PN Maternal Newborn 2026 ATI

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Sample questions from PN Maternal Newborn 2026 ATI

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 in the maternity unit. The PN finds a boggy fundus above the umbilicus, heavy lochia, and a pulse of 112/min. What should the PN do first?

   • A.Apply an ice pack to the perineum
   • B.Massage the fundus and promptly report the findings to the RN
   • C.Offer oral fluids and recheck the fundus in 1 hour
   • D.Assist the client to walk to the bathroom

   Rationale: Fundal massage is a basic intervention for a boggy uterus, and heavy bleeding with tachycardia requires immediate reporting. Walking could increase fall risk and delay care. Fluids and a perineal ice pack do not address uterine atony or the bleeding emergency.

2. 2.A 29-year-old client at 30 weeks' gestation is admitted to a hospital with suspected preterm labor. Which findings should the PN report promptly to the RN? Select all that apply.

   • A.New pelvic pressure and low backache
   • B.A temperature of 38.1 C (100.6 F)
   • C.A small amount of clear vaginal discharge
   • D.Fetal movement consistent with the client's usual pattern
   • E.Regular uterine tightening every 8 minutes

   Rationale: Regular contractions and new pelvic pressure or backache can indicate preterm labor and warrant prompt reporting. Fever may indicate infection, which can contribute to preterm labor. A small amount of clear discharge alone and usual fetal movement are not the urgent changes described, though any change should be documented and reported as indicated by policy.

3. 3.A 22-year-old client with gestational diabetes is preparing for discharge from a maternity clinic at 36 weeks' gestation. Which actions are appropriate for the PN to reinforce or perform within scope? Select all that apply.

   • A.Review the prescribed schedule for glucose checks
   • B.Tell the client to stop checking glucose once fetal movement is normal
   • C.Change the insulin dose based on today's glucose result without an order
   • D.Report repeated glucose results outside the prescribed range to the RN
   • E.Reinforce the meal plan already established by the RN and dietitian

   Rationale: The PN can reinforce an established glucose-monitoring schedule and meal plan, and should promptly report results outside the prescribed range. Independently changing insulin doses is outside the PN's role unless a specific authorized protocol applies. Normal fetal movement does not replace glucose monitoring or the prescribed diabetes plan.

4. 4.A 25-year-old client is receiving oxytocin during labor in a birthing unit. The PN notes contractions every 1 minute lasting 90 seconds and a fetal heart rate of 90/min. What action should the PN take first?

   • A.Stop the oxytocin infusion and immediately alert the RN
   • B.Increase the oxytocin rate to strengthen labor
   • C.Encourage the client to bear down with each contraction
   • D.Document the findings and reassess in 30 minutes

   Answer and rationale are in the full material.

5. 5.A 23-year-old client is 2 days postpartum in a maternity unit and reports pain of 7/10 from a cesarean incision. The prescription allows oral acetaminophen as needed, and the client has no allergy or contraindication. What should the PN do?

   • A.Apply heat directly to the incision without checking the care instructions
   • B.Withhold all pain medication until the RN completes the next shift assessment
   • C.Give an additional dose beyond the prescription because pain is severe
   • D.Administer the prescribed oral dose and reassess pain and response

   Answer and rationale are in the full material.