ATI MATERNAL NEWBORN PROCTORED EXAM– QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | DOWNLOAD AND PASS | LATEST EXAM UPDATE 2026/2027
Core Domains
Antepartum Care and Fetal Assessment
Intrapartum Care and Labor Management
Postpartum Maternal Assessment and Complications
Newborn Assessment and Immediate Care
Maternal-Newborn Pharmacology and Medications
High-Risk Pregnancy Conditions and Emergencies
Professional Standards, Ethics, and Patient Safety
Maternal Nutrition and Lactation Support
Introduction
The ATI Maternal Newborn Proctored Exam is designed to evaluate the comprehensive nursing knowledge and clinical
judgment required for safe, evidence-based care of the childbearing family. This assessment covers the antepartum,
intrapartum, postpartum, and newborn periods, including both normal physiological processes and complex high-risk
conditions. The exam utilizes multiple-choice and scenario-based questions to simulate real-world clinical decision-
,making. Emphasis is placed on prioritizing nursing actions, recognizing complications, and applying regulatory and
ethical standards. This preparation tool aims to reinforce critical thinking and ensure readiness for professional practice
in maternal-newborn nursing settings.
SECTION ONE: QUESTIONS 1–50
Question 1
A nurse is caring for a client at 32 weeks of gestation who is receiving magnesium sulfate for severe preeclampsia.
Which of the following assessment findings requires immediate intervention?
A. Blood pressure of 150/95 mm Hg
B. Respiratory rate of 11/min
C. Deep tendon reflexes of 2+
D. Urine output of 35 mL/hr
🟢 Correct Answer: B. Respiratory rate of 11/min
🔴 Explanation: Magnesium sulfate toxicity manifests as respiratory depression (rate < 12/min), loss of deep tendon
reflexes, and oliguria. A respiratory rate of 11/min indicates impending toxicity and requires immediate intervention,
including stopping the infusion and notifying the provider.
,Question 2
A nurse is assessing a newborn 1 hour after birth. Which of the following findings should the nurse report to the
provider?
A. Acrocyanosis of the hands and feet
B. Respiratory rate of 55/min
C. Generalized petechiae across the trunk
D. Presence of vernix caseosa in skin folds
🟢 Correct Answer: C. Generalized petechiae across the trunk
🔴 Explanation: Generalized petechiae may indicate thrombocytopenia, infection, or clotting factor deficiency and
requires immediate reporting. Acrocyanosis, a respiratory rate of 55/min, and vernix caseosa are normal newborn
findings.
Question 3
A client at 10 weeks of gestation presents with severe nausea and vomiting. Which laboratory finding is consistent
with hyperemesis gravidarum?
A. Elevated blood glucose
B. Increased serum potassium
, C. Decreased serum electrolytes
D. Elevated hemoglobin
🟢 Correct Answer: C. Decreased serum electrolytes
🔴 Explanation: Hyperemesis gravidarum causes excessive vomiting, leading to fluid and electrolyte losses.
Decreased serum electrolytes (hypokalemia, hyponatremia) are hallmark findings. Hemoglobin may be elevated due
to hemoconcentration, but electrolyte depletion is the primary concern.
Question 4
A nurse is providing discharge teaching to a postpartum client who is formula feeding. Which instruction should the
nurse include to relieve breast engorgement?
A. Apply warm compresses before feeding
B. Express milk manually every 4 hours
C. Apply cold cabbage leaves to the breasts
D. Stimulate the nipples during showers
🟢 Correct Answer: C. Apply cold cabbage leaves to the breasts
🔴 Explanation: Cold cabbage leaves provide vasoconstriction to suppress lactation and relieve engorgement in
non-breastfeeding clients. Heat and nipple stimulation promote milk production and should be avoided.
ANSWERS | PLUS RATIONALES | DOWNLOAD AND PASS | LATEST EXAM UPDATE 2026/2027
Core Domains
Antepartum Care and Fetal Assessment
Intrapartum Care and Labor Management
Postpartum Maternal Assessment and Complications
Newborn Assessment and Immediate Care
Maternal-Newborn Pharmacology and Medications
High-Risk Pregnancy Conditions and Emergencies
Professional Standards, Ethics, and Patient Safety
Maternal Nutrition and Lactation Support
Introduction
The ATI Maternal Newborn Proctored Exam is designed to evaluate the comprehensive nursing knowledge and clinical
judgment required for safe, evidence-based care of the childbearing family. This assessment covers the antepartum,
intrapartum, postpartum, and newborn periods, including both normal physiological processes and complex high-risk
conditions. The exam utilizes multiple-choice and scenario-based questions to simulate real-world clinical decision-
,making. Emphasis is placed on prioritizing nursing actions, recognizing complications, and applying regulatory and
ethical standards. This preparation tool aims to reinforce critical thinking and ensure readiness for professional practice
in maternal-newborn nursing settings.
SECTION ONE: QUESTIONS 1–50
Question 1
A nurse is caring for a client at 32 weeks of gestation who is receiving magnesium sulfate for severe preeclampsia.
Which of the following assessment findings requires immediate intervention?
A. Blood pressure of 150/95 mm Hg
B. Respiratory rate of 11/min
C. Deep tendon reflexes of 2+
D. Urine output of 35 mL/hr
🟢 Correct Answer: B. Respiratory rate of 11/min
🔴 Explanation: Magnesium sulfate toxicity manifests as respiratory depression (rate < 12/min), loss of deep tendon
reflexes, and oliguria. A respiratory rate of 11/min indicates impending toxicity and requires immediate intervention,
including stopping the infusion and notifying the provider.
,Question 2
A nurse is assessing a newborn 1 hour after birth. Which of the following findings should the nurse report to the
provider?
A. Acrocyanosis of the hands and feet
B. Respiratory rate of 55/min
C. Generalized petechiae across the trunk
D. Presence of vernix caseosa in skin folds
🟢 Correct Answer: C. Generalized petechiae across the trunk
🔴 Explanation: Generalized petechiae may indicate thrombocytopenia, infection, or clotting factor deficiency and
requires immediate reporting. Acrocyanosis, a respiratory rate of 55/min, and vernix caseosa are normal newborn
findings.
Question 3
A client at 10 weeks of gestation presents with severe nausea and vomiting. Which laboratory finding is consistent
with hyperemesis gravidarum?
A. Elevated blood glucose
B. Increased serum potassium
, C. Decreased serum electrolytes
D. Elevated hemoglobin
🟢 Correct Answer: C. Decreased serum electrolytes
🔴 Explanation: Hyperemesis gravidarum causes excessive vomiting, leading to fluid and electrolyte losses.
Decreased serum electrolytes (hypokalemia, hyponatremia) are hallmark findings. Hemoglobin may be elevated due
to hemoconcentration, but electrolyte depletion is the primary concern.
Question 4
A nurse is providing discharge teaching to a postpartum client who is formula feeding. Which instruction should the
nurse include to relieve breast engorgement?
A. Apply warm compresses before feeding
B. Express milk manually every 4 hours
C. Apply cold cabbage leaves to the breasts
D. Stimulate the nipples during showers
🟢 Correct Answer: C. Apply cold cabbage leaves to the breasts
🔴 Explanation: Cold cabbage leaves provide vasoconstriction to suppress lactation and relieve engorgement in
non-breastfeeding clients. Heat and nipple stimulation promote milk production and should be avoided.
