ATI RN MATERNAL NEWBORN PROCTORED EXAM 2026
ACTUAL AND RETAKE | FULL 70 QUESTIONS WITH VERIFIED
ANSWERS AND RATIONALES 100% GUARANTEED PASS FOR
RN STUDENTS
Core Domains
• Antepartum Care and Prenatal Assessment
• Intrapartum Labor and Delivery Management
• Postpartum Care and Complications
• Newborn Assessment and Immediate Care
• High-Risk Pregnancy Conditions and Complications
• Pharmacology and Medication Administration
• Fetal Assessment and Diagnostic Testing
• Breastfeeding and Newborn Nutrition
• Patient Education and Family-Centered Care
• Next Generation NCLEX (NGN) Clinical Judgment
This comprehensive examination guide is designed for RN students preparing for
the ATI RN Maternal Newborn Proctored Exam for the 2026 testing cycle. The
exam evaluates clinical judgment, prioritization, and application of maternal-
newborn nursing concepts across the full spectrum of care, including antepartum,
intrapartum, postpartum, and newborn care . Questions are formatted to mirror
the actual ATI proctored assessment, including multiple-choice, select-all-that-
apply, and NGN-style case studies . Each practice question includes a verified
answer and detailed rationale to reinforce clinical reasoning and exam readiness .
EXAM FORMAT OVERVIEW
,Component Details
Total Questions 70 Questions
Format Multiple-choice, SATA, Ordered Response, NGN Case Studies
Content Areas Antepartum, Intrapartum, Postpartum, Newborn Care, Complications
NGN Item Extended Multiple Response, Cloze/Drop-Down, Drag-and-Drop, Matrix/G
Types Highlight, Bow-Tie
SECTION 1: ANTEPARTUM CARE & PRENATAL ASSESSMENT
(Questions 1-25)
Question 1
A nurse is calculating the estimated date of birth for a client whose last menstrual
period (LMP) was May 10. Using Naegele's rule, which date is the correct
estimated date of birth?
A. February 10
B. February 17
C. March 10
D. March 17
Correct answer: B
RATIONALE: Naegele's rule: subtract 3 months from the LMP and add 7
days. May 10 minus 3 months = February 10. February 10 plus 7 days = February
17 . This calculation provides an estimated due date of 40 weeks from the LMP.
Question 2
Which of the following is an expected cardiovascular change during pregnancy?
,A. Decreased cardiac output
B. Increased blood pressure
C. Increased heart rate
D. Decreased blood volume
Correct answer: C
RATIONALE: During pregnancy, heart rate increases by 10-15 beats per
minute due to increased metabolic demands. Cardiac output increases by 30-50%,
and blood volume increases by 30-50% . Blood pressure typically decreases in the
second trimester due to systemic vasodilation.
Question 3
A nurse is assessing a client at her first prenatal visit. The client's last menstrual
period was 8 weeks ago. Which finding is consistent with a normal pregnancy at 8
weeks gestation?
A. Fetal heartbeat audible with Doppler
B. Positive pregnancy test (urine or serum)
C. Fetal movements felt by the mother
D. Fundal height at the umbilicus
Correct answer: B
RATIONALE: At 8 weeks gestation, a pregnancy test is positive due to rising
hCG levels. Fetal heartbeat is typically audible with Doppler at 10-12 weeks . Fetal
movements (quickening) are felt at 16-20 weeks. The fundal height reaches the
umbilicus at approximately 20 weeks.
Question 4
A nurse is teaching a client about expected weight gain during pregnancy. The
client has a normal BMI before pregnancy. What is the recommended weight gain?
A. 11-20 pounds
B. 15-25 pounds
C. 25-35 pounds
D. 28-40 pounds
, Correct answer: C
RATIONALE: For a woman with a normal pre-pregnancy BMI (18.5-24.9),
the recommended weight gain is 25-35 pounds . Overweight women should gain
15-25 pounds, and obese women should gain 11-20 pounds. The weight gain
supports fetal growth, placental development, and maternal tissue expansion.
Question 5
A nurse is providing teaching to a client about folic acid supplementation during
pregnancy. Which statement by the client indicates understanding?
A. "Folic acid prevents birth defects of the spine and brain."
B. "Folic acid helps my baby grow larger."
C. "Folic acid prevents me from having gestational diabetes."
D. "Folic acid will prevent preterm labor."
Correct answer: A
RATIONALE: Folic acid (400-800 mcg daily) is essential before and during
early pregnancy to prevent neural tube defects such as spina bifida and
anencephaly . While it also supports red blood cell production, the primary reason
is neural tube defect prevention.
Question 6
A nurse is assessing a client at 12 weeks gestation. At what gestational age can
fetal heart tones typically be heard with a Doppler?
A. 6-8 weeks
B. 10-12 weeks
C. 14-16 weeks
D. 18-20 weeks
Correct answer: B
RATIONALE: Fetal heart tones can typically be detected with a Doppler
ultrasound at 10-12 weeks gestation . With a fetoscope, heart tones may be heard at
18-20 weeks. Early detection depends on fetal position and maternal body habitus.
