ATI Maternal-Newborn Proctored
Examination 2026–2027 | Complete 100-
Question Practice Exam with Detailed
Rationales, Labor & Delivery, Antepartum,
Postpartum, Newborn Care, Pharmacology,
NGN Clinical Judgment & NCLEX Readiness
Review
ATI Maternal-Newborn Proctored
Examination
Comprehensive Maternal-Newborn Nursing Practice
Examination
Features
✔ 100 ATI-Style Maternal-Newborn Questions
✔ Detailed Rationales
✔ Antepartum Nursing Care
✔ High-Risk Pregnancy Disorders
✔ Labor & Delivery Nursing
✔ Intrapartum Complications
✔ Postpartum Care
✔ Newborn Assessment & Care
✔ Neonatal Complications
✔ Medication Administration
✔ Delegation & Prioritization
✔ NGN Clinical Judgment Integration
, Questions 1–100
Antepartum Nursing Care
1. A nurse is caring for a client at 10 weeks of gestation. Which finding is considered an
expected physiological change during pregnancy?
A. Increased urinary frequency
B. Severe hypertension
C. Vaginal bleeding
D. Persistent fever
Correct Answer: A. Increased urinary frequency
Rationale: Increased urinary frequency commonly occurs during early pregnancy due to
hormonal changes and pressure on the bladder.
ATI Success Strategy: Differentiate expected pregnancy adaptations from signs of
complications.
Difficulty: Easy
2. A nurse is teaching a pregnant client about folic acid supplementation. Which birth
defect is folic acid most effective in preventing?
A. Neural tube defects
B. Cleft palate
C. Congenital cataracts
D. Clubfoot
Correct Answer: A. Neural tube defects
Rationale: Adequate folic acid intake before conception and during early pregnancy
reduces the risk of neural tube defects such as spina bifida.
ATI Success Strategy: Folic acid is one of the highest-yield prenatal nutrition topics.
Difficulty: Easy
,3. A nurse is caring for a client at 32 weeks of gestation who reports a severe headache,
blurred vision, and epigastric pain. Which complication should the nurse suspect?
A. Preeclampsia
B. Hyperemesis gravidarum
C. Placenta previa
D. Physiological pregnancy changes
Correct Answer: A. Preeclampsia
Rationale: Severe headache, visual disturbances, and epigastric pain are classic
manifestations of severe preeclampsia.
ATI Success Strategy: Recognize warning signs of hypertensive disorders of pregnancy.
Difficulty: Difficult
4. A nurse is caring for a pregnant client diagnosed with gestational diabetes. Which
finding indicates effective management?
A. Blood glucose levels remain within prescribed parameters
B. Persistent ketonuria
C. Excessive fetal growth continues uncontrolled
D. Frequent hyperglycemia
Correct Answer: A. Blood glucose levels remain within prescribed parameters
Rationale: Maintaining glucose levels within target ranges reduces maternal and fetal
complications.
ATI Success Strategy: Tight glucose control is essential during pregnancy.
Difficulty: Moderate
5. A nurse is assessing a pregnant client at 28 weeks of gestation. Which laboratory test
is commonly performed during this period?
A. Glucose screening test
B. Newborn metabolic screening
C. Apgar scoring
D. Heel-stick blood sampling
Correct Answer: A. Glucose screening test
Rationale: Gestational diabetes screening is commonly performed between 24 and 28
weeks of gestation.
, ATI Success Strategy: Memorize key prenatal testing timelines.
Difficulty: Moderate
High-Risk Pregnancy
6. A nurse is caring for a client diagnosed with placenta previa. Which finding should
the nurse expect?
A. Painless bright-red vaginal bleeding
B. Severe abdominal rigidity
C. Intense uterine pain
D. Dark bloody discharge with contractions
Correct Answer: A. Painless bright-red vaginal bleeding
Rationale: Placenta previa typically presents with painless vaginal bleeding during the
second or third trimester.
ATI Success Strategy: Differentiate placenta previa from placental abruption.
Difficulty: Moderate
7. A nurse is caring for a client with placental abruption. Which assessment finding
requires immediate intervention?
A. Painful vaginal bleeding and uterine rigidity
B. Mild urinary frequency
C. Fetal hiccups
D. Increased appetite
Correct Answer: A. Painful vaginal bleeding and uterine rigidity
Rationale: Placental abruption is a medical emergency associated with maternal
hemorrhage and fetal compromise.
ATI Success Strategy: Pain = Abruption; Painless = Previa.
Difficulty: Difficult
8. A nurse is caring for a client diagnosed with hyperemesis gravidarum. Which finding
is expected?
