100%ACTUAL ATI RN MATERNAL
NEWBORN OB PROCTORED EXAM 2026:
REAL LATEST NGN
150 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Demonstrate clinical judgment in managing complex maternal-newborn conditions using the nursing
process and NGN clinical judgment model
2 Prioritize safe, evidence-based nursing interventions for high-risk obstetric and neonatal patients
3 Integrate pharmacological, infection control, and psychosocial principles into family-centered
maternal-newborn care
4 100%Actual ATI RN Maternal Newborn OB Proctored Exam 2026
5 Real Latest NGN
6 Foundations of Maternal Newborn / Obstetric Nursing
7 Applied Maternal Newborn / Obstetric Nursing
8 Advanced Maternal Newborn / Obstetric Nursing
9 Maternal Newborn / Obstetric Nursing Review
ABSTRACT
This study document brings together 150 carefully worded exam questions drawn from
100%Actual ATI RN Maternal Newborn OB Proctored Exam 2026: Real Latest NGN, with the
strongest emphasis placed on Demonstrate clinical judgment in managing complex
maternal-newborn conditions using the nursing process and NGN clinical judgment model,
Prioritize safe, evidence-based nursing interventions for high-risk obstetric and neonatal patients,
Integrate pharmacological, infection control and and psychosocial principles into family-centered
maternal-newborn care. Every item follows the wording style and level of reasoning you meet in
the real paper, and each one is paired with a clear rationale so the correct choice is never a guess.
Work through the set at your own pace, mark the questions that slow you down, then come back to
them until the reasoning feels automatic. Learners who revise this way walk into the exam room
recognising the pattern behind the questions instead of meeting them for the first time. Keep going
- steady, honest practice is what turns a difficult paper into a comfortable pass.
Page 1
,Q1 DEMONSTRATE CLINICAL JUDGMENT IN MANAGING COMPLEX MATERNAL-NEWBORN
CONDITIONS USING THE NURSING PROCESS AND NGN CLINICAL JUDGMENT MODEL
Which finding best differentiates mild preeclampsia from severe features in a
pregnant patient?
A. Blood pressure 150/100 mm Hg
B. Proteinuria 1+ on dipstick
C. Platelet count 90,000/mm3 CORRECT
D. Mild ankle edema
RATIONALE: Severe features of preeclampsia include thrombocytopenia (platelets
<100,000/mm3), which indicates severe disease. BP 150/100 mm Hg and 1+ proteinuria are
within mild range; ankle edema is nonspecific. Therefore, only option C reflects a severe feature
requiring immediate intervention.
Q2 DEMONSTRATE CLINICAL JUDGMENT IN MANAGING COMPLEX MATERNAL-NEWBORN
CONDITIONS USING THE NURSING PROCESS AND NGN CLINICAL JUDGMENT MODEL
A patient receiving oxytocin has tachysystole with recurrent late decelerations.
What is the nurse's priority action?
A. Increase IV fluids to 200 mL/hr
B. Discontinue oxytocin and administer oxygen CORRECT
C. Prepare for immediate cesarean birth
D. Administer terbutaline subcutaneously
RATIONALE: Tachysystole with late decelerations indicates uteroplacental insufficiency; the
priority is to stop oxytocin and provide maternal oxygen to improve fetal oxygenation. Increasing
fluids may help but is not the first action. Cesarean birth is considered if no improvement;
terbutaline is used for tachysystole without late decelerations, but discontinuing oxytocin is the
initial step.
Page 2
,Q3 DEMONSTRATE CLINICAL JUDGMENT IN MANAGING COMPLEX MATERNAL-NEWBORN
CONDITIONS USING THE NURSING PROCESS AND NGN CLINICAL JUDGMENT MODEL
Which assessment finding in a postpartum patient 24 hours after vaginal birth
requires immediate follow-up?
A. Fundus firm at umbilicus
B. Lochia serosa with small clots
C. Saturated perineal pad in 15 minutes CORRECT
D. Hemoglobin 11 g/dL
RATIONALE: Saturating a perineal pad in 15 minutes indicates excessive bleeding (potential
postpartum hemorrhage) and requires immediate assessment. A firm fundus at the umbilicus is
expected; lochia serosa with small clots is normal; hemoglobin 11 g/dL is slightly low but not an
emergency. Thus, option C is the priority.
Q4 DEMONSTRATE CLINICAL JUDGMENT IN MANAGING COMPLEX MATERNAL-NEWBORN
CONDITIONS USING THE NURSING PROCESS AND NGN CLINICAL JUDGMENT MODEL
A newborn at 2 hours of life has a respiratory rate of 72/min, grunting, and nasal
flaring. What is the priority nursing action?
