Test Review ATI PN Maternal Newborn

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Sample questions from Test Review ATI PN Maternal Newborn

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

1. 1.At 0715 on a postpartum unit, a client who delivered vaginally 2 hours ago reports feeling faint. The client's pad is saturated with blood, the fundus is boggy, and vital signs are HR 122/min, BP 88/54 mm Hg, RR 24/min, and SpO2 95% on room air. Refer to the client's chart. Which action should the practical nurse take first?

   • A.Provide discharge teaching about expected lochia
   • B.Massage the fundus while calling for immediate assistance and reporting the findings to the RN
   • C.Assist the client to the bathroom to empty the bladder
   • D.Document the findings and reassess the client in 30 minutes

   Rationale: The boggy fundus, heavy bleeding, tachycardia, hypotension, and dizziness indicate postpartum hemorrhage with possible hypovolemia; fundal massage and immediate escalation are within PN actions. Waiting delays treatment, ambulation risks a fall, and discharge teaching is inappropriate during an emergency. The PN should promptly report the client's response and continue monitoring.

2. 2.On a postpartum unit, a client who is 6 hours after cesarean birth has a Foley catheter and an order to ambulate with assistance. The client says, 'I feel dizzy when I sit up.' What should the practical nurse do?

   • A.Remove the catheter and walk the client to the bathroom alone
   • B.Tell the client dizziness is expected and leave the room
   • C.Keep the client seated or lying safely, assess symptoms and vital signs, and report the change to the RN
   • D.Ask the client to stand quickly so the dizziness passes

   Rationale: Dizziness during early postoperative mobilization can signal orthostatic hypotension or blood loss and creates a fall risk. The PN should prevent a fall, collect relevant data, and promptly report the change. Standing quickly, walking alone, or dismissing the symptom is unsafe.

3. 3.At change of shift in a postpartum unit, the practical nurse receives report on four clients. Which client should be reported to the RN first?

   • A.A client 3 days after birth with scant lochia and a firm fundus
   • B.A client 12 hours after birth with mild perineal soreness and stable vital signs
   • C.A client 2 days after birth asking when the next breastfeeding session is due
   • D.A client 1 day after birth with a sudden severe headache and BP 168/112 mm Hg

   Rationale: A severe headache with marked hypertension after birth may indicate postpartum preeclampsia and risk of seizure or stroke, requiring urgent escalation. Mild soreness, a feeding question, and expected lochia with a firm fundus are lower priority when stable. The PN should report the concerning findings promptly and continue monitoring within scope.

4. 4.At 1000 in a prenatal assessment clinic, a client at 32 weeks of gestation reports a headache and visual spots. Refer to the client's chart. Which findings should the practical nurse report immediately to the RN or provider? Select all that apply.

   • A.New visual spots reported at 1000
   • B.Fetal heart rate is 140/min at both checks
   • C.BP increased from 118/72 to 162/108 mm Hg
   • D.Mild ankle edema unchanged from the prior visit
   • E.Urine protein is 2+

   Answer and rationale are in the full material.

5. 5.In a postpartum unit, a client receiving magnesium sulfate for severe preeclampsia becomes increasingly drowsy. The practical nurse notes respirations of 10/min and absent patellar reflexes. Which action is the priority?

   • A.Stop the infusion if permitted by protocol, remain with the client, and immediately alert the RN or provider
   • B.Administer the next scheduled dose and reassess in an hour
   • C.Encourage the client to walk to improve alertness
   • D.Offer oral fluids and document the findings at the end of the shift

   Answer and rationale are in the full material.