1
ATI RN Maternal Newborn Proctored Exam 2026 Actual
and Retake | Full 70 Questions with Verified Answers
and Rationales | 100% Guaranteed Pass for RN Students
This comprehensive guide contains 70 actual exam-style questions with verified
answers and detailed rationales. Based on the latest 2025/2026 ATI test blueprint
and NGN format, these questions cover the full scope of maternal-newborn
nursing, including antepartum, intrapartum, postpartum, and newborn care .
Part 1: Postpartum Care & Complications (Questions 1–15)
Question 1
A nurse is caring for a client who delivered 12 hours ago and reports feeling
lightheaded when standing. Vital signs show BP 88/54 mmHg, HR 120/min, and
RR 22/min. The uterus is firm and midline, but the perineal pad is saturated with
bright red blood. Which action should the nurse take first?
A) Notify the provider and initiate IV fluids
B) Massage the uterus vigorously
C) Reassure the client this is normal
D) Discontinue IV fluids
✔✔ Correct Answer✔✔A) Notify the provider and initiate IV fluids
Rationale: The client is showing signs of hemorrhage and hypovolemic shock
despite a firm uterus. This suggests concealed bleeding (e.g., laceration, retained
tissue). Immediate fluid resuscitation and provider notification are essential to
prevent maternal collapse. Massaging the uterus is indicated only for uterine
atony, which is not present here .
,2
Question 2
A postpartum client reports heavy vaginal bleeding 4 days after delivery. Which
action should the nurse take first?
A) Administer oxytocin
B) Assess fundal firmness
C) Encourage ambulation
D) Prepare for transfusion
✔✔ Correct Answer✔✔B) Assess fundal firmness
Rationale: Late postpartum hemorrhage (4 days to 2 weeks) is often caused by
subinvolution, retained placental fragments, or infection. The priority is to assess
the fundus for tone and height to identify uterine atony as the cause .
Question 3
A nurse is caring for a client who is 2 hours postpartum after a vaginal delivery.
The client’s fundus is firm, midline, and at the level of the umbilicus. Lochia rubra
is moderate. The client reports dizziness and appears pale. Vital signs: BP 86/54,
HR 124, RR 20. What should the nurse do first?
A) Check the perineum and under the client for hidden bleeding
B) Increase the IV fluids
C) Notify the provider
D) Administer oxygen via face mask at 10 L/min
✔✔ Correct Answer✔✔A) Check the perineum and under the client for
hidden bleeding
Rationale: Despite a firm uterus, the client shows signs of hypovolemic shock,
suggesting concealed bleeding such as hematoma formation. The nurse must first
inspect the perineum and under the client to locate hidden bleeding .
Question 4
,3
A postpartum client reports persistent sadness, inability to care for herself or her
baby, and lack of bonding. These symptoms are most consistent with which
condition?
A) Postpartum blues
B) Postpartum depression
C) Postpartum psychosis
D) Adjustment disorder
✔✔ Correct Answer✔✔B) Postpartum depression
Rationale: Persistent sadness, functional impairment, and lack of bonding
distinguish postpartum depression from the mild, transient mood swings of
postpartum blues. PPD requires prompt evaluation and support .
Question 5
A nurse is assessing a client who is 2 days postpartum. The client reports a
headache, blurred vision, and right upper quadrant pain. Blood pressure is
160/100 mmHg. Which complication should the nurse suspect?
A) Postpartum hemorrhage
B) Preeclampsia
C) Endometritis
D) Pulmonary embolism
✔✔ Correct Answer✔✔B) Preeclampsia
Rationale: Postpartum preeclampsia can occur up to 6 weeks after delivery.
Symptoms include hypertension, headache, visual disturbances, and
epigastric/RUQ pain indicating liver involvement .
Question 6
A nurse is caring for a client who is 1 day postpartum and has a temperature of
100.8°F (38.2°C), foul-smelling lochia, and uterine tenderness. Which condition
should the nurse suspect?
, 4
A) Urinary tract infection
B) Mastitis
C) Endometritis
D) Wound infection
✔✔ Correct Answer✔✔C) Endometritis
Rationale: Endometritis is an infection of the uterine lining, often occurring after
prolonged labor, cesarean birth, or retained placental fragments. Classic signs
include fever, foul lochia, and uterine tenderness .
Question 7
A nurse is preparing to administer Rh(D) immune globulin to a postpartum client.
Which client would require this medication?
A) Rh-positive mother, Rh-negative baby
B) Rh-negative mother, Rh-positive baby
C) Rh-negative mother, Rh-negative baby
D) Rh-positive mother, Rh-positive baby
✔✔ Correct Answer✔✔B) Rh-negative mother, Rh-positive baby
Rationale: Rh(D) immune globulin is administered to Rh-negative mothers who
have delivered an Rh-positive infant to prevent maternal antibody formation that
could affect future pregnancies .
Question 8
A nurse is assessing a client who is 6 hours postpartum. The nurse notes that the
fundus is displaced to the right and boggy. What is the priority nursing action?
