ATI RN MATERNAL NEWBORN (OB): HIGH-RISK
ANTEPARTUM COMPLICATIONS, GESTATIONAL
DISORDERS, AND HEMORRHAGIC CONDITIONS
ACTUAL EXAM [QUESTION 1- 200] AND ANSWERS
UPDATED 2026/2027| 100% VERIFIED|DETAILED
RATIONALES –PASS GUARANTEED A+ GRADED
|INSTANT DOWNLOAD
INTRODUCTION
The ATI RN Maternal Newborn Nursing assessment is part of ATI Nursing Education’s
Content Mastery Series, which is designed to evaluate mastery of nursing concepts relevant to
maternal-newborn care and NCLEX preparation. ATI identifies Maternal Newborn as an RN
content area and provides standardized practice and proctored assessments. (ATI Testing)
This practice examination focuses specifically on high-risk antepartum complications,
gestational disorders, and hemorrhagic conditions, including hypertensive disorders of
pregnancy, gestational diabetes, ectopic pregnancy, spontaneous abortion, gestational
trophoblastic disease, placenta previa, abruptio placentae, vasa previa, and related fetal/maternal
complications. These topics correspond closely to ATI's Maternal Newborn curriculum areas
addressing high-risk pregnancy, hemorrhagic disorders, hypertensive disorders, and endocrine
complications. (ATI Testing)
The intended learner is an RN nursing student preparing for ATI Maternal Newborn assessments
and the NCLEX-RN. The questions emphasize clinical judgment, prioritization, interpretation of
assessment findings, recognition of deterioration, medication safety, fetal surveillance, and
appropriate nursing interventions rather than simple memorization.
ATI's RN Maternal Newborn Content Mastery Series has historically used 60-item online
practice assessments, although current ATI products and assessment configurations can change
over time. Therefore, this 200-question examination is an original comprehensive practice set,
not a reproduction of an ATI secure examination or a claim of access to actual ATI test items.
(ATI Testing)
Core Domains Tested in ATI RN Maternal Newborn (OB)
Hypertensive disorders of pregnancy
Preeclampsia, severe preeclampsia, and eclampsia
HELLP syndrome
Gestational diabetes mellitus and maternal metabolic complications
Hemorrhagic disorders of pregnancy
Placenta previa and abruptio placentae
, Vasa previa and other causes of antepartum bleeding
Ectopic pregnancy and spontaneous abortion
Gestational trophoblastic disease
Fetal assessment and nursing management of high-risk pregnancy
Content Area Table
% of Approx. # of
Content Domain Key Topics Covered
Exam Questions
Gestational hypertension, preeclampsia,
Hypertensive Disorders 25% 50
severe features, eclampsia
Hemolysis, elevated liver enzymes,
HELLP Syndrome 8% 16
thrombocytopenia, complications
Screening, glucose control, insulin,
Gestational Diabetes 15% 30
fetal/maternal complications
Placenta previa, abruptio placentae, vasa
Hemorrhagic Disorders 20% 40
previa
Early Pregnancy Ectopic pregnancy, miscarriage, molar
12% 24
Complications pregnancy
Fetal Assessment in High- NST, BPP, amniocentesis, fetal
8% 16
Risk Pregnancy surveillance
Medication and Magnesium sulfate, antihypertensives,
7% 14
Emergency Management corticosteroids
Maternal-Fetal Clinical deterioration, stabilization,
5% 10
Prioritization escalation of care
QUESTIONS 1-200
Q1: A client at 34 weeks of gestation with preeclampsia reports a severe headache that has
not improved after acetaminophen and states that she is seeing flashing lights. Which
action should the nurse take first?
A) Encourage oral fluids
B) Initiate seizure precautions and notify the provider immediately
C) Place the client in a supine position
D) Reassess the headache in 1 hr
Correct Answer: B
Rationale: A persistent severe headache and visual disturbances indicate worsening
preeclampsia and possible cerebral involvement. The client is at increased risk for eclampsia, so
seizure precautions and immediate provider notification are priorities. Oral fluids do not treat
the underlying problem, the supine position can decrease uteroplacental perfusion, and delaying
reassessment could allow progression to seizure or stroke.
