ATI RN Maternal Newborn Proctored Exam 2023-2027 (A & B) With
Retake NGN | 100% Correct Questions & Verified Answers
INTRODUCTION
Welcome to the ATI RN Maternal Newborn Proctored Exam 2023-2027 (A & B) +
Retake NGN complete practice question bank. This resource features carefully crafted
questions with 100% verified answers and detailed rationales to help you master the
maternal-newborn nursing content tested on the ATI proctored examination.
The questions are organized to reflect the latest ATI exam blueprint and include Next
Generation NCLEX (NGN) style items, covering all key areas:
Antepartum Nursing Care - Prenatal assessment, fetal development, maternal
nutrition, and pregnancy complications
Intrapartum Nursing Care - Labor stages, fetal monitoring, pain management, and
delivery complications
Postpartum Nursing Care - Maternal assessment, breastfeeding, wound care, and
postpartum complications
Newborn Nursing Care - Immediate newborn assessment, transitional period,
newborn reflexes, and neonatal complications
High-Risk Pregnancy - Preeclampsia, gestational diabetes, preterm labor, placenta
previa, and hemorrhage
Each question includes a detailed explanation of the correct answer, reinforcing the
underlying nursing concepts and clinical reasoning. Use this study guide to assess your
knowledge, identify areas for improvement, and build confidence for your ATI proctored
exam and NCLEX-RN success.
,Question 1
A nurse is caring for a client who is at 38 weeks of gestation and reports
decreased fetal movement. Which of the following actions should the nurse take
first?
A) Administer oxygen at 10 L/min via face mask
B) Auscultate the fetal heart rate
C) Prepare the client for a non-stress test
D) Notify the provider
Correct Answer: B) Auscultate the fetal heart rate
Explanation: The first action is to assess fetal heart rate to evaluate fetal well-
being. Decreased fetal movement may indicate fetal distress, and auscultation
provides immediate information about fetal status.
Question 2
A nurse is assessing a newborn who is 12 hours old. Which of the following findings
should the nurse report to the provider?
A) Heart rate of 140/min
B) Respiratory rate of 60/min
C) Axillary temperature of 37.2°C (99°F)
D) Blood glucose of 35 mg/dL
Correct Answer: D) Blood glucose of 35 mg/dL
Explanation: A blood glucose of 35 mg/dL is below the normal range for a newborn
(40-60 mg/dL). Hypoglycemia in newborns requires prompt intervention to
prevent neurological complications.
,Question 3
A nurse is providing education to a client who is at 10 weeks of gestation about
nutrition during pregnancy. Which of the following statements indicates
understanding?
A) "I should increase my daily calorie intake by 600 calories during the first
trimester"
B) "I need to take 400 mcg of folic acid daily during my pregnancy"
C) "I should avoid all fish during pregnancy"
D) "I need to increase my calcium intake to 1,500 mg daily"
Correct Answer: B) "I need to take 400 mcg of folic acid daily during my
pregnancy"
Explanation: Folic acid supplementation of 400-800 mcg daily is recommended
before and during early pregnancy to prevent neural tube defects. The
recommended folic acid intake is 600 mcg daily during pregnancy.
Question 4
A nurse is caring for a client who is in active labor and has epidural anesthesia.
Which of the following findings should the nurse monitor closely?
A) Maternal temperature
B) Fetal heart rate
C) Maternal blood pressure
D) Urinary output
Correct Answer: C) Maternal blood pressure
, Explanation: Epidural anesthesia can cause maternal hypotension due to
sympathetic blockade. Blood pressure should be monitored frequently (every 5-15
minutes) during the first 15-30 minutes after administration.
Question 5
A nurse is assessing a newborn who is 24 hours old and has jaundice. Which of the
following findings should indicate to the nurse that the newborn may have
pathologic jaundice?
A) Jaundice appearing at 48 hours of age
B) Total bilirubin level of 12 mg/dL at 24 hours of age
C) Jaundice that resolves with phototherapy
D) Jaundice appearing on the face and chest
Correct Answer: B) Total bilirubin level of 12 mg/dL at 24 hours of age
Explanation: Pathologic jaundice appears within the first 24 hours of life, with
bilirubin levels exceeding 5 mg/dL per day. A total bilirubin of 12 mg/dL at 24
hours is concerning and requires further evaluation.
Question 6
A nurse is caring for a client who is at 32 weeks of gestation and has
preeclampsia with severe features. Which of the following medications should the
nurse anticipate administering?