Examination 2026–2027 | Complete 100-
Question Practice Exam with Detailed
Rationales, Labor & Delivery, Antepartum,
Postpartum, Newborn Care, Pharmacology,
NGN Clinical Judgment & NCLEX Readiness
Review
ATI Maternal-Newborn Proctored
Examination
Comprehensive Maternal-Newborn Nursing Practice
Examination
Features
✔ 100 ATI-Style Maternal-Newborn Questions
✔ Detailed Rationales
✔ Antepartum Nursing Care
✔ High-Risk Pregnancy Disorders
✔ Labor & Delivery Nursing
✔ Intrapartum Complications
✔ Postpartum Care
✔ Newborn Assessment & Care
✔ Neonatal Complications
✔ Medication Administration
✔ Delegation & Prioritization
✔ NGN Clinical Judgment Integration
, Questions 1–100
Antepartum Nursing Care
1. A nurse is caring for a client at 10 weeks of gestation. Which finding is considered an
expected physiological change during pregnancy?
A. Increased urinary frequency
B. Severe hypertension
C. Vaginal bleeding
D. Persistent fever
Correct Answer: A. Increased urinary frequency
Rationale: Increased urinary frequency commonly occurs during early pregnancy due to
hormonal changes and pressure on the bladder.
ATI Success Strategy: Differentiate expected pregnancy adaptations from signs of
complications.
Difficulty: Easy
2. A nurse is teaching a pregnant client about folic acid supplementation. Which birth
defect is folic acid most effective in preventing?
A. Neural tube defects
B. Cleft palate
C. Congenital cataracts
D. Clubfoot
Correct Answer: A. Neural tube defects
Rationale: Adequate folic acid intake before conception and during early pregnancy
reduces the risk of neural tube defects such as spina bifida.
ATI Success Strategy: Folic acid is one of the highest-yield prenatal nutrition topics.
Difficulty: Easy
,3. A nurse is caring for a client at 32 weeks of gestation who reports a severe headache,
blurred vision, and epigastric pain. Which complication should the nurse suspect?
A. Preeclampsia
B. Hyperemesis gravidarum
C. Placenta previa
D. Physiological pregnancy changes
Correct Answer: A. Preeclampsia
Rationale: Severe headache, visual disturbances, and epigastric pain are classic
manifestations of severe preeclampsia.
ATI Success Strategy: Recognize warning signs of hypertensive disorders of pregnancy.
Difficulty: Difficult
4. A nurse is caring for a pregnant client diagnosed with gestational diabetes. Which
finding indicates effective management?
A. Blood glucose levels remain within prescribed parameters
B. Persistent ketonuria
C. Excessive fetal growth continues uncontrolled
D. Frequent hyperglycemia
Correct Answer: A. Blood glucose levels remain within prescribed parameters
Rationale: Maintaining glucose levels within target ranges reduces maternal and fetal
complications.
ATI Success Strategy: Tight glucose control is essential during pregnancy.
Difficulty: Moderate
5. A nurse is assessing a pregnant client at 28 weeks of gestation. Which laboratory test
is commonly performed during this period?
A. Glucose screening test
B. Newborn metabolic screening
C. Apgar scoring
D. Heel-stick blood sampling
Correct Answer: A. Glucose screening test
Rationale: Gestational diabetes screening is commonly performed between 24 and 28
weeks of gestation.
, ATI Success Strategy: Memorize key prenatal testing timelines.
Difficulty: Moderate
High-Risk Pregnancy
6. A nurse is caring for a client diagnosed with placenta previa. Which finding should
the nurse expect?
A. Painless bright-red vaginal bleeding
B. Severe abdominal rigidity
C. Intense uterine pain
D. Dark bloody discharge with contractions
Correct Answer: A. Painless bright-red vaginal bleeding
Rationale: Placenta previa typically presents with painless vaginal bleeding during the
second or third trimester.
ATI Success Strategy: Differentiate placenta previa from placental abruption.
Difficulty: Moderate
7. A nurse is caring for a client with placental abruption. Which assessment finding
requires immediate intervention?
A. Painful vaginal bleeding and uterine rigidity
B. Mild urinary frequency
C. Fetal hiccups
D. Increased appetite
Correct Answer: A. Painful vaginal bleeding and uterine rigidity
Rationale: Placental abruption is a medical emergency associated with maternal
hemorrhage and fetal compromise.
ATI Success Strategy: Pain = Abruption; Painless = Previa.
Difficulty: Difficult
8. A nurse is caring for a client diagnosed with hyperemesis gravidarum. Which finding
is expected?
