ATI RN Maternal Newborn Exam with NGN 70 Questions
ATI RN Maternal Newborn Exam 2026
with Next Generation NCLEX (NGN) Format
70 Questions and Correct Answers, and Detailed
Rationales
Question 1
A nurse is caring for a client at 28 weeks of gestation who is undergoing a nonstress
test (NST). The fetal heart rate (FHR) baseline is 140 bpm. Within a 20-minute
window, the nurse notes two accelerations of 15 bpm above baseline, each lasting 15
seconds.
Which of the following interpretations of this NST result is most appropriate?
A. Reactive NST
B. Nonreactive NST
C. Suspicious NST
D. Unsatisfactory NST
Correct Answer: A
Rationale: A reactive NST requires at least two accelerations of 15 bpm or more above baseline, each lasting 15 seconds
or more, within a 20-minute window. This client's results meet those criteria exactly. A reactive NST is a reassuring
finding that suggests fetal well-being. A nonreactive NST would show fewer than two qualifying accelerations in the
designated time period. A suspicious NST has accelerations that do not meet full criteria, and an unsatisfactory NST
cannot be interpreted due to insufficient data quality.
Question 2 [SATA - Select All That Apply]
A nurse is assessing a newborn who is 2 hours old. The newborn was delivered
vaginally at 39 weeks of gestation to a client who tested positive for group B
streptococcus (GBS) and received intrapartum antibiotics. The newborn's
temperature is 36.2 degrees C (97.2 degrees F), heart rate is 168 bpm, respiratory
rate is 72 breaths/min, and blood glucose is 38 mg/dL.
,ATI RN Maternal Newborn Exam with NGN 70 Questions
Which of the following findings should the nurse identify as requiring immediate
intervention? (Select all that apply.)
A. Temperature 36.2 degrees C (97.2 degrees F)
B. Heart rate 168 bpm
C. Respiratory rate 72 breaths/min
D. Blood glucose 38 mg/dL
Correct Answers: A, D
Rationale: A newborn temperature below 36.5 degrees C (97.7 degrees F) indicates hypothermia and requires immediate
warming interventions to prevent cold stress, increased oxygen consumption, and potential hypoglycemia. A blood
,ATI RN Maternal Newborn Exam with NGN 70 Questions
glucose of 38 mg/dL is below the normal range of 40 to 45 mg/dL for a term newborn and indicates hypoglycemia, which
requires immediate intervention such as breastfeeding or formula feeding. A heart rate of 168 bpm is within the normal
range for a newborn (120 to 160 bpm) and may be slightly elevated due to the stress of hypothermia. A respiratory rate of
72 breaths/min is within the normal range for a newborn (30 to 60 breaths/min) but is at the upper end; however, it is not
the priority over hypothermia and hypoglycemia.
Question 3
A nurse is providing discharge teaching to a postpartum client who is breastfeeding.
The client asks, 'How will I know if my baby is getting enough breast milk?'
Which of the following responses by the nurse is most appropriate?
A. Your baby should consume at least 2 oz of expressed milk at each feeding.
B. Your baby should have at least six wet diapers and three to four stools per day by
day 4 of life.
C. Your baby should sleep through the night without waking to feed by 2 weeks of
age.
D. Your baby should gain a minimum of 8 ounces per week during the first month.
Correct Answer: B
Rationale: An indicator of adequate breast milk intake is at least six wet diapers and three to four stools per day by the
fourth day of life. This reflects adequate hydration and nutrition. Option A is incorrect because breastfed infants' intake
is difficult to measure directly; feeding duration and infant cues are more reliable indicators. Option C is incorrect
because newborns should not be expected to sleep through the night without feeding; they typically feed every 2 to 3
hours. Option D is incorrect because the expected weight gain for a breastfed newborn is approximately 15 to 30 grams
per day (about 4 to 7 ounces per week), not a minimum of 8 ounces.
Question 4
A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at
16 weeks of gestation. The client's hemoglobin is 10.2 g/dL and hematocrit is 31%.
The client states, 'I have been taking my prenatal iron supplement every day.'
Which of the following actions should the nurse take first?
A. Instructthe client to take the iron supplement with milk to reduce
gastrointestinal upset.
B. Advise the client to increase her dietary intake of iron-rich foods such as red
meat and spinach.
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, ATI RN Maternal Newborn Exam with NGN 70 Questions
C. Document the findings as expected physiological anemia of pregnancy.
D. Notify the provider of the laboratory results for further evaluation.
Correct Answer: D
Rationale: Although physiological anemia of pregnancy is common due to hemodilution, a hemoglobin of 10.2 g/dL at
16 weeks is below the expected range and warrants further evaluation by the provider. During pregnancy, hemodilution
normally causes hemoglobin to drop by about 1 to 1.5 g/dL, but values below 10.5 g/dL in the first and third trimesters, or
below 11.0 g/dL in the second trimester, may indicate true iron deficiency anemia requiring treatment. Option A is
incorrect because taking iron with milk decreases absorption due to calcium competition. Option B is appropriate as
dietary counseling but is not the first action. Option C is premature; the findings need provider evaluation before being
attributed solely to hemodilution.