A) Magnesium sulfate
B) Nifedipine
C) Labetalol
D) Oxytocin
Retake NGN | 100% Correct Questions & Verified Answers
INTRODUCTION
Welcome to the ATI RN Maternal Newborn Proctored Exam 2023-2027 (A & B) +
Retake NGN complete practice question bank. This resource features carefully crafted
questions with 100% verified answers and detailed rationales to help you master the
maternal-newborn nursing content tested on the ATI proctored examination.
The questions are organized to reflect the latest ATI exam blueprint and include Next
Generation NCLEX (NGN) style items, covering all key areas:
Antepartum Nursing Care - Prenatal assessment, fetal development, maternal
nutrition, and pregnancy complications
Intrapartum Nursing Care - Labor stages, fetal monitoring, pain management, and
delivery complications
Postpartum Nursing Care - Maternal assessment, breastfeeding, wound care, and
postpartum complications
Newborn Nursing Care - Immediate newborn assessment, transitional period,
newborn reflexes, and neonatal complications
High-Risk Pregnancy - Preeclampsia, gestational diabetes, preterm labor, placenta
previa, and hemorrhage
Each question includes a detailed explanation of the correct answer, reinforcing the
underlying nursing concepts and clinical reasoning. Use this study guide to assess your
knowledge, identify areas for improvement, and build confidence for your ATI proctored
exam and NCLEX-RN success.
,Question 1
A nurse is caring for a client who is at 38 weeks of gestation and reports
decreased fetal movement. Which of the following actions should the nurse take
first?
A) Administer oxygen at 10 L/min via face mask
B) Auscultate the fetal heart rate
C) Prepare the client for a non-stress test
D) Notify the provider
Correct Answer: B) Auscultate the fetal heart rate
Explanation: The first action is to assess fetal heart rate to evaluate fetal well-
being. Decreased fetal movement may indicate fetal distress, and auscultation
provides immediate information about fetal status.
Question 2
A nurse is assessing a newborn who is 12 hours old. Which of the following findings
should the nurse report to the provider?
A) Heart rate of 140/min
B) Respiratory rate of 60/min
C) Axillary temperature of 37.2°C (99°F)
D) Blood glucose of 35 mg/dL
Correct Answer: D) Blood glucose of 35 mg/dL
Explanation: A blood glucose of 35 mg/dL is below the normal range for a newborn
(40-60 mg/dL). Hypoglycemia in newborns requires prompt intervention to
prevent neurological complications.
,Question 3
A nurse is providing education to a client who is at 10 weeks of gestation about
nutrition during pregnancy. Which of the following statements indicates
understanding?
A) "I should increase my daily calorie intake by 600 calories during the first
trimester"
B) "I need to take 400 mcg of folic acid daily during my pregnancy"
C) "I should avoid all fish during pregnancy"
D) "I need to increase my calcium intake to 1,500 mg daily"
Correct Answer: B) "I need to take 400 mcg of folic acid daily during my
pregnancy"
Explanation: Folic acid supplementation of 400-800 mcg daily is recommended
before and during early pregnancy to prevent neural tube defects. The
recommended folic acid intake is 600 mcg daily during pregnancy.
Question 4
A nurse is caring for a client who is in active labor and has epidural anesthesia.
Which of the following findings should the nurse monitor closely?
A) Maternal temperature
B) Fetal heart rate
C) Maternal blood pressure
D) Urinary output
Correct Answer: C) Maternal blood pressure
, Explanation: Epidural anesthesia can cause maternal hypotension due to
sympathetic blockade. Blood pressure should be monitored frequently (every 5-15
minutes) during the first 15-30 minutes after administration.
Question 5
A nurse is assessing a newborn who is 24 hours old and has jaundice. Which of the
following findings should indicate to the nurse that the newborn may have
pathologic jaundice?
A) Jaundice appearing at 48 hours of age
B) Total bilirubin level of 12 mg/dL at 24 hours of age
C) Jaundice that resolves with phototherapy
D) Jaundice appearing on the face and chest
Correct Answer: B) Total bilirubin level of 12 mg/dL at 24 hours of age
Explanation: Pathologic jaundice appears within the first 24 hours of life, with
bilirubin levels exceeding 5 mg/dL per day. A total bilirubin of 12 mg/dL at 24
hours is concerning and requires further evaluation.
Question 6
A nurse is caring for a client who is at 32 weeks of gestation and has
preeclampsia with severe features. Which of the following medications should the
nurse anticipate administering?
A) Magnesium sulfate
B) Nifedipine
C) Labetalol
D) Oxytocin