ACTUAL AND RETAKE | FULL 70 QUESTIONS WITH VERIFIED
ANSWERS AND RATIONALES 100% GUARANTEED PASS FOR
RN STUDENTS
Core Domains
• Antepartum Care and Prenatal Assessment
• Intrapartum Labor and Delivery Management
• Postpartum Care and Complications
• Newborn Assessment and Immediate Care
• High-Risk Pregnancy Conditions and Complications
• Pharmacology and Medication Administration
• Fetal Assessment and Diagnostic Testing
• Breastfeeding and Newborn Nutrition
• Patient Education and Family-Centered Care
• Next Generation NCLEX (NGN) Clinical Judgment
This comprehensive examination guide is designed for RN students preparing for
the ATI RN Maternal Newborn Proctored Exam for the 2026 testing cycle. The
exam evaluates clinical judgment, prioritization, and application of maternal-
newborn nursing concepts across the full spectrum of care, including antepartum,
intrapartum, postpartum, and newborn care . Questions are formatted to mirror
the actual ATI proctored assessment, including multiple-choice, select-all-that-
apply, and NGN-style case studies . Each practice question includes a verified
answer and detailed rationale to reinforce clinical reasoning and exam readiness .
EXAM FORMAT OVERVIEW
,Component Details
Total Questions 70 Questions
Format Multiple-choice, SATA, Ordered Response, NGN Case Studies
Content Areas Antepartum, Intrapartum, Postpartum, Newborn Care, Complications
NGN Item Extended Multiple Response, Cloze/Drop-Down, Drag-and-Drop, Matrix/G
Types Highlight, Bow-Tie
SECTION 1: ANTEPARTUM CARE & PRENATAL ASSESSMENT
(Questions 1-25)
Question 1
A nurse is calculating the estimated date of birth for a client whose last menstrual
period (LMP) was May 10. Using Naegele's rule, which date is the correct
estimated date of birth?
A. February 10
B. February 17
C. March 10
D. March 17
Correct answer: B
RATIONALE: Naegele's rule: subtract 3 months from the LMP and add 7
days. May 10 minus 3 months = February 10. February 10 plus 7 days = February
17 . This calculation provides an estimated due date of 40 weeks from the LMP.
Question 2
Which of the following is an expected cardiovascular change during pregnancy?
,A. Decreased cardiac output
B. Increased blood pressure
C. Increased heart rate
D. Decreased blood volume
Correct answer: C
RATIONALE: During pregnancy, heart rate increases by 10-15 beats per
minute due to increased metabolic demands. Cardiac output increases by 30-50%,
and blood volume increases by 30-50% . Blood pressure typically decreases in the
second trimester due to systemic vasodilation.
Question 3
A nurse is assessing a client at her first prenatal visit. The client's last menstrual
period was 8 weeks ago. Which finding is consistent with a normal pregnancy at 8
weeks gestation?
A. Fetal heartbeat audible with Doppler
B. Positive pregnancy test (urine or serum)
C. Fetal movements felt by the mother
D. Fundal height at the umbilicus
Correct answer: B
RATIONALE: At 8 weeks gestation, a pregnancy test is positive due to rising
hCG levels. Fetal heartbeat is typically audible with Doppler at 10-12 weeks . Fetal
movements (quickening) are felt at 16-20 weeks. The fundal height reaches the
umbilicus at approximately 20 weeks.
Question 4
A nurse is teaching a client about expected weight gain during pregnancy. The
client has a normal BMI before pregnancy. What is the recommended weight gain?
A. 11-20 pounds
B. 15-25 pounds
C. 25-35 pounds
D. 28-40 pounds
, Correct answer: C
RATIONALE: For a woman with a normal pre-pregnancy BMI (18.5-24.9),
the recommended weight gain is 25-35 pounds . Overweight women should gain
15-25 pounds, and obese women should gain 11-20 pounds. The weight gain
supports fetal growth, placental development, and maternal tissue expansion.
Question 5
A nurse is providing teaching to a client about folic acid supplementation during
pregnancy. Which statement by the client indicates understanding?
A. "Folic acid prevents birth defects of the spine and brain."
B. "Folic acid helps my baby grow larger."
C. "Folic acid prevents me from having gestational diabetes."
D. "Folic acid will prevent preterm labor."
Correct answer: A
RATIONALE: Folic acid (400-800 mcg daily) is essential before and during
early pregnancy to prevent neural tube defects such as spina bifida and
anencephaly . While it also supports red blood cell production, the primary reason
is neural tube defect prevention.
Question 6
A nurse is assessing a client at 12 weeks gestation. At what gestational age can
fetal heart tones typically be heard with a Doppler?
A. 6-8 weeks
B. 10-12 weeks
C. 14-16 weeks
D. 18-20 weeks
Correct answer: B
RATIONALE: Fetal heart tones can typically be detected with a Doppler
ultrasound at 10-12 weeks gestation . With a fetoscope, heart tones may be heard at
18-20 weeks. Early detection depends on fetal position and maternal body habitus.
