ATI RN MATERNAL NEWBORN PROCTORED EXAM 2026/2027 - 400 VERIFIED MATERNITY
QUESTIONS & RATIONALES | A+
Course: ATI RN Maternal Newborn CMS 2026/2027 | 400 Verified Questions | 2026/2027 Edition | NGN Format
Original 2026/2027 content based on ATI standards, Lewis, Saunders, NCSBN CJMM. Author-created for study. Not official ATI exam.
1. Late decelerations indicate
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
2. Boggy fundus post-delivery
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
3. Mag sulfate toxicity
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
Tachycardia
Answer: A
Rationale: Mag toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
4. APGAR scoring
1 and 5 minutes after birth
1 hour
Before birth
24 hours
Answer: A
Rationale: APGAR at 1 min how baby tolerated birthing, 5 min how baby outside. 7-10 normal.
5. Late decelerations indicate (Variant 5 - 2026/2027)
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
6. Boggy fundus post-delivery (Variant 6 - 2026/2027)
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
7. Mag sulfate toxicity (Variant 7 - 2026/2027)
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
Tachycardia
Answer: A
Rationale: Mag toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
,8. APGAR scoring (Variant 8 - 2026/2027)
1 and 5 minutes after birth
1 hour
Before birth
24 hours
Answer: A
Rationale: APGAR at 1 min how baby tolerated birthing, 5 min how baby outside. 7-10 normal.
9. Late decelerations indicate (Variant 9 - 2026/2027)
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
10. Boggy fundus post-delivery (Variant 10 - 2026/2027)
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
11. Mag sulfate toxicity (Variant 11 - 2026/2027)
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
Tachycardia
Answer: A
Rationale: Mag toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
12. APGAR scoring (Variant 12 - 2026/2027)
1 and 5 minutes after birth
1 hour
Before birth
24 hours
Answer: A
Rationale: APGAR at 1 min how baby tolerated birthing, 5 min how baby outside. 7-10 normal.
13. Late decelerations indicate (Variant 13 - 2026/2027)
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
14. Boggy fundus post-delivery (Variant 14 - 2026/2027)
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
15. Mag sulfate toxicity (Variant 15 - 2026/2027)
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
Tachycardia
Answer: A
,Rationale: Mag toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
16. APGAR scoring (Variant 16 - 2026/2027)
1 and 5 minutes after birth
1 hour
Before birth
24 hours
Answer: A
Rationale: APGAR at 1 min how baby tolerated birthing, 5 min how baby outside. 7-10 normal.
17. Late decelerations indicate (Variant 17 - 2026/2027)
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
18. Boggy fundus post-delivery (Variant 18 - 2026/2027)
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
19. Mag sulfate toxicity (Variant 19 - 2026/2027)
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
Tachycardia
Answer: A
Rationale: Mag toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
20. APGAR scoring (Variant 20 - 2026/2027)
1 and 5 minutes after birth
1 hour
Before birth
24 hours
Answer: A
Rationale: APGAR at 1 min how baby tolerated birthing, 5 min how baby outside. 7-10 normal.
21. Late decelerations indicate (Variant 21 - 2026/2027)
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
22. Boggy fundus post-delivery (Variant 22 - 2026/2027)
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
23. Mag sulfate toxicity (Variant 23 - 2026/2027)
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
Tachycardia
, Answer: A
Rationale: Mag toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
24. APGAR scoring (Variant 24 - 2026/2027)
1 and 5 minutes after birth
1 hour
Before birth
24 hours
Answer: A
Rationale: APGAR at 1 min how baby tolerated birthing, 5 min how baby outside. 7-10 normal.
25. Late decelerations indicate (Variant 25 - 2026/2027)
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
26. Boggy fundus post-delivery (Variant 26 - 2026/2027)
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
27. Mag sulfate toxicity (Variant 27 - 2026/2027)
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
Tachycardia
Answer: A
Rationale: Mag toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
28. APGAR scoring (Variant 28 - 2026/2027)
1 and 5 minutes after birth
1 hour
Before birth
24 hours
Answer: A
Rationale: APGAR at 1 min how baby tolerated birthing, 5 min how baby outside. 7-10 normal.
29. Late decelerations indicate (Variant 29 - 2026/2027)
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
30. Boggy fundus post-delivery (Variant 30 - 2026/2027)
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
31. Mag sulfate toxicity (Variant 31 - 2026/2027)
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
QUESTIONS & RATIONALES | A+
Course: ATI RN Maternal Newborn CMS 2026/2027 | 400 Verified Questions | 2026/2027 Edition | NGN Format
Original 2026/2027 content based on ATI standards, Lewis, Saunders, NCSBN CJMM. Author-created for study. Not official ATI exam.