,Q2: A client receiving magnesium sulfate for severe preeclampsia has a respiratory rate of
10/min, absent patellar reflexes, and urine output of 20 mL/hr. Which medication should
the nurse prepare to administer?
A) Labetalol
B) Calcium gluconate
C) Methylergonovine
D) Betamethasone
Correct Answer: B
Rationale: Respiratory depression, absent deep-tendon reflexes, and oliguria are classic findings
of magnesium toxicity. Calcium gluconate is the antidote. Labetalol treats hypertension,
methylergonovine is a uterotonic medication, and betamethasone promotes fetal lung
maturation.
Q3: A nurse is caring for a client receiving magnesium sulfate. Which assessment finding
requires immediate intervention?
A) Blood pressure 148/92 mm Hg
B) Urine output 45 mL/hr
C) Patellar reflexes 2+
D) Respiratory rate 9/min
Correct Answer: D
Rationale: Respiratory depression is a serious manifestation of magnesium toxicity and requires
immediate action. A respiratory rate below 12/min is concerning. The other findings are not
independently indicative of magnesium toxicity.
Q4: A client with severe preeclampsia is prescribed magnesium sulfate. The nurse
understands that the primary purpose of this medication is to:
A) Lower maternal blood pressure
B) Prevent seizures
C) Increase urinary output
D) Promote fetal lung maturation
Correct Answer: B
Rationale: Magnesium sulfate is used primarily for seizure prophylaxis in severe preeclampsia
and for treatment of eclamptic seizures. It is not the primary antihypertensive medication, does
not promote fetal lung maturity, and should not be administered with the expectation that it will
increase urine output.
Q5: A client with preeclampsia has a blood pressure of 168/112 mm Hg. Which
prescription should the nurse anticipate?
A) Oral iron supplementation
B) An antihypertensive such as IV labetalol
C) Oxytocin infusion
D) Terbutaline
Correct Answer: B
Rationale: Severe-range blood pressure increases the risk for maternal stroke and requires
prompt antihypertensive therapy. IV labetalol is one accepted treatment. Iron does not address
the acute problem, oxytocin stimulates uterine contractions, and terbutaline relaxes the uterus.
, Q6: A client with preeclampsia suddenly develops a generalized tonic-clonic seizure. Which
intervention is the nurse's priority?
A) Insert an oral airway
B) Restrain the client's extremities
C) Protect the client from injury and maintain the airway
D) Administer oral antihypertensive medication
Correct Answer: C
Rationale: During an eclamptic seizure, the immediate priorities are maternal safety, airway
protection, oxygenation, and prevention of injury. The nurse should not restrain the client or
insert objects into the mouth. Oral medication is inappropriate during an active seizure.
Q7: A pregnant client with preeclampsia is receiving magnesium sulfate. Which finding
indicates that the medication is producing the intended therapeutic effect?
A) Blood pressure decreases to 80/40 mm Hg
B) Urine output increases to 150 mL/hr
C) The client remains free of seizures
D) Deep-tendon reflexes become absent
Correct Answer: C
Rationale: The primary therapeutic purpose of magnesium sulfate is prevention of seizures.
Absent reflexes indicate toxicity, while severe hypotension is undesirable. Increased urine output
is not the primary therapeutic endpoint.
Q8: Which assessment finding in a client with preeclampsia is most concerning for
progression to severe disease?
A) Dependent ankle edema
B) Mild nausea after breakfast
C) Blood pressure 142/90 mm Hg
D) Right upper quadrant abdominal pain
Correct Answer: D
Rationale: Right upper quadrant or epigastric pain may indicate hepatic involvement and is a
severe-feature warning sign. Mild edema and nausea are nonspecific. A blood pressure of
142/90 meets criteria for hypertension but does not by itself indicate severe-range hypertension.
Q9: A client with preeclampsia reports sudden epigastric pain and nausea. Which
complication should the nurse suspect?
A) Placenta previa
B) Gestational diabetes
C) Hepatic involvement associated with severe preeclampsia
D) Normal gastrointestinal discomfort
Correct Answer: C
Rationale: Epigastric or right upper quadrant pain can occur when hepatic involvement
develops in severe preeclampsia or HELLP syndrome. It should never be dismissed as routine
gastrointestinal discomfort.
Q10: A client with severe preeclampsia has a platelet count of 82,000/mm³. Which
complication is the nurse most concerned about?