Page 3
ATI RN Maternal Newborn Exam 2026
with Next Generation NCLEX (NGN) Format
70 Questions and Correct Answers, and Detailed
Rationales
Question 1
A nurse is caring for a client at 28 weeks of gestation who is undergoing a nonstress
test (NST). The fetal heart rate (FHR) baseline is 140 bpm. Within a 20-minute
window, the nurse notes two accelerations of 15 bpm above baseline, each lasting 15
seconds.
Which of the following interpretations of this NST result is most appropriate?
A. Reactive NST
B. Nonreactive NST
C. Suspicious NST
D. Unsatisfactory NST
Correct Answer: A
Rationale: A reactive NST requires at least two accelerations of 15 bpm or more above baseline, each lasting 15 seconds
or more, within a 20-minute window. This client's results meet those criteria exactly. A reactive NST is a reassuring
finding that suggests fetal well-being. A nonreactive NST would show fewer than two qualifying accelerations in the
designated time period. A suspicious NST has accelerations that do not meet full criteria, and an unsatisfactory NST
cannot be interpreted due to insufficient data quality.
Question 2 [SATA - Select All That Apply]
A nurse is assessing a newborn who is 2 hours old. The newborn was delivered
vaginally at 39 weeks of gestation to a client who tested positive for group B
streptococcus (GBS) and received intrapartum antibiotics. The newborn's
temperature is 36.2 degrees C (97.2 degrees F), heart rate is 168 bpm, respiratory
rate is 72 breaths/min, and blood glucose is 38 mg/dL.
,ATI RN Maternal Newborn Exam with NGN 70 Questions
Which of the following findings should the nurse identify as requiring immediate
intervention? (Select all that apply.)
A. Temperature 36.2 degrees C (97.2 degrees F)
B. Heart rate 168 bpm
C. Respiratory rate 72 breaths/min
D. Blood glucose 38 mg/dL
Correct Answers: A, D
Rationale: A newborn temperature below 36.5 degrees C (97.7 degrees F) indicates hypothermia and requires immediate
warming interventions to prevent cold stress, increased oxygen consumption, and potential hypoglycemia. A blood
,ATI RN Maternal Newborn Exam with NGN 70 Questions
glucose of 38 mg/dL is below the normal range of 40 to 45 mg/dL for a term newborn and indicates hypoglycemia, which
requires immediate intervention such as breastfeeding or formula feeding. A heart rate of 168 bpm is within the normal
range for a newborn (120 to 160 bpm) and may be slightly elevated due to the stress of hypothermia. A respiratory rate of
72 breaths/min is within the normal range for a newborn (30 to 60 breaths/min) but is at the upper end; however, it is not
the priority over hypothermia and hypoglycemia.
Question 3
A nurse is providing discharge teaching to a postpartum client who is breastfeeding.
The client asks, 'How will I know if my baby is getting enough breast milk?'
Which of the following responses by the nurse is most appropriate?
A. Your baby should consume at least 2 oz of expressed milk at each feeding.
B. Your baby should have at least six wet diapers and three to four stools per day by
day 4 of life.
C. Your baby should sleep through the night without waking to feed by 2 weeks of
age.
D. Your baby should gain a minimum of 8 ounces per week during the first month.
Correct Answer: B
Rationale: An indicator of adequate breast milk intake is at least six wet diapers and three to four stools per day by the
fourth day of life. This reflects adequate hydration and nutrition. Option A is incorrect because breastfed infants' intake
is difficult to measure directly; feeding duration and infant cues are more reliable indicators. Option C is incorrect
because newborns should not be expected to sleep through the night without feeding; they typically feed every 2 to 3
hours. Option D is incorrect because the expected weight gain for a breastfed newborn is approximately 15 to 30 grams
per day (about 4 to 7 ounces per week), not a minimum of 8 ounces.
Question 4
A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at
16 weeks of gestation. The client's hemoglobin is 10.2 g/dL and hematocrit is 31%.
The client states, 'I have been taking my prenatal iron supplement every day.'
Which of the following actions should the nurse take first?
A. Instructthe client to take the iron supplement with milk to reduce
gastrointestinal upset.
B. Advise the client to increase her dietary intake of iron-rich foods such as red
meat and spinach.
Page 2
, ATI RN Maternal Newborn Exam with NGN 70 Questions
C. Document the findings as expected physiological anemia of pregnancy.
D. Notify the provider of the laboratory results for further evaluation.
Correct Answer: D
Rationale: Although physiological anemia of pregnancy is common due to hemodilution, a hemoglobin of 10.2 g/dL at
16 weeks is below the expected range and warrants further evaluation by the provider. During pregnancy, hemodilution
normally causes hemoglobin to drop by about 1 to 1.5 g/dL, but values below 10.5 g/dL in the first and third trimesters, or
below 11.0 g/dL in the second trimester, may indicate true iron deficiency anemia requiring treatment. Option A is
incorrect because taking iron with milk decreases absorption due to calcium competition. Option B is appropriate as
dietary counseling but is not the first action. Option C is premature; the findings need provider evaluation before being
attributed solely to hemodilution.
Page 3
