ATI RN Maternal Newborn Proctored Exam
2026/2027
70 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Antepartum
2 Intrapartum
3 Postpartum
4 Newborn
5 Medications
6 Prioritization & Complications
Page 1
,Q1
A client at 36 weeks gestation is receiving magnesium sulfate for severe preeclampsia.
Which assessment finding requires immediate intervention?
A) Deep tendon reflexes 2+
B) Urine output 35 mL/hr
C) *Respiratory rate 10 breaths/min CORRECT
D) Serum magnesium level 5.0 mg/dL
Rationale
Respiratory depression indicates magnesium toxicity; calcium gluconate is the antidote.
Q2
A nurse is reviewing a fetal heart tracing showing late decelerations. Which action
should the nurse take first?
A) Administer oxygen at 10 L/min
B) *Reposition the client to the left lateral position CORRECT
C) Discontinue the oxytocin infusion
D) Notify the provider
Rationale
Lateral positioning improves uterine perfusion and is the fastest, least invasive first step.
Q3
A postpartum client who delivered 2 hours ago has a boggy fundus displaced to the right
with heavy lochia. Which action should the nurse take first?
A) Administer methylergonovine IM
B) Perform fundal massage
C) Increase the oxytocin infusion rate
D) *Assist the client to void CORRECT
Page 2
, Rationale
A displaced boggy fundus often indicates a distended bladder preventing contraction.
Q4
A newborn at 12 hours of life has a bilirubin of 14 mg/dL and is feeding poorly. Which
intervention should the nurse anticipate?
A) *Phototherapy CORRECT
B) Exchange transfusion
C) Observation with repeat bilirubin in 24 hours
D) Increased breastfeeding only
Rationale
Bilirubin approaching the treatment threshold with poor feeding warrants phototherapy.
Q5
A client at 34 weeks gestation with placenta previa reports a sudden gush of bright red
vaginal bleeding. Which action should the nurse take first?
A) Perform a sterile vaginal exam
B) *Assess maternal vital signs and fetal heart tones CORRECT
C) Insert a urinary catheter
D) Prepare for induction of labor
Rationale
Bleeding in placenta previa is an emergency; assessment precedes intervention. Never do a
vaginal exam.
Page 3
2026/2027
70 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Antepartum
2 Intrapartum
3 Postpartum
4 Newborn
5 Medications
6 Prioritization & Complications
Page 1
,Q1
A client at 36 weeks gestation is receiving magnesium sulfate for severe preeclampsia.
Which assessment finding requires immediate intervention?
A) Deep tendon reflexes 2+
B) Urine output 35 mL/hr
C) *Respiratory rate 10 breaths/min CORRECT
D) Serum magnesium level 5.0 mg/dL
Rationale
Respiratory depression indicates magnesium toxicity; calcium gluconate is the antidote.
Q2
A nurse is reviewing a fetal heart tracing showing late decelerations. Which action
should the nurse take first?
A) Administer oxygen at 10 L/min
B) *Reposition the client to the left lateral position CORRECT
C) Discontinue the oxytocin infusion
D) Notify the provider
Rationale
Lateral positioning improves uterine perfusion and is the fastest, least invasive first step.
Q3
A postpartum client who delivered 2 hours ago has a boggy fundus displaced to the right
with heavy lochia. Which action should the nurse take first?
A) Administer methylergonovine IM
B) Perform fundal massage
C) Increase the oxytocin infusion rate
D) *Assist the client to void CORRECT
Page 2
, Rationale
A displaced boggy fundus often indicates a distended bladder preventing contraction.
Q4
A newborn at 12 hours of life has a bilirubin of 14 mg/dL and is feeding poorly. Which
intervention should the nurse anticipate?
A) *Phototherapy CORRECT
B) Exchange transfusion
C) Observation with repeat bilirubin in 24 hours
D) Increased breastfeeding only
Rationale
Bilirubin approaching the treatment threshold with poor feeding warrants phototherapy.
Q5
A client at 34 weeks gestation with placenta previa reports a sudden gush of bright red
vaginal bleeding. Which action should the nurse take first?
A) Perform a sterile vaginal exam
B) *Assess maternal vital signs and fetal heart tones CORRECT
C) Insert a urinary catheter
D) Prepare for induction of labor
Rationale
Bleeding in placenta previa is an emergency; assessment precedes intervention. Never do a
vaginal exam.
Page 3
