ATI PN MATERNAL NEWBORN 2023
PROCTORED EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A
| INSTANT DOWNLOAD PDF
Core Domains
• Antepartum Care and Fetal Development
• Intrapartum Care and Labor Management
• Postpartum Care and Complications
• Newborn Assessment and Care
• High-Risk Pregnancy and Complications
• Contraception and Family Planning
• Pharmacological and Parenteral Therapies
• Professional Standards and Safety
Introduction
The ATI PN Maternal Newborn Proctored Examination assesses
the knowledge, skills, and clinical judgment required for practical
nursing practice in maternal and newborn care. The test
evaluates understanding of normal and high-risk antepartum,
intrapartum, and postpartum care, newborn assessment and
complications, contraception, and family planning. Questions are
multiple-choice and scenario-based, emphasizing real-world
application, prioritization, and critical decision-making. The exam
reflects the ATI PN blueprint and prepares candidates for safe,
evidence-based maternal-newborn nursing practice.
Section One: Questions 1–200
,Question 1
A nurse is reinforcing discharge teaching about breastfeeding with
a client. Which of the following statements by the client indicates
an understanding of the teaching?
A. "I should feed my baby for 30 minutes during each feeding."
B. "I should limit feedings to 10 minutes per breast."
C. "I should feed my baby every 4 to 5 hours."
D. "I should supplement with formula after each feeding."
Correct answer: A
RATIONALE: Newborns should breastfeed for approximately
15 to 20 minutes per breast, totaling about 30 minutes per
feeding. This ensures adequate milk intake and stimulation.
Question 2
A nurse is reinforcing teaching with a client who is breastfeeding
and reports nipple soreness. Which of the following
recommendations should the nurse include in the teaching?
A. Expose the affected nipple to the air in between feedings.
B. Apply petroleum jelly to the nipples after each feeding.
C. Wash the nipples with soap and water before each feeding.
D. Limit feeding time to 5 minutes per breast.
Correct answer: A
RATIONALE: Exposing nipples to air promotes healing.
Petroleum jelly can clog ducts, soap can dry the skin, and limiting
feeding time does not address the underlying cause of soreness.
Question 3
A nurse is preparing to administer phytonadione 0.5 mg IM to a
newborn. The amount available is phytonadione 1 mg/0.5 mL.
How many mL should the nurse plan to administer?
,A. 0.25 mL
B. 0.5 mL
C. 1 mL
D. 0.75 mL
Correct answer: A
RATIONALE: Using the formula Desired/Have × Volume: 0.5
mg ÷ 1 mg × 0.5 mL = 0.25 mL.
Question 4
A nurse is reinforcing teaching about risk factors for preeclampsia
with a group of clients who are pregnant. Which of the following
risk factors should the nurse include in the teaching?
A. Chronic hypertension
B. Maternal age under 20
C. Multiparity
D. Regular prenatal care
Correct answer: A
RATIONALE: Chronic hypertension is a major risk factor for
preeclampsia. Other risk factors include first pregnancy, obesity,
and family history.
Question 5
A nurse in the newborn nursery is caring for an infant who has
trisomy 21. When collecting data, which of the following findings
should the nurse expect?
A. A single crease in the palm.
B. A prominent bridge of the nose.
C. Large, protruding ears.
D. Hypertonic muscle tone.
Correct answer: A
, RATIONALE: A single transverse palmar crease (simian
crease) is a classic finding in trisomy 21. Other findings include a
flat nasal bridge, small ears, and hypotonia.
Question 6
A nurse is contributing to the plan of care for a client who is in
early labor and reports low-back pain during contractions. Which
of the following interventions should the nurse include in the
plan?
A. Assist the client's partner to apply counterpressure to the
sacrum.
B. Encourage the client to lie in a supine position.
C. Administer an opioid analgesic.
D. Instruct the client to hold her breath during contractions.
Correct answer: A
RATIONALE: Counterpressure to the sacrum provides relief for
back labor. Supine positioning decreases placental perfusion,
opioids may be used but are not first-line, and breath-holding is
not recommended.
Question 7
A nurse is collecting data from a client who is 32 hours
postpartum. Which of the following findings should the nurse
expect?