A) Administer oxytocin
B) Assist the client to void
C) Notify the provider
D) Massage the fundus
✔✔ Correct Answer✔✔B) Assist the client to void
ATI RN Maternal Newborn Proctored Exam 2026 Actual
and Retake | Full 70 Questions with Verified Answers
and Rationales | 100% Guaranteed Pass for RN Students
This comprehensive guide contains 70 actual exam-style questions with verified
answers and detailed rationales. Based on the latest 2025/2026 ATI test blueprint
and NGN format, these questions cover the full scope of maternal-newborn
nursing, including antepartum, intrapartum, postpartum, and newborn care .
Part 1: Postpartum Care & Complications (Questions 1–15)
Question 1
A nurse is caring for a client who delivered 12 hours ago and reports feeling
lightheaded when standing. Vital signs show BP 88/54 mmHg, HR 120/min, and
RR 22/min. The uterus is firm and midline, but the perineal pad is saturated with
bright red blood. Which action should the nurse take first?
A) Notify the provider and initiate IV fluids
B) Massage the uterus vigorously
C) Reassure the client this is normal
D) Discontinue IV fluids
✔✔ Correct Answer✔✔A) Notify the provider and initiate IV fluids
Rationale: The client is showing signs of hemorrhage and hypovolemic shock
despite a firm uterus. This suggests concealed bleeding (e.g., laceration, retained
tissue). Immediate fluid resuscitation and provider notification are essential to
prevent maternal collapse. Massaging the uterus is indicated only for uterine
atony, which is not present here .
,2
Question 2
A postpartum client reports heavy vaginal bleeding 4 days after delivery. Which
action should the nurse take first?
A) Administer oxytocin
B) Assess fundal firmness
C) Encourage ambulation
D) Prepare for transfusion
✔✔ Correct Answer✔✔B) Assess fundal firmness
Rationale: Late postpartum hemorrhage (4 days to 2 weeks) is often caused by
subinvolution, retained placental fragments, or infection. The priority is to assess
the fundus for tone and height to identify uterine atony as the cause .
Question 3
A nurse is caring for a client who is 2 hours postpartum after a vaginal delivery.
The client’s fundus is firm, midline, and at the level of the umbilicus. Lochia rubra
is moderate. The client reports dizziness and appears pale. Vital signs: BP 86/54,
HR 124, RR 20. What should the nurse do first?
A) Check the perineum and under the client for hidden bleeding
B) Increase the IV fluids
C) Notify the provider
D) Administer oxygen via face mask at 10 L/min
✔✔ Correct Answer✔✔A) Check the perineum and under the client for
hidden bleeding
Rationale: Despite a firm uterus, the client shows signs of hypovolemic shock,
suggesting concealed bleeding such as hematoma formation. The nurse must first
inspect the perineum and under the client to locate hidden bleeding .
Question 4
,3
A postpartum client reports persistent sadness, inability to care for herself or her
baby, and lack of bonding. These symptoms are most consistent with which
condition?
A) Postpartum blues
B) Postpartum depression
C) Postpartum psychosis
D) Adjustment disorder
✔✔ Correct Answer✔✔B) Postpartum depression
Rationale: Persistent sadness, functional impairment, and lack of bonding
distinguish postpartum depression from the mild, transient mood swings of
postpartum blues. PPD requires prompt evaluation and support .
Question 5
A nurse is assessing a client who is 2 days postpartum. The client reports a
headache, blurred vision, and right upper quadrant pain. Blood pressure is
160/100 mmHg. Which complication should the nurse suspect?
A) Postpartum hemorrhage
B) Preeclampsia
C) Endometritis
D) Pulmonary embolism
✔✔ Correct Answer✔✔B) Preeclampsia
Rationale: Postpartum preeclampsia can occur up to 6 weeks after delivery.
Symptoms include hypertension, headache, visual disturbances, and
epigastric/RUQ pain indicating liver involvement .
Question 6
A nurse is caring for a client who is 1 day postpartum and has a temperature of
100.8°F (38.2°C), foul-smelling lochia, and uterine tenderness. Which condition
should the nurse suspect?
, 4
A) Urinary tract infection
B) Mastitis
C) Endometritis
D) Wound infection
✔✔ Correct Answer✔✔C) Endometritis
Rationale: Endometritis is an infection of the uterine lining, often occurring after
prolonged labor, cesarean birth, or retained placental fragments. Classic signs
include fever, foul lochia, and uterine tenderness .
Question 7
A nurse is preparing to administer Rh(D) immune globulin to a postpartum client.
Which client would require this medication?
A) Rh-positive mother, Rh-negative baby
B) Rh-negative mother, Rh-positive baby
C) Rh-negative mother, Rh-negative baby
D) Rh-positive mother, Rh-positive baby
✔✔ Correct Answer✔✔B) Rh-negative mother, Rh-positive baby
Rationale: Rh(D) immune globulin is administered to Rh-negative mothers who
have delivered an Rh-positive infant to prevent maternal antibody formation that
could affect future pregnancies .
Question 8
A nurse is assessing a client who is 6 hours postpartum. The nurse notes that the
fundus is displaced to the right and boggy. What is the priority nursing action?
A) Administer oxytocin
B) Assist the client to void
C) Notify the provider
D) Massage the fundus
✔✔ Correct Answer✔✔B) Assist the client to void
