ATI RN MATERNAL NEWBORN PROCTORED EXAM 2026/2027 - 400 VERIFIED QUESTIONS
WITH MIXED ANSWERS A,B,C,D & RATIONALES | A+
Course: ATI RN Maternal Newborn CMS 2026/2027 | 400 Questions Mixed A/B/C/D | 2026/2027 | Answer Mix: A=102
B=114 C=113 D=71
Original 2026/2027 content with randomized answer keys for exam realism. Not all A. Based on ATI, Lewis, Saunders, NCSBN.
1. Late decelerations indicate? (Variant 1 - 2026/2027)
A. Head compression
B. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
C. Cord compression
D. Normal
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Epiglottitis emergency: drooling, tripod, do
NOT examine throat.
2. Boggy fundus post-delivery first? (Variant 2 - 2026/2027)
A. Massage fundus, empty bladder
B. Oral meds
C. Ambulate
D. Call only
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
3. Mag sulfate toxicity sign? (Variant 3 - 2026/2027)
A. Tachycardia
B. HTN
C. Increased reflexes
D. Decreased reflexes, RR <12, decreased UO - antidote calcium gluconate
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Fall prevention: bed low, alarm, hourly
rounding, call light, non-skid socks.
4. APGAR at? (Variant 4 - 2026/2027)
A. 1 hour
B. Before birth
C. 1 and 5 minutes after birth
D. 24 hours
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Wound healing: protein, Vit C, Zinc, Vit A.
5. Late decelerations indicate? (Variant 5 - 2026/2027)
A. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
B. Cord compression
C. Head compression
D. Normal
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. APGAR at 1 and 5 min.
6. Boggy fundus post-delivery first? (Variant 6 - 2026/2027)
A. Call only
B. Oral meds
C. Massage fundus, empty bladder
D. Ambulate
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heart failure management: daily weights,
I&O;, low Na, diuretics, monitor electrolytes.
7. Mag sulfate toxicity sign? (Variant 7 - 2026/2027)
A. Increased reflexes
B. Tachycardia
, C. Decreased reflexes, RR <12, decreased UO - antidote calcium gluconate
D. HTN
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
8. APGAR at? (Variant 8 - 2026/2027)
A. Before birth
B. 1 hour
C. 1 and 5 minutes after birth
D. 24 hours
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Croup: barky cough, racemic epi, steroids.
9. Late decelerations indicate? (Variant 9 - 2026/2027)
A. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
B. Head compression
C. Cord compression
D. Normal
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Dehydration improvement: moist membranes,
tears, turgor, UO.
10. Boggy fundus post-delivery first? (Variant 10 - 2026/2027)
A. Ambulate
B. Massage fundus, empty bladder
C. Oral meds
D. Call only
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Aminoglycoside nephrotoxic and ototoxic.
11. Mag sulfate toxicity sign? (Variant 11 - 2026/2027)
A. Decreased reflexes, RR <12, decreased UO - antidote calcium gluconate
B. Increased reflexes
C. HTN
D. Tachycardia
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Fall prevention: bed low, alarm, hourly
rounding, call light, non-skid socks.
12. APGAR at? (Variant 12 - 2026/2027)
A. 1 and 5 minutes after birth
B. 1 hour
C. 24 hours
D. Before birth
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. O- universal donor.
13. Late decelerations indicate? (Variant 13 - 2026/2027)
A. Cord compression
B. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
C. Head compression
D. Normal
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs, unstable before stable, acute before
chronic.
14. Boggy fundus post-delivery first? (Variant 14 - 2026/2027)
A. Call only
B. Oral meds
C. Ambulate
D. Massage fundus, empty bladder
Correct Answer: D
,Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Kawasaki: IVIG + aspirin prevents coronary
aneurysm.
15. Mag sulfate toxicity sign? (Variant 15 - 2026/2027)
A. Decreased reflexes, RR <12, decreased UO - antidote calcium gluconate
B. Increased reflexes
C. HTN
D. Tachycardia
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Primary prevention: vaccination, education.
16. APGAR at? (Variant 16 - 2026/2027)
A. Before birth
B. 24 hours
C. 1 hour
D. 1 and 5 minutes after birth
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Wound healing: protein, Vit C, Zinc, Vit A.
17. Late decelerations indicate? (Variant 17 - 2026/2027)
A. Normal
B. Head compression
C. Cord compression
D. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Mag toxicity: decreased reflexes, RR <12, UO
decreased. Calcium gluconate antidote.
18. Boggy fundus post-delivery first? (Variant 18 - 2026/2027)
A. Call only
B. Oral meds
C. Massage fundus, empty bladder
D. Ambulate
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
19. Mag sulfate toxicity sign? (Variant 19 - 2026/2027)
A. Increased reflexes
B. Tachycardia
C. Decreased reflexes, RR <12, decreased UO - antidote calcium gluconate
D. HTN
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Alcohol DTs 48-96h after last drink.
