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2026 ATI RN MATERNAL NEWBORN PROCTORED ACTUAL EXAM TEST BANK-
MATERNAL NEWBORN ATI PROCTORED EXAM REAL EXAM QUESTIONS AND
ANSWERS
Question:
A patient at 38 weeks gestation reports fluid leakage from the vagina. What is the priority
nursing action?
Answer:
Assess the color, odor, and amount of fluid and perform a nitrazine or ferning test
Rationale:
Rupture of membranes increases risk of infection; identifying amniotic fluid ensures appropriate
management.
Question:
A newborn has nasal flaring, grunting, and retractions. What is the priority intervention?
Answer:
Administer oxygen and notify the provider
Rationale:
These are early signs of respiratory distress; timely intervention prevents hypoxia.
Question:
Which maternal teaching is most important for a patient using iron supplements during
pregnancy?
Answer:
Take the supplement with vitamin C and avoid taking with calcium
Rationale:
Vitamin C enhances absorption while calcium can reduce iron absorption.
Question:
A patient in labor has a fetal heart rate baseline of 160 bpm with late decelerations. What is the
priority nursing action?
practice exam 2026
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Answer:
Notify the provider and prepare for possible intervention
Rationale:
Late decelerations indicate uteroplacental insufficiency; immediate evaluation is critical to
prevent fetal hypoxia.
Question:
A postpartum patient reports perineal pain and fever 101.2°F. What is the likely diagnosis?
Answer:
Endometritis
Rationale:
Fever and uterine tenderness postpartum indicate infection; early treatment with antibiotics is
necessary.
Question:
A newborn’s APGAR score is 4 at 1 minute. What is the priority intervention?
Answer:
Provide immediate resuscitation, including stimulation and oxygen as needed
Rationale:
Low APGAR scores indicate poor adaptation; rapid intervention is required to stabilize the
newborn.
Question:
A patient with preeclampsia is receiving magnesium sulfate. Which finding requires immediate
action?
Answer:
Respiratory rate less than 12/min
Rationale:
Magnesium sulfate toxicity can depress respiration; prompt discontinuation and antidote
administration are necessary.
practice exam 2026
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Question:
A postpartum patient reports sudden gush of bright red blood while ambulating on day 2. What is
the priority nursing action?
Answer:
Assess fundus and vital signs immediately
Rationale:
Postpartum hemorrhage can be life-threatening; early detection and intervention are essential.
Question:
A newborn is jittery, tachypneic, and feeding poorly. Which lab should be checked first?
Answer:
Blood glucose
Rationale:
These are signs of neonatal hypoglycemia; early correction prevents neurologic complications.
Question:
Which intervention is priority for a patient with placenta previa experiencing painless bleeding at
36 weeks?
Answer:
Keep the patient on bedrest and notify the provider
Rationale:
Placenta previa bleeding is dangerous; bedrest reduces further hemorrhage until evaluation.
Question:
A patient is in the second stage of labor and requests pain management. Which intervention is
most appropriate?
Answer:
Provide epidural analgesia if not contraindicated
Rationale:
Epidural analgesia provides effective pain relief during active labor.
practice exam 2026
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Question:
A newborn has a heart rate of 90 bpm immediately after birth. What is the priority intervention?
Answer:
Begin resuscitation per Neonatal Resuscitation Protocol
Rationale:
A heart rate below 100 bpm indicates need for resuscitative measures.
Question:
Which maternal instruction is important to prevent postpartum hemorrhage?
Answer:
Massage the fundus after birth and report excessive bleeding
Rationale:
Uterine massage helps contract the uterus, reducing bleeding risk.
Question:
A patient at 34 weeks gestation reports contractions every 10 minutes. Which instruction is
priority?
Answer:
Hydrate, rest, and report if contractions become regular or more frequent
Rationale:
Preterm labor can sometimes be delayed with rest and hydration; early reporting ensures timely
intervention.
Question:
A postpartum patient has red, tender, and engorged breasts. What is the priority nursing action?