1. Late decelerations indicate
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
2. Boggy fundus post-delivery
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
3. Mag sulfate toxicity
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
Tachycardia
Answer: A
Rationale: Mag toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
4. APGAR scoring
1 and 5 minutes after birth
1 hour
Before birth
24 hours
Answer: A
Rationale: APGAR at 1 min how baby tolerated birthing, 5 min how baby outside. 7-10 normal.
5. Late decelerations indicate (Variant 5 - 2026/2027)
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
6. Boggy fundus post-delivery (Variant 6 - 2026/2027)
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
7. Mag sulfate toxicity (Variant 7 - 2026/2027)
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
Tachycardia
Answer: A
Rationale: Mag toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
,8. APGAR scoring (Variant 8 - 2026/2027)
1 and 5 minutes after birth
1 hour
Before birth
24 hours
Answer: A
Rationale: APGAR at 1 min how baby tolerated birthing, 5 min how baby outside. 7-10 normal.
9. Late decelerations indicate (Variant 9 - 2026/2027)
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
10. Boggy fundus post-delivery (Variant 10 - 2026/2027)
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
11. Mag sulfate toxicity (Variant 11 - 2026/2027)
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
Tachycardia
Answer: A
Rationale: Mag toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
12. APGAR scoring (Variant 12 - 2026/2027)
1 and 5 minutes after birth
1 hour
Before birth
24 hours
Answer: A
Rationale: APGAR at 1 min how baby tolerated birthing, 5 min how baby outside. 7-10 normal.
13. Late decelerations indicate (Variant 13 - 2026/2027)
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
14. Boggy fundus post-delivery (Variant 14 - 2026/2027)
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
15. Mag sulfate toxicity (Variant 15 - 2026/2027)
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
Tachycardia
Answer: A
,Rationale: Mag toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
16. APGAR scoring (Variant 16 - 2026/2027)
1 and 5 minutes after birth
1 hour
Before birth
24 hours
Answer: A
Rationale: APGAR at 1 min how baby tolerated birthing, 5 min how baby outside. 7-10 normal.
17. Late decelerations indicate (Variant 17 - 2026/2027)
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
18. Boggy fundus post-delivery (Variant 18 - 2026/2027)
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
19. Mag sulfate toxicity (Variant 19 - 2026/2027)
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
Tachycardia
Answer: A
Rationale: Mag toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
20. APGAR scoring (Variant 20 - 2026/2027)
1 and 5 minutes after birth
1 hour
Before birth
24 hours
Answer: A
Rationale: APGAR at 1 min how baby tolerated birthing, 5 min how baby outside. 7-10 normal.
21. Late decelerations indicate (Variant 21 - 2026/2027)
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
22. Boggy fundus post-delivery (Variant 22 - 2026/2027)
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
23. Mag sulfate toxicity (Variant 23 - 2026/2027)
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
Tachycardia
, Answer: A
Rationale: Mag toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
24. APGAR scoring (Variant 24 - 2026/2027)
1 and 5 minutes after birth
1 hour
Before birth
24 hours
Answer: A
Rationale: APGAR at 1 min how baby tolerated birthing, 5 min how baby outside. 7-10 normal.
25. Late decelerations indicate (Variant 25 - 2026/2027)
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
26. Boggy fundus post-delivery (Variant 26 - 2026/2027)
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
27. Mag sulfate toxicity (Variant 27 - 2026/2027)
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
Tachycardia
Answer: A
Rationale: Mag toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
28. APGAR scoring (Variant 28 - 2026/2027)
1 and 5 minutes after birth
1 hour
Before birth
24 hours
Answer: A
Rationale: APGAR at 1 min how baby tolerated birthing, 5 min how baby outside. 7-10 normal.
29. Late decelerations indicate (Variant 29 - 2026/2027)
Uteroplacental insufficiency - left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Answer: A
Rationale: Late decels = uteroplacental insufficiency. Actions: left lateral, O2, stop oxytocin, increase fluids, notify provider.
30. Boggy fundus post-delivery (Variant 30 - 2026/2027)
Massage fundus, empty bladder
Call only
Oral meds
Ambulate
Answer: A
Rationale: Boggy = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
31. Mag sulfate toxicity (Variant 31 - 2026/2027)
Decreased reflexes, RR <12, decreased UO, LOC - antidote calcium gluconate
Increased reflexes
HTN
