2026 UPDATED QUESTIONS DOWNLOAD
2026 ATI RN Maternal Newborn Proctored Exam | 300 Questions with 100% Correct
Answers & Detailed Rationales
Ace your ATI Maternal Newborn Proctored Exam with this comprehensive 300-question study
bank, updated for the 2025 and 2026 testing cycles. Each question features bolded correct
answers and detailed clinical rationales covering high-yield topics like NGN-style
prioritization, fetal monitoring, postpartum complications, and newborn assessment. This
verified resource is meticulously formatted for quick scannability and is the perfect final review
tool to guarantee a Level 2 or Level 3 proficiency score.
1. A nurse is assessing a client in labor. Which finding indicates the transition
phase?
A. Cervical dilation 2 cm
B. Mild contractions
C. Cervical dilation 8 cm
D. Irregular contractions
Answer: C. Cervical dilation 8 cm
Rationale: The transition phase occurs between 8–10 cm dilation with strong contractions.
2. A nurse is caring for a postpartum client. Which finding indicates uterine
atony?
A. Firm fundus
B. Boggy uterus
C. Scant lochia
D. Bradycardia
Answer: B. Boggy uterus
Rationale: A boggy uterus indicates poor contraction and risk for hemorrhage.
3. A nurse is teaching about breastfeeding. Which indicates effective latch?
,2026 UPDATED QUESTIONS DOWNLOAD
A. Clicking sound
B. Painful nipples
C. Audible swallowing
D. Infant pulling away
Answer: C. Audible swallowing
Rationale: Audible swallowing shows milk transfer and proper latch.
4. A nurse is assessing a newborn. Which is a normal finding?
A. Respiratory rate 70/min
B. Heart rate 130/min
C. Cyanosis of trunk
D. Temperature 35°C
Answer: B. Heart rate 130/min
Rationale: Normal newborn HR is 110–160/min.
5. A nurse is caring for a client with placenta previa. Which finding is expected?
A. Painful bleeding
B. Painless bleeding
C. Rigid abdomen
D. Decreased fetal movement
Answer: B. Painless bleeding
Rationale: Placenta previa presents with painless vaginal bleeding.
6. A nurse is assessing for preeclampsia. Which finding supports the diagnosis?
A. Hypotension
B. Proteinuria
C. Bradycardia
D. Hypoglycemia
Answer: B. Proteinuria
Rationale: Protein in urine is a key diagnostic sign.
,2026 UPDATED QUESTIONS DOWNLOAD
7. A nurse is caring for a newborn. Which reflex is assessed by stroking the
cheek?
A. Moro
B. Babinski
C. Rooting
D. Sucking
Answer: C. Rooting
Rationale: Rooting reflex helps newborn find the nipple.
8. A nurse is caring for a client in labor. Which is the priority assessment?
A. Temperature
B. Fetal heart rate
C. Blood pressure
D. Pain level
Answer: B. Fetal heart rate
Rationale: Fetal well-being is the priority during labor.
9. A nurse is teaching about oxytocin. What is a side effect?
A. Hypertension
B. Tachysystole
C. Bradycardia
D. Hypothermia
Answer: B. Tachysystole
Rationale: Oxytocin can cause excessive uterine contractions.
10. A nurse is caring for a postpartum client. Which indicates infection?
A. Lochia alba
B. Temperature 38.5°C
C. Fundus firm
D. Pulse 60
, 2026 UPDATED QUESTIONS DOWNLOAD
Answer: B. Temperature 38.5°C
Rationale: Fever postpartum suggests infection.
11. A nurse is assessing a newborn. Which indicates hypoglycemia?
A. Jitteriness
B. Strong cry
C. Pink skin
D. Regular respirations
Answer: A. Jitteriness
Rationale: Jitteriness is a classic sign of low glucose.
12. A nurse is caring for a client with gestational diabetes. Which complication
affects the newborn?
A. Low birth weight
B. Macrosomia
C. Microcephaly
D. Hypotonia
Answer: B. Macrosomia
Rationale: Excess glucose leads to large fetal size.
13. A nurse is assessing lochia. Which is normal on day 3?
A. Lochia rubra
B. Lochia serosa
C. Lochia alba
D. No discharge
Answer: B. Lochia serosa
Rationale: Serosa occurs days 3–10 postpartum.
