contractions in 10 minutes and a fetal heart rate of 95/min for 3 minutes. What is the priority action?

   • A.Increase the oxytocin rate to shorten the labor
   • B.Document the tracing and reassess in 15 minutes
   • C.Stop the oxytocin infusion and notify the RN immediately
   • D.Assist the client to begin pushing with each contraction

   Answer and rationale are in the full material.

5. 5.A 32-year-old client with gestational diabetes is 6 hours postpartum after a vaginal birth. The PN is assigned to check the client's blood glucose before breakfast. Which result should the PN report promptly to the RN?

   • A.108 mg/dL after eating
   • B.54 mg/dL with sweating and shakiness
   • C.126 mg/dL after a recent snack
   • D.91 mg/dL without symptoms

   Answer and rationale are in the full material.