A. Administer surfactant via endotracheal tube
B. Place under radiant warmer and monitor
C. Obtain blood glucose and start feeding
D. Provide continuous positive airway pressure (CPAP) CORRECT
RATIONALE: These signs indicate respiratory distress; CPAP is the appropriate initial respiratory
support to maintain functional residual capacity and improve oxygenation. Surfactant is used for
specific conditions like respiratory distress syndrome after diagnosis; warming and monitoring are
not sufficient; feeding is contraindicated with respiratory distress. Therefore, CPAP is the priority.
Page 3
, Q5 DEMONSTRATE CLINICAL JUDGMENT IN MANAGING COMPLEX MATERNAL-NEWBORN
CONDITIONS USING THE NURSING PROCESS AND NGN CLINICAL JUDGMENT MODEL
Which statement by a patient prescribed magnesium sulfate for preeclampsia
indicates need for further teaching?
A. I will report blurred vision or headache immediately.
B. I should expect my breathing to become slower. CORRECT
C. I will need frequent blood draws to check magnesium levels.
D. I may feel flushing and warmth during the infusion.
RATIONALE: Slowed breathing is a sign of magnesium toxicity, not an expected effect; the
patient should report it immediately. Blurred vision/headache may indicate worsening
preeclampsia; frequent magnesium level monitoring is standard; flushing and warmth are
common side effects. Thus, option B indicates a need for further teaching.
Q6 DEMONSTRATE CLINICAL JUDGMENT IN MANAGING COMPLEX MATERNAL-NEWBORN
CONDITIONS USING THE NURSING PROCESS AND NGN CLINICAL JUDGMENT MODEL
A laboring patient at 8 cm dilation has a Category III fetal heart tracing. What is the
most appropriate nursing action?
A. Continue monitoring and reassess in 30 minutes
B. Notify the provider and prepare for expedited birth CORRECT
C. Administer a tocolytic to reduce contractions
D. Perform a sterile vaginal exam to check dilation
RATIONALE: Category III tracings are abnormal and require immediate intervention, including
notifying the provider and preparing for expedited birth. Waiting 30 minutes delays care;
tocolytics are not indicated for Category III; vaginal exam may be part of assessment but does
not address the emergency. Therefore, option B is the priority.
Page 4
NEWBORN OB PROCTORED EXAM 2026:
REAL LATEST NGN
150 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Demonstrate clinical judgment in managing complex maternal-newborn conditions using the nursing
process and NGN clinical judgment model
2 Prioritize safe, evidence-based nursing interventions for high-risk obstetric and neonatal patients
3 Integrate pharmacological, infection control, and psychosocial principles into family-centered
maternal-newborn care
4 100%Actual ATI RN Maternal Newborn OB Proctored Exam 2026
5 Real Latest NGN
6 Foundations of Maternal Newborn / Obstetric Nursing
7 Applied Maternal Newborn / Obstetric Nursing
8 Advanced Maternal Newborn / Obstetric Nursing
9 Maternal Newborn / Obstetric Nursing Review
ABSTRACT
This study document brings together 150 carefully worded exam questions drawn from
100%Actual ATI RN Maternal Newborn OB Proctored Exam 2026: Real Latest NGN, with the
strongest emphasis placed on Demonstrate clinical judgment in managing complex
maternal-newborn conditions using the nursing process and NGN clinical judgment model,
Prioritize safe, evidence-based nursing interventions for high-risk obstetric and neonatal patients,
Integrate pharmacological, infection control and and psychosocial principles into family-centered
maternal-newborn care. Every item follows the wording style and level of reasoning you meet in
the real paper, and each one is paired with a clear rationale so the correct choice is never a guess.
Work through the set at your own pace, mark the questions that slow you down, then come back to
them until the reasoning feels automatic. Learners who revise this way walk into the exam room
recognising the pattern behind the questions instead of meeting them for the first time. Keep going
- steady, honest practice is what turns a difficult paper into a comfortable pass.
Page 1
,Q1 DEMONSTRATE CLINICAL JUDGMENT IN MANAGING COMPLEX MATERNAL-NEWBORN
CONDITIONS USING THE NURSING PROCESS AND NGN CLINICAL JUDGMENT MODEL
Which finding best differentiates mild preeclampsia from severe features in a
pregnant patient?
A. Blood pressure 150/100 mm Hg
B. Proteinuria 1+ on dipstick
C. Platelet count 90,000/mm3 CORRECT
D. Mild ankle edema
RATIONALE: Severe features of preeclampsia include thrombocytopenia (platelets
<100,000/mm3), which indicates severe disease. BP 150/100 mm Hg and 1+ proteinuria are
within mild range; ankle edema is nonspecific. Therefore, only option C reflects a severe feature
requiring immediate intervention.
