ATI RN Maternal Newborn Proctored Exam — Full-Length
Practice Test with Detailed Answer Rationales (2026 Edition)
Feature Detail
Total Questions 70
Time Limit 105 minutes
Passing Score Level 2 or higher (approximately 75–80%, or 53–56/70 correct)
NGN Item Types Bow-Tie, Matrix, Extended Multiple Response, Highlight, Drop-Down
Content Domain Distribution
Domain Questions Weight Key Topics
Antepartum Prenatal screening, NST/BPP, FHR
Assessment & 12 17% baseline/variability/decelerations, Leopold's
Fetal Monitoring maneuvers, maternal physiology
Intrapartum Care Labor stages, pain management, oxytocin
& Labor 18 26% administration, umbilical cord prolapse,
Complications placental abruption/previa, delivery
Postpartum Uterine involution, lochia assessment,
Recovery & 12 17% perineal care, breastfeeding, postpartum
Maternal Health hemorrhage, mental health screening
APGAR scoring, thermoregulation, feeding,
Newborn
14 20% jaundice, newborn screening, congenital
Transition & Care
anomaly recognition, safe sleep
,Domain Questions Weight Key Topics
High-Risk Preeclampsia, gestational diabetes, preterm
Pregnancy & OB 10 14% labor, magnesium sulfate, betamethasone,
Pharmacology tocolytics, Rhogam administration
NGN Clinical
Bow-Tie items, trend recognition, matrix
Judgment 4 6%
multiple-choice, prioritization scenarios
Application
(Source: ATI RN Maternal Newborn Exam Blueprint)
Practice Exam
SECTION 1: ANTEPARTUM ASSESSMENT & FETAL MONITORING (Questions 1–12)
Question 1 (Multiple Choice)
A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period (LMP) began on June 21. Using Naegele's rule, what is the EDD?
A. March 14
B. March 28
C. April 14
D. April 28
Correct Answer: B
Rationale: Naegele's rule: subtract 3 months from the first day of the LMP, then add 7 days.
June 21 minus 3 months = March 21; March 21 plus 7 days = March 28.
Question 2 (Multiple Choice)
A nurse is providing teaching for a client at 7 weeks of gestation who is experiencing nausea and
vomiting. Which statement by the client indicates an understanding of the teaching?
A. "I should have a small snack before bedtime."
B. "I should drink fluids with my meals."
,C. "I should eat three large meals daily."
D. "I should avoid all carbohydrates."
Correct Answer: A
Rationale: Eating small, frequent meals and having a snack before bedtime can help prevent
hypoglycemia, which often triggers nausea and vomiting. Fluids should be consumed between
meals rather than with meals to reduce gastric distension.
Question 3 (Multiple Choice)
A nurse is reviewing laboratory results for a client at 10 weeks of gestation. Which finding
should the nurse report to the provider?
A. Hemoglobin 10 g/dL
B. WBC count 15,000/mm³
C. RBC count 5.8 million/mm³
D. Hematocrit 34%
Correct Answer: A
Rationale: A hemoglobin level of 10 g/dL is below the expected reference range of >11 g/dL for
a pregnant client, indicating anemia requiring provider notification. WBC count up to
15,000/mm³ is normal in pregnancy due to physiologic leukocytosis.
Question 4 (Multiple Choice)
A nurse is caring for a client who believes she may be pregnant. What finding should the nurse
identify as a positive sign of pregnancy?
A. Palpable fetal movement
B. Amenorrhea
C. Chadwick's sign
D. Positive pregnancy test
Correct Answer: A
Rationale: Palpable fetal movement is a positive sign of pregnancy—a definitive indication that
cannot be caused by any other condition. Amenorrhea and Chadwick's sign are probable signs.
A positive pregnancy test is a probable sign.
, Question 5 (Multiple Choice)
A nurse is caring for a client who has oligohydramnios. What fetal anomalies should the nurse
expect?
A. Renal agenesis
B. Atrial septal defect
C. Spina bifida
D. Hydrocephalus
Correct Answer: A
Rationale: Oligohydramnios is associated with renal agenesis because fetal urine is the primary
source of amniotic fluid. Without functioning kidneys, urine output is decreased, leading to low
amniotic fluid volume.
Question 6 (Multiple Choice)
A nurse is assessing a client who is at 12 weeks of gestation and has a hydatidiform mole. What
findings should the nurse expect?
A. Hypothermia
B. Dark brown vaginal discharge
C. Fetal heart tones
D. Decreased urinary output
Correct Answer: B
Rationale: A hydatidiform mole is a benign proliferative growth of the chorionic villi. As cells
slough off the uterine wall, vaginal discharge is usually dark brown and can contain grape-like
clusters.
Question 7 (Multiple Choice)
A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational
hypertension. What finding should the nurse identify as the priority?