14. A nurse is caring for a newborn. Which intervention prevents heat loss?
2026 ATI RN Maternal Newborn Proctored Exam | 300 Questions with 100% Correct
Answers & Detailed Rationales
Ace your ATI Maternal Newborn Proctored Exam with this comprehensive 300-question study
bank, updated for the 2025 and 2026 testing cycles. Each question features bolded correct
answers and detailed clinical rationales covering high-yield topics like NGN-style
prioritization, fetal monitoring, postpartum complications, and newborn assessment. This
verified resource is meticulously formatted for quick scannability and is the perfect final review
tool to guarantee a Level 2 or Level 3 proficiency score.
1. A nurse is assessing a client in labor. Which finding indicates the transition
phase?
A. Cervical dilation 2 cm
B. Mild contractions
C. Cervical dilation 8 cm
D. Irregular contractions
Answer: C. Cervical dilation 8 cm
Rationale: The transition phase occurs between 8–10 cm dilation with strong contractions.
2. A nurse is caring for a postpartum client. Which finding indicates uterine
atony?
A. Firm fundus
B. Boggy uterus
C. Scant lochia
D. Bradycardia
Answer: B. Boggy uterus
Rationale: A boggy uterus indicates poor contraction and risk for hemorrhage.
3. A nurse is teaching about breastfeeding. Which indicates effective latch?
,2026 UPDATED QUESTIONS DOWNLOAD
A. Clicking sound
B. Painful nipples
C. Audible swallowing
D. Infant pulling away
Answer: C. Audible swallowing
Rationale: Audible swallowing shows milk transfer and proper latch.
4. A nurse is assessing a newborn. Which is a normal finding?
A. Respiratory rate 70/min
B. Heart rate 130/min
C. Cyanosis of trunk
D. Temperature 35°C
Answer: B. Heart rate 130/min
Rationale: Normal newborn HR is 110–160/min.
5. A nurse is caring for a client with placenta previa. Which finding is expected?
A. Painful bleeding
B. Painless bleeding
C. Rigid abdomen
D. Decreased fetal movement
Answer: B. Painless bleeding
Rationale: Placenta previa presents with painless vaginal bleeding.
6. A nurse is assessing for preeclampsia. Which finding supports the diagnosis?
A. Hypotension
B. Proteinuria
C. Bradycardia
D. Hypoglycemia
Answer: B. Proteinuria
Rationale: Protein in urine is a key diagnostic sign.
,2026 UPDATED QUESTIONS DOWNLOAD
7. A nurse is caring for a newborn. Which reflex is assessed by stroking the
cheek?
A. Moro
B. Babinski
C. Rooting
D. Sucking
Answer: C. Rooting
Rationale: Rooting reflex helps newborn find the nipple.
8. A nurse is caring for a client in labor. Which is the priority assessment?
A. Temperature
B. Fetal heart rate
C. Blood pressure
D. Pain level
Answer: B. Fetal heart rate
Rationale: Fetal well-being is the priority during labor.
9. A nurse is teaching about oxytocin. What is a side effect?
A. Hypertension
B. Tachysystole
C. Bradycardia
D. Hypothermia
Answer: B. Tachysystole
Rationale: Oxytocin can cause excessive uterine contractions.
10. A nurse is caring for a postpartum client. Which indicates infection?
A. Lochia alba
B. Temperature 38.5°C
C. Fundus firm
D. Pulse 60
, 2026 UPDATED QUESTIONS DOWNLOAD
Answer: B. Temperature 38.5°C
Rationale: Fever postpartum suggests infection.
11. A nurse is assessing a newborn. Which indicates hypoglycemia?
A. Jitteriness
B. Strong cry
C. Pink skin
D. Regular respirations
Answer: A. Jitteriness
Rationale: Jitteriness is a classic sign of low glucose.
12. A nurse is caring for a client with gestational diabetes. Which complication
affects the newborn?
A. Low birth weight
B. Macrosomia
C. Microcephaly
D. Hypotonia
Answer: B. Macrosomia
Rationale: Excess glucose leads to large fetal size.
13. A nurse is assessing lochia. Which is normal on day 3?
A. Lochia rubra
B. Lochia serosa
C. Lochia alba
D. No discharge
Answer: B. Lochia serosa
Rationale: Serosa occurs days 3–10 postpartum.
14. A nurse is caring for a newborn. Which intervention prevents heat loss?
