ATI PN MATERNAL NEWBORN 2023/2026
| 200 NGN-STYLE QUESTIONS &
ANSWERS WITH COMPREHENSIVE
RATIONALES | SELECT-ALL-THAT-APPLY &
CLINICAL JUDGMENT SCENARIOS |
LATEST 2026 UPDATE | ASSURED PASS
Core Domains
1. Antepartum Nursing Care (Prenatal Assessment, Fetal Development,
Maternal Adaptations, High-Risk Pregnancies)
2. Intrapartum Nursing Care (Stages of Labor, Fetal Monitoring, Pain
Management, Complications)
3. Postpartum Nursing Care (Maternal Adaptations, Breastfeeding,
Complications, Discharge Teaching)
4. Newborn Nursing Care (Immediate Assessment, Newborn Reflexes,
Nutrition, Complications)
5. NGN Clinical Judgment (Recognizing Cues, Generating Solutions,
Taking Action, Evaluating Outcomes)
6. Select-All-That-Apply (SATA) Prioritization and Clinical Reasoning
7. Pharmacology and Medication Administration in Maternal-Newborn
Nursing
8. Ethical and Legal Issues in Maternal-Newborn Care
Introduction
,This comprehensive practice examination is designed to simulate the ATI
PN Maternal Newborn Proctored Exam with Next Generation NCLEX
(NGN) style questions for the 2023–2026 testing period. The assessment
covers all core maternal-newborn nursing domains including
antepartum, intrapartum, postpartum, and newborn care. You will
encounter a variety of NGN item types including multiple-choice, Select-
All-That-Apply (SATA), matrix/grid questions, bow-tie, and case study
scenarios. Each question includes a detailed rationale to reinforce your
understanding of key concepts. The structure is designed to challenge
your critical thinking and clinical decision-making skills in preparation for
the ATI PN Maternal Newborn Proctored Exam. According to ATI data,
students who demonstrate proficiency in maternal-newborn nursing
concepts have a significantly higher probability of success on the
NCLEX-PN.
SECTION 1: ANTEPARTUM NURSING CARE (Questions 1-50)
1. A nurse is providing education to a client who is 8 weeks pregnant.
The client asks about expected weight gain during pregnancy. Which
of the following responses should the nurse provide?
A. "You should gain about 15-20 pounds during your pregnancy."
B. "You should gain about 25-35 pounds during your pregnancy."
C. "You should gain about 40-50 pounds during your pregnancy."
D. "Weight gain is not important as long as the baby is healthy."
B. "You should gain about 25-35 pounds during your pregnancy."
, RATIONALE: The recommended weight gain for a woman with a
normal BMI before pregnancy is 25-35 pounds (11.5-16 kg). This range
supports adequate fetal growth while minimizing maternal
complications.
2. A nurse is assessing a client at 12 weeks gestation. Which of the
following findings should the nurse expect? (Select all that apply)
A. Fundal height palpable at the symphysis pubis
B. Fetal heart tones audible via Doppler
C. Quickening reported by the client
D. Chadwick's sign (bluish discoloration of the cervix)
E. Goodell's sign (softening of the cervix)
A, B, D, E
RATIONALE: At 12 weeks gestation, the fundus is palpable at the
symphysis pubis (A). Fetal heart tones are audible via Doppler (B).
Chadwick's sign (D) and Goodell's sign (E) are early pregnancy signs.
Quickening (C) typically occurs at 16-20 weeks, not 12 weeks.
3. A nurse is providing education to a client who is pregnant about
foods to avoid during pregnancy. Which of the following foods should
the nurse instruct the client to avoid? (Select all that apply)
A. Deli meats
B. Soft cheeses (e.g., feta, brie)
C. Raw seafood
, D. Pasteurized milk
E. Undercooked eggs
A, B, C, E
RATIONALE: Deli meats (A) may contain Listeria. Soft cheeses (B)
may contain Listeria. Raw seafood (C) may contain parasites and
bacteria. Undercooked eggs (E) may contain Salmonella. Pasteurized
milk (D) is safe and recommended.
4. A nurse is assessing a client at 20 weeks gestation. Which of the
following findings should the nurse report to the provider?
A. Fundal height at the umbilicus
B. Weight gain of 2 pounds in the past month
C. Blood pressure of 150/95 mm Hg
D. Fetal heart rate of 140/min
C. Blood pressure of 150/95 mm Hg
RATIONALE: A blood pressure of 150/95 mm Hg is elevated and may
indicate preeclampsia, which requires prompt evaluation and
intervention. Fundal height at the umbilicus (A) is expected at 20 weeks.
Weight gain of 2 pounds in a month (B) is within expected range. Fetal
heart rate of 140/min (D) is normal.