A. 480 mL urine output in 24 hours
B. 1+ protein in the urine
C. +2 edema of the feet
D. BP 144/92 mm Hg
Correct Answer: A
Practice Test with Detailed Answer Rationales (2026 Edition)
Feature Detail
Total Questions 70
Time Limit 105 minutes
Passing Score Level 2 or higher (approximately 75–80%, or 53–56/70 correct)
NGN Item Types Bow-Tie, Matrix, Extended Multiple Response, Highlight, Drop-Down
Content Domain Distribution
Domain Questions Weight Key Topics
Antepartum Prenatal screening, NST/BPP, FHR
Assessment & 12 17% baseline/variability/decelerations, Leopold's
Fetal Monitoring maneuvers, maternal physiology
Intrapartum Care Labor stages, pain management, oxytocin
& Labor 18 26% administration, umbilical cord prolapse,
Complications placental abruption/previa, delivery
Postpartum Uterine involution, lochia assessment,
Recovery & 12 17% perineal care, breastfeeding, postpartum
Maternal Health hemorrhage, mental health screening
APGAR scoring, thermoregulation, feeding,
Newborn
14 20% jaundice, newborn screening, congenital
Transition & Care
anomaly recognition, safe sleep
,Domain Questions Weight Key Topics
High-Risk Preeclampsia, gestational diabetes, preterm
Pregnancy & OB 10 14% labor, magnesium sulfate, betamethasone,
Pharmacology tocolytics, Rhogam administration
NGN Clinical
Bow-Tie items, trend recognition, matrix
Judgment 4 6%
multiple-choice, prioritization scenarios
Application
(Source: ATI RN Maternal Newborn Exam Blueprint)
Practice Exam
SECTION 1: ANTEPARTUM ASSESSMENT & FETAL MONITORING (Questions 1–12)
Question 1 (Multiple Choice)
A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period (LMP) began on June 21. Using Naegele's rule, what is the EDD?
A. March 14
B. March 28
C. April 14
D. April 28
Correct Answer: B
Rationale: Naegele's rule: subtract 3 months from the first day of the LMP, then add 7 days.
June 21 minus 3 months = March 21; March 21 plus 7 days = March 28.
Question 2 (Multiple Choice)
A nurse is providing teaching for a client at 7 weeks of gestation who is experiencing nausea and
vomiting. Which statement by the client indicates an understanding of the teaching?
A. "I should have a small snack before bedtime."
B. "I should drink fluids with my meals."
,C. "I should eat three large meals daily."
D. "I should avoid all carbohydrates."
Correct Answer: A
Rationale: Eating small, frequent meals and having a snack before bedtime can help prevent
hypoglycemia, which often triggers nausea and vomiting. Fluids should be consumed between
meals rather than with meals to reduce gastric distension.
Question 3 (Multiple Choice)
A nurse is reviewing laboratory results for a client at 10 weeks of gestation. Which finding
should the nurse report to the provider?
A. Hemoglobin 10 g/dL
B. WBC count 15,000/mm³
C. RBC count 5.8 million/mm³
D. Hematocrit 34%
Correct Answer: A
Rationale: A hemoglobin level of 10 g/dL is below the expected reference range of >11 g/dL for
a pregnant client, indicating anemia requiring provider notification. WBC count up to
15,000/mm³ is normal in pregnancy due to physiologic leukocytosis.
Question 4 (Multiple Choice)
A nurse is caring for a client who believes she may be pregnant. What finding should the nurse
identify as a positive sign of pregnancy?
A. Palpable fetal movement
B. Amenorrhea
C. Chadwick's sign
D. Positive pregnancy test
Correct Answer: A
Rationale: Palpable fetal movement is a positive sign of pregnancy—a definitive indication that
cannot be caused by any other condition. Amenorrhea and Chadwick's sign are probable signs.
A positive pregnancy test is a probable sign.
, Question 5 (Multiple Choice)
A nurse is caring for a client who has oligohydramnios. What fetal anomalies should the nurse
expect?
A. Renal agenesis
B. Atrial septal defect
C. Spina bifida
D. Hydrocephalus
Correct Answer: A
Rationale: Oligohydramnios is associated with renal agenesis because fetal urine is the primary
source of amniotic fluid. Without functioning kidneys, urine output is decreased, leading to low
amniotic fluid volume.
Question 6 (Multiple Choice)
A nurse is assessing a client who is at 12 weeks of gestation and has a hydatidiform mole. What
findings should the nurse expect?
A. Hypothermia
B. Dark brown vaginal discharge
C. Fetal heart tones
D. Decreased urinary output
Correct Answer: B
Rationale: A hydatidiform mole is a benign proliferative growth of the chorionic villi. As cells
slough off the uterine wall, vaginal discharge is usually dark brown and can contain grape-like
clusters.
Question 7 (Multiple Choice)
A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational
hypertension. What finding should the nurse identify as the priority?
A. 480 mL urine output in 24 hours
B. 1+ protein in the urine
C. +2 edema of the feet
D. BP 144/92 mm Hg
Correct Answer: A