ANTEPARTUM COMPLICATIONS, GESTATIONAL
DISORDERS, AND HEMORRHAGIC CONDITIONS
ACTUAL EXAM [QUESTION 1- 200] AND ANSWERS
UPDATED 2026/2027| 100% VERIFIED|DETAILED
RATIONALES –PASS GUARANTEED A+ GRADED
|INSTANT DOWNLOAD
INTRODUCTION
The ATI RN Maternal Newborn Nursing assessment is part of ATI Nursing Education’s
Content Mastery Series, which is designed to evaluate mastery of nursing concepts relevant to
maternal-newborn care and NCLEX preparation. ATI identifies Maternal Newborn as an RN
content area and provides standardized practice and proctored assessments. (ATI Testing)
This practice examination focuses specifically on high-risk antepartum complications,
gestational disorders, and hemorrhagic conditions, including hypertensive disorders of
pregnancy, gestational diabetes, ectopic pregnancy, spontaneous abortion, gestational
trophoblastic disease, placenta previa, abruptio placentae, vasa previa, and related fetal/maternal
complications. These topics correspond closely to ATI's Maternal Newborn curriculum areas
addressing high-risk pregnancy, hemorrhagic disorders, hypertensive disorders, and endocrine
complications. (ATI Testing)
The intended learner is an RN nursing student preparing for ATI Maternal Newborn assessments
and the NCLEX-RN. The questions emphasize clinical judgment, prioritization, interpretation of
assessment findings, recognition of deterioration, medication safety, fetal surveillance, and
appropriate nursing interventions rather than simple memorization.
ATI's RN Maternal Newborn Content Mastery Series has historically used 60-item online
practice assessments, although current ATI products and assessment configurations can change
over time. Therefore, this 200-question examination is an original comprehensive practice set,
not a reproduction of an ATI secure examination or a claim of access to actual ATI test items.
(ATI Testing)
Core Domains Tested in ATI RN Maternal Newborn (OB)
Hypertensive disorders of pregnancy
Preeclampsia, severe preeclampsia, and eclampsia
HELLP syndrome
Gestational diabetes mellitus and maternal metabolic complications
Hemorrhagic disorders of pregnancy
Placenta previa and abruptio placentae
, Vasa previa and other causes of antepartum bleeding
Ectopic pregnancy and spontaneous abortion
Gestational trophoblastic disease
Fetal assessment and nursing management of high-risk pregnancy
Content Area Table
% of Approx. # of
Content Domain Key Topics Covered
Exam Questions
Gestational hypertension, preeclampsia,
Hypertensive Disorders 25% 50
severe features, eclampsia
Hemolysis, elevated liver enzymes,
HELLP Syndrome 8% 16
thrombocytopenia, complications
Screening, glucose control, insulin,
Gestational Diabetes 15% 30
fetal/maternal complications
Placenta previa, abruptio placentae, vasa
Hemorrhagic Disorders 20% 40
previa
Early Pregnancy Ectopic pregnancy, miscarriage, molar
12% 24
Complications pregnancy
Fetal Assessment in High- NST, BPP, amniocentesis, fetal
8% 16
Risk Pregnancy surveillance
Medication and Magnesium sulfate, antihypertensives,
7% 14
Emergency Management corticosteroids
Maternal-Fetal Clinical deterioration, stabilization,
5% 10
Prioritization escalation of care
QUESTIONS 1-200
Q1: A client at 34 weeks of gestation with preeclampsia reports a severe headache that has
not improved after acetaminophen and states that she is seeing flashing lights. Which
action should the nurse take first?
A) Encourage oral fluids
B) Initiate seizure precautions and notify the provider immediately
C) Place the client in a supine position
D) Reassess the headache in 1 hr
Correct Answer: B
Rationale: A persistent severe headache and visual disturbances indicate worsening
preeclampsia and possible cerebral involvement. The client is at increased risk for eclampsia, so
seizure precautions and immediate provider notification are priorities. Oral fluids do not treat
the underlying problem, the supine position can decrease uteroplacental perfusion, and delaying
reassessment could allow progression to seizure or stroke.
,Q2: A client receiving magnesium sulfate for severe preeclampsia has a respiratory rate of
10/min, absent patellar reflexes, and urine output of 20 mL/hr. Which medication should
the nurse prepare to administer?