20. APGAR at? (Variant 20 - 2026/2027)
A. Before birth
B. 1 hour
C. 1 and 5 minutes after birth
D. 24 hours
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs, unstable before stable, acute before
chronic.
21. Late decelerations indicate? (Variant 21 - 2026/2027)
A. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
B. Cord compression
C. Head compression
D. Normal
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Epiglottitis emergency: drooling, tripod, do
NOT examine throat.
22. Boggy fundus post-delivery first? (Variant 22 - 2026/2027)
, A. Oral meds
B. Ambulate
C. Massage fundus, empty bladder
D. Call only
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Blood pH 7.35-7.45 alkaline.
23. Mag sulfate toxicity sign? (Variant 23 - 2026/2027)
A. Increased reflexes
B. Tachycardia
C. HTN
D. Decreased reflexes, RR <12, decreased UO - antidote calcium gluconate
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
24. APGAR at? (Variant 24 - 2026/2027)
A. 1 and 5 minutes after birth
B. 24 hours
C. Before birth
D. 1 hour
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Dehydration improvement: moist membranes,
tears, turgor, UO.
25. Late decelerations indicate? (Variant 25 - 2026/2027)
A. Cord compression
B. Head compression
C. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
D. Normal
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Boggy fundus = atony. Massage, empty
bladder.
26. Boggy fundus post-delivery first? (Variant 26 - 2026/2027)
A. Massage fundus, empty bladder
B. Oral meds
C. Ambulate
D. Call only
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Fall prevention: bed low, alarm, hourly
rounding, call light, non-skid socks.
27. Mag sulfate toxicity sign? (Variant 27 - 2026/2027)
A. Decreased reflexes, RR <12, decreased UO - antidote calcium gluconate
B. Increased reflexes
C. HTN
D. Tachycardia
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
28. APGAR at? (Variant 28 - 2026/2027)
A. 24 hours
B. 1 and 5 minutes after birth
C. Before birth
D. 1 hour
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
29. Late decelerations indicate? (Variant 29 - 2026/2027)
A. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
B. Head compression
WITH MIXED ANSWERS A,B,C,D & RATIONALES | A+
Course: ATI RN Maternal Newborn CMS 2026/2027 | 400 Questions Mixed A/B/C/D | 2026/2027 | Answer Mix: A=102
B=114 C=113 D=71
Original 2026/2027 content with randomized answer keys for exam realism. Not all A. Based on ATI, Lewis, Saunders, NCSBN.
1. Late decelerations indicate? (Variant 1 - 2026/2027)
A. Head compression
B. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
C. Cord compression
D. Normal
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Epiglottitis emergency: drooling, tripod, do
NOT examine throat.
2. Boggy fundus post-delivery first? (Variant 2 - 2026/2027)
A. Massage fundus, empty bladder
B. Oral meds
C. Ambulate
D. Call only
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Sepsis bundle: cultures before ABX,
broad-spectrum ABX within 1hr, fluids, lactate.
3. Mag sulfate toxicity sign? (Variant 3 - 2026/2027)
A. Tachycardia
B. HTN
C. Increased reflexes
D. Decreased reflexes, RR <12, decreased UO - antidote calcium gluconate
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Fall prevention: bed low, alarm, hourly
rounding, call light, non-skid socks.
4. APGAR at? (Variant 4 - 2026/2027)
A. 1 hour
B. Before birth
C. 1 and 5 minutes after birth
D. 24 hours
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Wound healing: protein, Vit C, Zinc, Vit A.
5. Late decelerations indicate? (Variant 5 - 2026/2027)
A. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
B. Cord compression
C. Head compression
D. Normal
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. APGAR at 1 and 5 min.
6. Boggy fundus post-delivery first? (Variant 6 - 2026/2027)
A. Call only
B. Oral meds
C. Massage fundus, empty bladder
D. Ambulate
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heart failure management: daily weights,
I&O;, low Na, diuretics, monitor electrolytes.
7. Mag sulfate toxicity sign? (Variant 7 - 2026/2027)
A. Increased reflexes
B. Tachycardia
, C. Decreased reflexes, RR <12, decreased UO - antidote calcium gluconate
D. HTN
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. CKD diet: low protein, K, Na, phosphorus,
fluid restriction.
8. APGAR at? (Variant 8 - 2026/2027)
A. Before birth
B. 1 hour
C. 1 and 5 minutes after birth
D. 24 hours
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Croup: barky cough, racemic epi, steroids.
9. Late decelerations indicate? (Variant 9 - 2026/2027)
A. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
B. Head compression
C. Cord compression
D. Normal
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Dehydration improvement: moist membranes,
tears, turgor, UO.
