RN Maternal Newborn ATI Proctored Exam |
2025/2026 Edition | Verified Questions &
Rationalized Answers | 100% Passing Score
Guarantee
ATI Nursing Proctored Assessment | Maternal Newborn Care | Real Exam-Based Q&A | Fully
Rationalized Best Answers | Expert Verified | Graded A+
Introduction
This complete and expertly verified study guide includes the most current 2025/2026 RN
Maternal Newborn ATI Proctored Exam questions and answers, with full rationales
for each answer choice. Developed according to ATI testing standards, this guide covers priority
maternal and newborn care topics such as labor and delivery, postpartum care, newborn
assessment, complications, and nursing interventions. The official ATI proctored exam typically
includes 60 scored questions plus 10 unscored pilot items, for a total of 70 questions.
Answer Format
Correct answers are clearly marked in bold and green, with rationales provided to ensure
thorough understanding and confident test-day performance.
Question 1
A nurse is caring for a client in active labor who is experiencing uterine tachysystole. What is the
priority nursing intervention?
A) Administer oxytocin to increase contractions
B) Discontinue oxytocin and notify the provider
C) Increase IV fluids to enhance labor progress
D) Encourage the client to push harder
Rationale: Uterine tachysystole (excessive contractions) can reduce fetal oxygenation.
Discontinuing oxytocin and notifying the provider is the priority to prevent fetal distress.
Question 2
A nurse is assessing a newborn 2 hours after birth and notes a heart rate of 100 bpm. What
action should the nurse take?
A) Prepare for immediate resuscitation
B) Continue monitoring as this is within normal range
,C) Administer oxygen supplementation
D) Notify the pediatrician immediately
Rationale: A heart rate of 100-160 bpm is within the normal range for a newborn in the first
24 hours; continued monitoring is appropriate.
Question 3
A client at 38 weeks gestation reports decreased fetal movement. What is the nurse’s first
action?
A) Schedule a nonstress test for the next day
B) Perform Leopold maneuvers and assess fetal heart rate
C) Reassure the client and advise rest
D) Administer a tocolytic to reduce activity
Rationale: Decreased fetal movement is a potential sign of distress; immediate assessment
with Leopold maneuvers and fetal heart rate monitoring is critical.
Question 4
A postpartum client is experiencing heavy vaginal bleeding 6 hours after a vaginal delivery.
What should the nurse do first?
A) Massage the uterus and check for firmness
B) Assess vital signs and notify the provider
C) Administer oxytocin without delay
D) Encourage the client to void
Rationale: Assessing vital signs and notifying the provider is the priority to evaluate for
postpartum hemorrhage and guide further intervention.
Question 5
A nurse is teaching a new mother about newborn jaundice. When should the mother seek
immediate medical attention?
A) When the baby’s skin appears slightly yellow on day 2
B) When the baby becomes lethargic and refuses to feed
C) When the jaundice extends to the chest by day 4
D) When the baby has infrequent stools
Rationale: Lethargy and feeding refusal indicate severe jaundice or hyperbilirubinemia,
requiring immediate medical evaluation.
, Question 6
A client in the first stage of labor requests an epidural. What is the nurse’s most important
action before administration?
A) Check the client’s blood pressure
B) Verify the client has an established IV line
C) Ensure the client has emptied her bladder
D) Confirm cervical dilation of 10 cm
Rationale: An IV line is required for fluid administration and emergency access during
epidural placement.
Question 7
A newborn is born with a cephalohematoma. What should the nurse include in the teaching for
the parents?
A) The swelling will resolve within 24 hours
B) The swelling may take weeks to resolve and should be monitored
C) Immediate surgical intervention is needed
D) The infant will need a blood transfusion
Rationale: Cephalohematoma resolves spontaneously over weeks and requires monitoring for
complications like jaundice.
Question 8
A nurse is caring for a client with preeclampsia who has a blood pressure of 160/100 mmHg.
What medication should the nurse anticipate?
A) Magnesium sulfate
B) Labetalol
C) Oxytocin
D) Terbutaline
Rationale: Labetalol is commonly used to manage hypertension in preeclampsia to reduce the
risk of seizure or stroke.
Question 9
A nurse observes meconium-stained amniotic fluid during labor. What is the priority action?