A) Labetalol
B) Calcium gluconate
C) Methylergonovine
D) Betamethasone
Correct Answer: B
Rationale: Respiratory depression, absent deep-tendon reflexes, and oliguria are classic findings
of magnesium toxicity. Calcium gluconate is the antidote. Labetalol treats hypertension,
methylergonovine is a uterotonic medication, and betamethasone promotes fetal lung
maturation.
Q3: A nurse is caring for a client receiving magnesium sulfate. Which assessment finding
requires immediate intervention?
A) Blood pressure 148/92 mm Hg
B) Urine output 45 mL/hr
C) Patellar reflexes 2+
D) Respiratory rate 9/min
Correct Answer: D
Rationale: Respiratory depression is a serious manifestation of magnesium toxicity and requires
immediate action. A respiratory rate below 12/min is concerning. The other findings are not
independently indicative of magnesium toxicity.
Q4: A client with severe preeclampsia is prescribed magnesium sulfate. The nurse
understands that the primary purpose of this medication is to:
A) Lower maternal blood pressure
B) Prevent seizures
C) Increase urinary output
D) Promote fetal lung maturation
Correct Answer: B
Rationale: Magnesium sulfate is used primarily for seizure prophylaxis in severe preeclampsia
and for treatment of eclamptic seizures. It is not the primary antihypertensive medication, does
not promote fetal lung maturity, and should not be administered with the expectation that it will
increase urine output.
Q5: A client with preeclampsia has a blood pressure of 168/112 mm Hg. Which
prescription should the nurse anticipate?
A) Oral iron supplementation
B) An antihypertensive such as IV labetalol
C) Oxytocin infusion
D) Terbutaline
Correct Answer: B
Rationale: Severe-range blood pressure increases the risk for maternal stroke and requires
prompt antihypertensive therapy. IV labetalol is one accepted treatment. Iron does not address
the acute problem, oxytocin stimulates uterine contractions, and terbutaline relaxes the uterus.
, Q6: A client with preeclampsia suddenly develops a generalized tonic-clonic seizure. Which
intervention is the nurse's priority?
A) Insert an oral airway
B) Restrain the client's extremities
C) Protect the client from injury and maintain the airway
D) Administer oral antihypertensive medication
Correct Answer: C
Rationale: During an eclamptic seizure, the immediate priorities are maternal safety, airway
protection, oxygenation, and prevention of injury. The nurse should not restrain the client or
insert objects into the mouth. Oral medication is inappropriate during an active seizure.
Q7: A pregnant client with preeclampsia is receiving magnesium sulfate. Which finding
indicates that the medication is producing the intended therapeutic effect?
A) Blood pressure decreases to 80/40 mm Hg
B) Urine output increases to 150 mL/hr
C) The client remains free of seizures
D) Deep-tendon reflexes become absent
Correct Answer: C
Rationale: The primary therapeutic purpose of magnesium sulfate is prevention of seizures.
Absent reflexes indicate toxicity, while severe hypotension is undesirable. Increased urine output
is not the primary therapeutic endpoint.
Q8: Which assessment finding in a client with preeclampsia is most concerning for
progression to severe disease?
A) Dependent ankle edema
B) Mild nausea after breakfast
C) Blood pressure 142/90 mm Hg
D) Right upper quadrant abdominal pain
Correct Answer: D
Rationale: Right upper quadrant or epigastric pain may indicate hepatic involvement and is a
severe-feature warning sign. Mild edema and nausea are nonspecific. A blood pressure of
142/90 meets criteria for hypertension but does not by itself indicate severe-range hypertension.
Q9: A client with preeclampsia reports sudden epigastric pain and nausea. Which
complication should the nurse suspect?
A) Placenta previa
B) Gestational diabetes
C) Hepatic involvement associated with severe preeclampsia
D) Normal gastrointestinal discomfort
Correct Answer: C
Rationale: Epigastric or right upper quadrant pain can occur when hepatic involvement
develops in severe preeclampsia or HELLP syndrome. It should never be dismissed as routine
gastrointestinal discomfort.
Q10: A client with severe preeclampsia has a platelet count of 82,000/mm³. Which
complication is the nurse most concerned about?