A. Urine output of 3,000 mL in 24 hours.
B. Blood pressure 90/50 mm Hg.
C. Heart rate 110/min.
D. Fundus at the umbilicus.
Correct answer: A
PROCTORED EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A
| INSTANT DOWNLOAD PDF
Core Domains
• Antepartum Care and Fetal Development
• Intrapartum Care and Labor Management
• Postpartum Care and Complications
• Newborn Assessment and Care
• High-Risk Pregnancy and Complications
• Contraception and Family Planning
• Pharmacological and Parenteral Therapies
• Professional Standards and Safety
Introduction
The ATI PN Maternal Newborn Proctored Examination assesses
the knowledge, skills, and clinical judgment required for practical
nursing practice in maternal and newborn care. The test
evaluates understanding of normal and high-risk antepartum,
intrapartum, and postpartum care, newborn assessment and
complications, contraception, and family planning. Questions are
multiple-choice and scenario-based, emphasizing real-world
application, prioritization, and critical decision-making. The exam
reflects the ATI PN blueprint and prepares candidates for safe,
evidence-based maternal-newborn nursing practice.
Section One: Questions 1–200
,Question 1
A nurse is reinforcing discharge teaching about breastfeeding with
a client. Which of the following statements by the client indicates
an understanding of the teaching?
A. "I should feed my baby for 30 minutes during each feeding."
B. "I should limit feedings to 10 minutes per breast."
C. "I should feed my baby every 4 to 5 hours."
D. "I should supplement with formula after each feeding."
Correct answer: A
RATIONALE: Newborns should breastfeed for approximately
15 to 20 minutes per breast, totaling about 30 minutes per
feeding. This ensures adequate milk intake and stimulation.
Question 2
A nurse is reinforcing teaching with a client who is breastfeeding
and reports nipple soreness. Which of the following
recommendations should the nurse include in the teaching?
A. Expose the affected nipple to the air in between feedings.
B. Apply petroleum jelly to the nipples after each feeding.
C. Wash the nipples with soap and water before each feeding.
D. Limit feeding time to 5 minutes per breast.
Correct answer: A
RATIONALE: Exposing nipples to air promotes healing.
Petroleum jelly can clog ducts, soap can dry the skin, and limiting
feeding time does not address the underlying cause of soreness.
Question 3
A nurse is preparing to administer phytonadione 0.5 mg IM to a
newborn. The amount available is phytonadione 1 mg/0.5 mL.
How many mL should the nurse plan to administer?
,A. 0.25 mL
B. 0.5 mL
C. 1 mL
D. 0.75 mL
Correct answer: A
RATIONALE: Using the formula Desired/Have × Volume: 0.5
mg ÷ 1 mg × 0.5 mL = 0.25 mL.
Question 4
A nurse is reinforcing teaching about risk factors for preeclampsia
with a group of clients who are pregnant. Which of the following
risk factors should the nurse include in the teaching?
A. Chronic hypertension
B. Maternal age under 20
C. Multiparity
D. Regular prenatal care
Correct answer: A
RATIONALE: Chronic hypertension is a major risk factor for
preeclampsia. Other risk factors include first pregnancy, obesity,
and family history.
Question 5
A nurse in the newborn nursery is caring for an infant who has
trisomy 21. When collecting data, which of the following findings
should the nurse expect?
A. A single crease in the palm.
B. A prominent bridge of the nose.
C. Large, protruding ears.
D. Hypertonic muscle tone.
Correct answer: A
, RATIONALE: A single transverse palmar crease (simian
crease) is a classic finding in trisomy 21. Other findings include a
flat nasal bridge, small ears, and hypotonia.
Question 6
A nurse is contributing to the plan of care for a client who is in
early labor and reports low-back pain during contractions. Which
of the following interventions should the nurse include in the
plan?
A. Assist the client's partner to apply counterpressure to the
sacrum.
B. Encourage the client to lie in a supine position.
C. Administer an opioid analgesic.
D. Instruct the client to hold her breath during contractions.
Correct answer: A
RATIONALE: Counterpressure to the sacrum provides relief for
back labor. Supine positioning decreases placental perfusion,
opioids may be used but are not first-line, and breath-holding is
not recommended.
Question 7
A nurse is collecting data from a client who is 32 hours
postpartum. Which of the following findings should the nurse
expect?
A. Urine output of 3,000 mL in 24 hours.
B. Blood pressure 90/50 mm Hg.
C. Heart rate 110/min.
D. Fundus at the umbilicus.
Correct answer: A