A) Continue routine monitoring
B) Notify the provider and prepare for potential meconium aspiration
C) Increase the oxytocin infusion
D) Encourage the client to change positions
2025/2026 Edition | Verified Questions &
Rationalized Answers | 100% Passing Score
Guarantee
ATI Nursing Proctored Assessment | Maternal Newborn Care | Real Exam-Based Q&A | Fully
Rationalized Best Answers | Expert Verified | Graded A+
Introduction
This complete and expertly verified study guide includes the most current 2025/2026 RN
Maternal Newborn ATI Proctored Exam questions and answers, with full rationales
for each answer choice. Developed according to ATI testing standards, this guide covers priority
maternal and newborn care topics such as labor and delivery, postpartum care, newborn
assessment, complications, and nursing interventions. The official ATI proctored exam typically
includes 60 scored questions plus 10 unscored pilot items, for a total of 70 questions.
Answer Format
Correct answers are clearly marked in bold and green, with rationales provided to ensure
thorough understanding and confident test-day performance.
Question 1
A nurse is caring for a client in active labor who is experiencing uterine tachysystole. What is the
priority nursing intervention?
A) Administer oxytocin to increase contractions
B) Discontinue oxytocin and notify the provider
C) Increase IV fluids to enhance labor progress
D) Encourage the client to push harder
Rationale: Uterine tachysystole (excessive contractions) can reduce fetal oxygenation.
Discontinuing oxytocin and notifying the provider is the priority to prevent fetal distress.
Question 2
A nurse is assessing a newborn 2 hours after birth and notes a heart rate of 100 bpm. What
action should the nurse take?
A) Prepare for immediate resuscitation
B) Continue monitoring as this is within normal range
,C) Administer oxygen supplementation
D) Notify the pediatrician immediately
Rationale: A heart rate of 100-160 bpm is within the normal range for a newborn in the first
24 hours; continued monitoring is appropriate.
Question 3
A client at 38 weeks gestation reports decreased fetal movement. What is the nurse’s first
action?
A) Schedule a nonstress test for the next day
B) Perform Leopold maneuvers and assess fetal heart rate
C) Reassure the client and advise rest
D) Administer a tocolytic to reduce activity
Rationale: Decreased fetal movement is a potential sign of distress; immediate assessment
with Leopold maneuvers and fetal heart rate monitoring is critical.
Question 4
A postpartum client is experiencing heavy vaginal bleeding 6 hours after a vaginal delivery.
What should the nurse do first?
A) Massage the uterus and check for firmness
B) Assess vital signs and notify the provider
C) Administer oxytocin without delay
D) Encourage the client to void
Rationale: Assessing vital signs and notifying the provider is the priority to evaluate for
postpartum hemorrhage and guide further intervention.
Question 5
A nurse is teaching a new mother about newborn jaundice. When should the mother seek
immediate medical attention?
A) When the baby’s skin appears slightly yellow on day 2
B) When the baby becomes lethargic and refuses to feed
C) When the jaundice extends to the chest by day 4
D) When the baby has infrequent stools
Rationale: Lethargy and feeding refusal indicate severe jaundice or hyperbilirubinemia,
requiring immediate medical evaluation.
, Question 6
A client in the first stage of labor requests an epidural. What is the nurse’s most important
action before administration?
A) Check the client’s blood pressure
B) Verify the client has an established IV line
C) Ensure the client has emptied her bladder
D) Confirm cervical dilation of 10 cm
Rationale: An IV line is required for fluid administration and emergency access during
epidural placement.
Question 7
A newborn is born with a cephalohematoma. What should the nurse include in the teaching for
the parents?
A) The swelling will resolve within 24 hours
B) The swelling may take weeks to resolve and should be monitored
C) Immediate surgical intervention is needed
D) The infant will need a blood transfusion
Rationale: Cephalohematoma resolves spontaneously over weeks and requires monitoring for
complications like jaundice.
Question 8
A nurse is caring for a client with preeclampsia who has a blood pressure of 160/100 mmHg.
What medication should the nurse anticipate?
A) Magnesium sulfate
B) Labetalol
C) Oxytocin
D) Terbutaline
Rationale: Labetalol is commonly used to manage hypertension in preeclampsia to reduce the
risk of seizure or stroke.
Question 9
A nurse observes meconium-stained amniotic fluid during labor. What is the priority action?
A) Continue routine monitoring
B) Notify the provider and prepare for potential meconium aspiration
C) Increase the oxytocin infusion
D) Encourage the client to change positions
