ATI Proctored Exam PN Maternal Newborn

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Sample questions from ATI Proctored Exam PN Maternal Newborn

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

1. 1.At change of shift on a postpartum unit, an LPN receives report on four clients. Which client should the LPN report to the RN first?

   • A.A client 24 hours after birth who reports feeling tired after breastfeeding
   • B.A client 6 hours after birth with a temperature of 37.6 C (99.7 F) and mild perineal discomfort
   • C.A client 2 hours after vaginal birth with a firm fundus and moderate lochia
   • D.A client 1 hour after cesarean birth with new shortness of breath and SpO2 of 89%

   Rationale: New shortness of breath and an SpO2 of 89% may indicate a serious respiratory or thromboembolic complication and require immediate RN notification. The other clients have findings that are common or less urgent in the immediate postpartum period. The PN should report the acute change promptly rather than independently diagnose or initiate a plan of care.

2. 2.In a prenatal clinic, an LPN is preparing to administer a prescribed intramuscular influenza vaccine to a client at 28 weeks of gestation. Which action is appropriate?

   • A.Ask the client to sign a waiver before administering the vaccine
   • B.Verify the client's identity and allergies before administration
   • C.Give the vaccine only after obtaining a new prescription from the RN
   • D.Withhold the vaccine because all vaccines are contraindicated during pregnancy

   Rationale: Verifying identity and allergies is an essential safety check before administering a prescribed vaccine within PN scope. The PN does not need a new order when a valid prescription is present, and influenza vaccination is recommended during pregnancy. A waiver is not a substitute for routine informed consent and teaching procedures.

3. 3.During a home visit, a 3-day-old newborn has a documented bilirubin follow-up appointment for tomorrow. The parent says transportation may be unavailable. What should the LPN do?

   • A.Cancel the appointment and recheck the newborn at the next routine visit
   • B.Advise the parent to give water between feedings to lower the bilirubin
   • C.Document the concern and report it to the RN so follow-up arrangements can be addressed
   • D.Tell the parent to wait a week unless the newborn appears yellow

   Rationale: Timely bilirubin follow-up is important because newborn jaundice can worsen, so the transportation barrier should be reported to the RN for coordination. Waiting a week or canceling follow-up could delay assessment of a potentially serious condition. Giving water is not an appropriate treatment and can interfere with feeding.

4. 4.Refer to the client's chart. Which actions should the LPN take or report promptly for this client? Select all that apply.

   • A.Continue to quantify and document lochia while awaiting the RN
   • B.Report the increasing quantified blood loss and boggy fundus to the RN immediately
   • C.Give the prescribed oxytocin by IV push
   • D.Leave the client alone to obtain supplies from another room
   • E.Massage the fundus as directed by unit protocol while calling for RN assistance

   Answer and rationale are in the full material.

5. 5.A client with gestational diabetes is being discharged after birth. Which task is appropriate for the LPN to perform?

   • A.Reinforce the RN's teaching about postpartum glucose follow-up
   • B.Create the client's long-term glucose management plan
   • C.Independently determine whether insulin should be discontinued
   • D.Diagnose the client's risk for type 2 diabetes

   Answer and rationale are in the full material.