5. A nurse is providing teaching to a client about the signs of preterm
labor. Which of the following statements by the client indicates an
understanding of the teaching? (Select all that apply)
| 200 NGN-STYLE QUESTIONS &
ANSWERS WITH COMPREHENSIVE
RATIONALES | SELECT-ALL-THAT-APPLY &
CLINICAL JUDGMENT SCENARIOS |
LATEST 2026 UPDATE | ASSURED PASS
Core Domains
1. Antepartum Nursing Care (Prenatal Assessment, Fetal Development,
Maternal Adaptations, High-Risk Pregnancies)
2. Intrapartum Nursing Care (Stages of Labor, Fetal Monitoring, Pain
Management, Complications)
3. Postpartum Nursing Care (Maternal Adaptations, Breastfeeding,
Complications, Discharge Teaching)
4. Newborn Nursing Care (Immediate Assessment, Newborn Reflexes,
Nutrition, Complications)
5. NGN Clinical Judgment (Recognizing Cues, Generating Solutions,
Taking Action, Evaluating Outcomes)
6. Select-All-That-Apply (SATA) Prioritization and Clinical Reasoning
7. Pharmacology and Medication Administration in Maternal-Newborn
Nursing
8. Ethical and Legal Issues in Maternal-Newborn Care
Introduction
,This comprehensive practice examination is designed to simulate the ATI
PN Maternal Newborn Proctored Exam with Next Generation NCLEX
(NGN) style questions for the 2023–2026 testing period. The assessment
covers all core maternal-newborn nursing domains including
antepartum, intrapartum, postpartum, and newborn care. You will
encounter a variety of NGN item types including multiple-choice, Select-
All-That-Apply (SATA), matrix/grid questions, bow-tie, and case study
scenarios. Each question includes a detailed rationale to reinforce your
understanding of key concepts. The structure is designed to challenge
your critical thinking and clinical decision-making skills in preparation for
the ATI PN Maternal Newborn Proctored Exam. According to ATI data,
students who demonstrate proficiency in maternal-newborn nursing
concepts have a significantly higher probability of success on the
NCLEX-PN.
SECTION 1: ANTEPARTUM NURSING CARE (Questions 1-50)
1. A nurse is providing education to a client who is 8 weeks pregnant.
The client asks about expected weight gain during pregnancy. Which
of the following responses should the nurse provide?
A. "You should gain about 15-20 pounds during your pregnancy."
B. "You should gain about 25-35 pounds during your pregnancy."
C. "You should gain about 40-50 pounds during your pregnancy."
D. "Weight gain is not important as long as the baby is healthy."
B. "You should gain about 25-35 pounds during your pregnancy."
, RATIONALE: The recommended weight gain for a woman with a
normal BMI before pregnancy is 25-35 pounds (11.5-16 kg). This range
supports adequate fetal growth while minimizing maternal
complications.
2. A nurse is assessing a client at 12 weeks gestation. Which of the
following findings should the nurse expect? (Select all that apply)
A. Fundal height palpable at the symphysis pubis
B. Fetal heart tones audible via Doppler
C. Quickening reported by the client
D. Chadwick's sign (bluish discoloration of the cervix)
E. Goodell's sign (softening of the cervix)
A, B, D, E
RATIONALE: At 12 weeks gestation, the fundus is palpable at the
symphysis pubis (A). Fetal heart tones are audible via Doppler (B).
Chadwick's sign (D) and Goodell's sign (E) are early pregnancy signs.
Quickening (C) typically occurs at 16-20 weeks, not 12 weeks.
3. A nurse is providing education to a client who is pregnant about
foods to avoid during pregnancy. Which of the following foods should
the nurse instruct the client to avoid? (Select all that apply)
A. Deli meats
B. Soft cheeses (e.g., feta, brie)
C. Raw seafood
, D. Pasteurized milk
E. Undercooked eggs
A, B, C, E
RATIONALE: Deli meats (A) may contain Listeria. Soft cheeses (B)
may contain Listeria. Raw seafood (C) may contain parasites and
bacteria. Undercooked eggs (E) may contain Salmonella. Pasteurized
milk (D) is safe and recommended.
4. A nurse is assessing a client at 20 weeks gestation. Which of the
following findings should the nurse report to the provider?
A. Fundal height at the umbilicus
B. Weight gain of 2 pounds in the past month
C. Blood pressure of 150/95 mm Hg
D. Fetal heart rate of 140/min
C. Blood pressure of 150/95 mm Hg
RATIONALE: A blood pressure of 150/95 mm Hg is elevated and may
indicate preeclampsia, which requires prompt evaluation and
intervention. Fundal height at the umbilicus (A) is expected at 20 weeks.
Weight gain of 2 pounds in a month (B) is within expected range. Fetal
heart rate of 140/min (D) is normal.
5. A nurse is providing teaching to a client about the signs of preterm
labor. Which of the following statements by the client indicates an
understanding of the teaching? (Select all that apply)
