2026 ATI PN Maternal Newborn Actual Proctored Exam, Retake and CMS Review | All
60 NGN Screenshot Questions and Answers Chamberlain University
Preparing for the high-stakes PN ATI Maternal Newborn Proctored Exam requires
rigorous practice and sharp clinical judgment to ensure you are ready for the
Next Generation NCLEX. This exclusive guide provides 300 unique, zero-repetition
questions that perfectly mirror the latest 2026 exam format, including dosage
calculations and NGN-style clinical reasoning. Master every critical concept with
verified answers and in-depth rationales to guarantee your success and secure
your Level 3 proficiency on test day
1. A nurse is preparing to administer acyclovir 400 mg tablet PO three
times per day. Available is 800 mg tablets. How many tablets should the
nurse administer with each dose?
A. 0.5 tablet
B. 1 tablet
C. 1.5 tablets
D. 2 tablets
Answer: A. 0.5 tablet
Explanation: Desired/Have x Quantity = 400 mg / 800 mg x 1 tablet = 0.5
tablets. The nurse should administer half a tablet per dose.
2. A nurse is assessing a client who is at 12 weeks of gestation. Which of the
following findings should the nurse report to the provider?
A. Urinary frequency
B. Breast tenderness
C. Vaginal bleeding
D. Nausea and vomiting
Answer: C. Vaginal bleeding
,Explanation: Vaginal bleeding during pregnancy is abnormal and can indicate
a threatened miscarriage, placenta previa, or other complications. It must
be reported immediately.
3. A nurse is caring for a client who is in the first stage of labor. The client's
cervix is dilated to 4 cm. Which phase of the first stage is the client in?
A. Latent phase
B. Active phase
C. Transition phase
D. Expulsive phase
Answer: B. Active phase
Explanation: The active phase of the first stage of labor begins when the
cervix is dilated to 4 cm and ends at 7 cm.
4. A nurse is assessing a newborn 1 minute after birth. The newborn has a
heart rate of 120 bpm, a strong cry, some flexion of extremities, a pink body
with blue extremities, and a vigorous cry. What is the Apgar score?
A. 7
B. 8
C. 9
D. 10
Answer: B. 8
Explanation: Heart rate >100 (2), Respiratory effort good cry (2), Muscle
tone some flexion (1), Reflex irritability cry (2), Color acrocyanosis (1). Total
= 8.
5. A nurse is teaching a postpartum client about breastfeeding. Which of the
following instructions should the nurse include?
A. "You should feed your baby every 4 hours."
B. "You should wake the baby to feed every 2 to 3 hours."
C. "You should supplement with formula if the baby seems hungry."
,D. "You should only feed the baby on demand during the day."
Answer: B. "You should wake the baby to feed every 2 to 3 hours."
Explanation: Newborns should breastfeed every 2 to 3 hours, even if they
need to be woken up, to ensure adequate caloric intake and establish milk
supply.
6. A nurse is caring for a client receiving magnesium sulfate for
preeclampsia. Which of the following findings indicates magnesium toxicity?
A. Increased deep tendon reflexes
B. Urine output of 60 mL/hr
C. Respiratory rate of 10/min
D. Blood pressure of 140/90 mmHg
Answer: C. Respiratory rate of 10/min
Explanation: A respiratory rate of less than 12/min is an early sign of
magnesium toxicity and requires immediate intervention.
7. A nurse is caring for a newborn who is experiencing hypoglycemia. Which
of the following findings should the nurse expect?
A. Jitteriness
B. Hyperthermia
C. Polycythemia
D. Bradycardia
Answer: A. Jitteriness
Explanation: Jitteriness, tremors, and poor feeding are common signs of
hypoglycemia in a newborn.
8. A nurse is teaching a client about the use of a diaphragm. Which of the
following statements by the client indicates an understanding of the
teaching?
A. "I should leave it in place for at least 6 hours after intercourse."
B. "I should remove it immediately after intercourse."
, C. "I should use it only during the day."
D. "I should use spermicide with it for added protection."
Answer: A. "I should leave it in place for at least 6 hours after intercourse."
Explanation: A diaphragm must remain in place for at least 6 hours after
intercourse to ensure the spermicide has time to kill sperm.
9. A nurse is assessing a client who is 2 days postpartum. The nurse notes
the client's fundus is boggy and located above the umbilicus. Which action
should the nurse take first?
A. Administer oxytocin
B. Massage the fundus
C. Encourage the client to void
D. Apply an ice pack to the perineum
Answer: B. Massage the fundus
Explanation: A boggy fundus indicates uterine atony. The first action is to
massage the fundus to stimulate uterine contractions and prevent
hemorrhage.
10. A nurse is caring for a client in the transition phase of labor. Which of
the following behaviors should the nurse expect?
A. Excitement and talking
B. Irritability and frustration
C. Relaxation and focusing
D. Sleepiness and lethargy
Answer: B. Irritability and frustration
Explanation: The transition phase is the most intense part of labor. Clients
often become irritable, frustrated, and may feel out of control.
11. A nurse is providing teaching to a client who is pregnant about folic acid.
Which of the following statements indicates a need for further teaching?