10. Boggy fundus post-delivery first? (Variant 10 - 2026/2027)
A. Ambulate
B. Massage fundus, empty bladder
C. Oral meds
D. Call only
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Aminoglycoside nephrotoxic and ototoxic.
11. Mag sulfate toxicity sign? (Variant 11 - 2026/2027)
A. Decreased reflexes, RR <12, decreased UO - antidote calcium gluconate
B. Increased reflexes
C. HTN
D. Tachycardia
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Fall prevention: bed low, alarm, hourly
rounding, call light, non-skid socks.
12. APGAR at? (Variant 12 - 2026/2027)
A. 1 and 5 minutes after birth
B. 1 hour
C. 24 hours
D. Before birth
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. O- universal donor.
13. Late decelerations indicate? (Variant 13 - 2026/2027)
A. Cord compression
B. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
C. Head compression
D. Normal
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs, unstable before stable, acute before
chronic.
14. Boggy fundus post-delivery first? (Variant 14 - 2026/2027)
A. Call only
B. Oral meds
C. Ambulate
D. Massage fundus, empty bladder
Correct Answer: D
,Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Kawasaki: IVIG + aspirin prevents coronary
aneurysm.
15. Mag sulfate toxicity sign? (Variant 15 - 2026/2027)
A. Decreased reflexes, RR <12, decreased UO - antidote calcium gluconate
B. Increased reflexes
C. HTN
D. Tachycardia
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Primary prevention: vaccination, education.
16. APGAR at? (Variant 16 - 2026/2027)
A. Before birth
B. 24 hours
C. 1 hour
D. 1 and 5 minutes after birth
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Wound healing: protein, Vit C, Zinc, Vit A.
17. Late decelerations indicate? (Variant 17 - 2026/2027)
A. Normal
B. Head compression
C. Cord compression
D. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Mag toxicity: decreased reflexes, RR <12, UO
decreased. Calcium gluconate antidote.
18. Boggy fundus post-delivery first? (Variant 18 - 2026/2027)
A. Call only
B. Oral meds
C. Massage fundus, empty bladder
D. Ambulate
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
19. Mag sulfate toxicity sign? (Variant 19 - 2026/2027)
A. Increased reflexes
B. Tachycardia
C. Decreased reflexes, RR <12, decreased UO - antidote calcium gluconate
D. HTN
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Alcohol DTs 48-96h after last drink.
20. APGAR at? (Variant 20 - 2026/2027)
A. Before birth
B. 1 hour
C. 1 and 5 minutes after birth
D. 24 hours
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. ABCs, unstable before stable, acute before
chronic.
21. Late decelerations indicate? (Variant 21 - 2026/2027)
A. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
B. Cord compression
C. Head compression
D. Normal
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Epiglottitis emergency: drooling, tripod, do
NOT examine throat.
22. Boggy fundus post-delivery first? (Variant 22 - 2026/2027)
, A. Oral meds
B. Ambulate
C. Massage fundus, empty bladder
D. Call only
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Blood pH 7.35-7.45 alkaline.
23. Mag sulfate toxicity sign? (Variant 23 - 2026/2027)
A. Increased reflexes
B. Tachycardia
C. HTN
D. Decreased reflexes, RR <12, decreased UO - antidote calcium gluconate
Correct Answer: D
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Heparin therapeutic aPTT 60-80 sec. Monitor
HIT.
24. APGAR at? (Variant 24 - 2026/2027)
A. 1 and 5 minutes after birth
B. 24 hours
C. Before birth
D. 1 hour
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Dehydration improvement: moist membranes,
tears, turgor, UO.
25. Late decelerations indicate? (Variant 25 - 2026/2027)
A. Cord compression
B. Head compression
C. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
D. Normal
Correct Answer: C
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Boggy fundus = atony. Massage, empty
bladder.
26. Boggy fundus post-delivery first? (Variant 26 - 2026/2027)
A. Massage fundus, empty bladder
B. Oral meds
C. Ambulate
D. Call only
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Fall prevention: bed low, alarm, hourly
rounding, call light, non-skid socks.
27. Mag sulfate toxicity sign? (Variant 27 - 2026/2027)
A. Decreased reflexes, RR <12, decreased UO - antidote calcium gluconate
B. Increased reflexes
C. HTN
D. Tachycardia
Correct Answer: A
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. Measles needs 95% herd immunity.
28. APGAR at? (Variant 28 - 2026/2027)
A. 24 hours
B. 1 and 5 minutes after birth
C. Before birth
D. 1 hour
Correct Answer: B
Rationale: Rationale: Based on ATI standards, Lewis, Saunders, and NCSBN Clinical Judgment. UAP: vitals stable, ADLs, hygiene,
ambulation, I&O.;
29. Late decelerations indicate? (Variant 29 - 2026/2027)
A. Uteroplacental insufficiency - left side, O2, stop oxytocin, fluids
B. Head compression