Answer:
Encourage frequent breastfeeding and supportive measures
Rationale:
Proper breastfeeding relieves engorgement and prevents mastitis.
practice exam 2026
2026 ATI RN MATERNAL NEWBORN PROCTORED ACTUAL EXAM TEST BANK-
MATERNAL NEWBORN ATI PROCTORED EXAM REAL EXAM QUESTIONS AND
ANSWERS
Question:
A patient at 38 weeks gestation reports fluid leakage from the vagina. What is the priority
nursing action?
Answer:
Assess the color, odor, and amount of fluid and perform a nitrazine or ferning test
Rationale:
Rupture of membranes increases risk of infection; identifying amniotic fluid ensures appropriate
management.
Question:
A newborn has nasal flaring, grunting, and retractions. What is the priority intervention?
Answer:
Administer oxygen and notify the provider
Rationale:
These are early signs of respiratory distress; timely intervention prevents hypoxia.
Question:
Which maternal teaching is most important for a patient using iron supplements during
pregnancy?
Answer:
Take the supplement with vitamin C and avoid taking with calcium
Rationale:
Vitamin C enhances absorption while calcium can reduce iron absorption.
Question:
A patient in labor has a fetal heart rate baseline of 160 bpm with late decelerations. What is the
priority nursing action?
practice exam 2026
,2|Page
Answer:
Notify the provider and prepare for possible intervention
Rationale:
Late decelerations indicate uteroplacental insufficiency; immediate evaluation is critical to
prevent fetal hypoxia.
Question:
A postpartum patient reports perineal pain and fever 101.2°F. What is the likely diagnosis?
Answer:
Endometritis
Rationale:
Fever and uterine tenderness postpartum indicate infection; early treatment with antibiotics is
necessary.
Question:
A newborn’s APGAR score is 4 at 1 minute. What is the priority intervention?
Answer:
Provide immediate resuscitation, including stimulation and oxygen as needed
Rationale:
Low APGAR scores indicate poor adaptation; rapid intervention is required to stabilize the
newborn.
Question:
A patient with preeclampsia is receiving magnesium sulfate. Which finding requires immediate
action?
Answer:
Respiratory rate less than 12/min
Rationale:
Magnesium sulfate toxicity can depress respiration; prompt discontinuation and antidote
administration are necessary.
practice exam 2026
,3|Page
Question:
A postpartum patient reports sudden gush of bright red blood while ambulating on day 2. What is
the priority nursing action?
Answer:
Assess fundus and vital signs immediately
Rationale:
Postpartum hemorrhage can be life-threatening; early detection and intervention are essential.
Question:
A newborn is jittery, tachypneic, and feeding poorly. Which lab should be checked first?
Answer:
Blood glucose
Rationale:
These are signs of neonatal hypoglycemia; early correction prevents neurologic complications.
Question:
Which intervention is priority for a patient with placenta previa experiencing painless bleeding at
36 weeks?
Answer:
Keep the patient on bedrest and notify the provider
Rationale:
Placenta previa bleeding is dangerous; bedrest reduces further hemorrhage until evaluation.
Question:
A patient is in the second stage of labor and requests pain management. Which intervention is
most appropriate?
Answer:
Provide epidural analgesia if not contraindicated
Rationale:
Epidural analgesia provides effective pain relief during active labor.
practice exam 2026
, 4|Page
Question:
A newborn has a heart rate of 90 bpm immediately after birth. What is the priority intervention?
Answer:
Begin resuscitation per Neonatal Resuscitation Protocol
Rationale:
A heart rate below 100 bpm indicates need for resuscitative measures.
Question:
Which maternal instruction is important to prevent postpartum hemorrhage?
Answer:
Massage the fundus after birth and report excessive bleeding
Rationale:
Uterine massage helps contract the uterus, reducing bleeding risk.
Question:
A patient at 34 weeks gestation reports contractions every 10 minutes. Which instruction is
priority?
Answer:
Hydrate, rest, and report if contractions become regular or more frequent
Rationale:
Preterm labor can sometimes be delayed with rest and hydration; early reporting ensures timely
intervention.
Question:
A postpartum patient has red, tender, and engorged breasts. What is the priority nursing action?
Answer:
Encourage frequent breastfeeding and supportive measures
Rationale:
Proper breastfeeding relieves engorgement and prevents mastitis.
practice exam 2026