A. "I should take 400 mcg of folic acid daily."
60 NGN Screenshot Questions and Answers Chamberlain University
Preparing for the high-stakes PN ATI Maternal Newborn Proctored Exam requires
rigorous practice and sharp clinical judgment to ensure you are ready for the
Next Generation NCLEX. This exclusive guide provides 300 unique, zero-repetition
questions that perfectly mirror the latest 2026 exam format, including dosage
calculations and NGN-style clinical reasoning. Master every critical concept with
verified answers and in-depth rationales to guarantee your success and secure
your Level 3 proficiency on test day
1. A nurse is preparing to administer acyclovir 400 mg tablet PO three
times per day. Available is 800 mg tablets. How many tablets should the
nurse administer with each dose?
A. 0.5 tablet
B. 1 tablet
C. 1.5 tablets
D. 2 tablets
Answer: A. 0.5 tablet
Explanation: Desired/Have x Quantity = 400 mg / 800 mg x 1 tablet = 0.5
tablets. The nurse should administer half a tablet per dose.
2. A nurse is assessing a client who is at 12 weeks of gestation. Which of the
following findings should the nurse report to the provider?
A. Urinary frequency
B. Breast tenderness
C. Vaginal bleeding
D. Nausea and vomiting
Answer: C. Vaginal bleeding
,Explanation: Vaginal bleeding during pregnancy is abnormal and can indicate
a threatened miscarriage, placenta previa, or other complications. It must
be reported immediately.
3. A nurse is caring for a client who is in the first stage of labor. The client's
cervix is dilated to 4 cm. Which phase of the first stage is the client in?
A. Latent phase
B. Active phase
C. Transition phase
D. Expulsive phase
Answer: B. Active phase
Explanation: The active phase of the first stage of labor begins when the
cervix is dilated to 4 cm and ends at 7 cm.
4. A nurse is assessing a newborn 1 minute after birth. The newborn has a
heart rate of 120 bpm, a strong cry, some flexion of extremities, a pink body
with blue extremities, and a vigorous cry. What is the Apgar score?
A. 7
B. 8
C. 9
D. 10
Answer: B. 8
Explanation: Heart rate >100 (2), Respiratory effort good cry (2), Muscle
tone some flexion (1), Reflex irritability cry (2), Color acrocyanosis (1). Total
= 8.
5. A nurse is teaching a postpartum client about breastfeeding. Which of the
following instructions should the nurse include?
A. "You should feed your baby every 4 hours."
B. "You should wake the baby to feed every 2 to 3 hours."
C. "You should supplement with formula if the baby seems hungry."
,D. "You should only feed the baby on demand during the day."
Answer: B. "You should wake the baby to feed every 2 to 3 hours."
Explanation: Newborns should breastfeed every 2 to 3 hours, even if they
need to be woken up, to ensure adequate caloric intake and establish milk
supply.
6. A nurse is caring for a client receiving magnesium sulfate for
preeclampsia. Which of the following findings indicates magnesium toxicity?
A. Increased deep tendon reflexes
B. Urine output of 60 mL/hr
C. Respiratory rate of 10/min
D. Blood pressure of 140/90 mmHg
Answer: C. Respiratory rate of 10/min
Explanation: A respiratory rate of less than 12/min is an early sign of
magnesium toxicity and requires immediate intervention.
7. A nurse is caring for a newborn who is experiencing hypoglycemia. Which
of the following findings should the nurse expect?
A. Jitteriness
B. Hyperthermia
C. Polycythemia
D. Bradycardia
Answer: A. Jitteriness
Explanation: Jitteriness, tremors, and poor feeding are common signs of
hypoglycemia in a newborn.
8. A nurse is teaching a client about the use of a diaphragm. Which of the
following statements by the client indicates an understanding of the
teaching?
A. "I should leave it in place for at least 6 hours after intercourse."
B. "I should remove it immediately after intercourse."
, C. "I should use it only during the day."
D. "I should use spermicide with it for added protection."
Answer: A. "I should leave it in place for at least 6 hours after intercourse."
Explanation: A diaphragm must remain in place for at least 6 hours after
intercourse to ensure the spermicide has time to kill sperm.
9. A nurse is assessing a client who is 2 days postpartum. The nurse notes
the client's fundus is boggy and located above the umbilicus. Which action
should the nurse take first?
A. Administer oxytocin
B. Massage the fundus
C. Encourage the client to void
D. Apply an ice pack to the perineum
Answer: B. Massage the fundus
Explanation: A boggy fundus indicates uterine atony. The first action is to
massage the fundus to stimulate uterine contractions and prevent
hemorrhage.
10. A nurse is caring for a client in the transition phase of labor. Which of
the following behaviors should the nurse expect?
A. Excitement and talking
B. Irritability and frustration
C. Relaxation and focusing
D. Sleepiness and lethargy
Answer: B. Irritability and frustration
Explanation: The transition phase is the most intense part of labor. Clients
often become irritable, frustrated, and may feel out of control.
11. A nurse is providing teaching to a client who is pregnant about folic acid.
Which of the following statements indicates a need for further teaching?
A. "I should take 400 mcg of folic acid daily."