Q2 DEMONSTRATE CLINICAL JUDGMENT IN MANAGING COMPLEX MATERNAL-NEWBORN
CONDITIONS USING THE NURSING PROCESS AND NGN CLINICAL JUDGMENT MODEL
A patient receiving oxytocin has tachysystole with recurrent late decelerations.
What is the nurse's priority action?
A. Increase IV fluids to 200 mL/hr
B. Discontinue oxytocin and administer oxygen CORRECT
C. Prepare for immediate cesarean birth
D. Administer terbutaline subcutaneously
RATIONALE: Tachysystole with late decelerations indicates uteroplacental insufficiency; the
priority is to stop oxytocin and provide maternal oxygen to improve fetal oxygenation. Increasing
fluids may help but is not the first action. Cesarean birth is considered if no improvement;
terbutaline is used for tachysystole without late decelerations, but discontinuing oxytocin is the
initial step.
Page 2
,Q3 DEMONSTRATE CLINICAL JUDGMENT IN MANAGING COMPLEX MATERNAL-NEWBORN
CONDITIONS USING THE NURSING PROCESS AND NGN CLINICAL JUDGMENT MODEL
Which assessment finding in a postpartum patient 24 hours after vaginal birth
requires immediate follow-up?
A. Fundus firm at umbilicus
B. Lochia serosa with small clots
C. Saturated perineal pad in 15 minutes CORRECT
D. Hemoglobin 11 g/dL
RATIONALE: Saturating a perineal pad in 15 minutes indicates excessive bleeding (potential
postpartum hemorrhage) and requires immediate assessment. A firm fundus at the umbilicus is
expected; lochia serosa with small clots is normal; hemoglobin 11 g/dL is slightly low but not an
emergency. Thus, option C is the priority.
Q4 DEMONSTRATE CLINICAL JUDGMENT IN MANAGING COMPLEX MATERNAL-NEWBORN
CONDITIONS USING THE NURSING PROCESS AND NGN CLINICAL JUDGMENT MODEL
A newborn at 2 hours of life has a respiratory rate of 72/min, grunting, and nasal
flaring. What is the priority nursing action?
A. Administer surfactant via endotracheal tube
B. Place under radiant warmer and monitor
C. Obtain blood glucose and start feeding
D. Provide continuous positive airway pressure (CPAP) CORRECT
RATIONALE: These signs indicate respiratory distress; CPAP is the appropriate initial respiratory
support to maintain functional residual capacity and improve oxygenation. Surfactant is used for
specific conditions like respiratory distress syndrome after diagnosis; warming and monitoring are
not sufficient; feeding is contraindicated with respiratory distress. Therefore, CPAP is the priority.
Page 3
, Q5 DEMONSTRATE CLINICAL JUDGMENT IN MANAGING COMPLEX MATERNAL-NEWBORN
CONDITIONS USING THE NURSING PROCESS AND NGN CLINICAL JUDGMENT MODEL
Which statement by a patient prescribed magnesium sulfate for preeclampsia
indicates need for further teaching?
A. I will report blurred vision or headache immediately.
B. I should expect my breathing to become slower. CORRECT
C. I will need frequent blood draws to check magnesium levels.
D. I may feel flushing and warmth during the infusion.
RATIONALE: Slowed breathing is a sign of magnesium toxicity, not an expected effect; the
patient should report it immediately. Blurred vision/headache may indicate worsening
preeclampsia; frequent magnesium level monitoring is standard; flushing and warmth are
common side effects. Thus, option B indicates a need for further teaching.
Q6 DEMONSTRATE CLINICAL JUDGMENT IN MANAGING COMPLEX MATERNAL-NEWBORN
CONDITIONS USING THE NURSING PROCESS AND NGN CLINICAL JUDGMENT MODEL
A laboring patient at 8 cm dilation has a Category III fetal heart tracing. What is the
most appropriate nursing action?
A. Continue monitoring and reassess in 30 minutes
B. Notify the provider and prepare for expedited birth CORRECT
C. Administer a tocolytic to reduce contractions
D. Perform a sterile vaginal exam to check dilation
RATIONALE: Category III tracings are abnormal and require immediate intervention, including
notifying the provider and preparing for expedited birth. Waiting 30 minutes delays care;
tocolytics are not indicated for Category III; vaginal exam may be part of assessment but does
not address the emergency. Therefore, option B is the priority.
Page 4
