ATI PN MATERNAL NEWBORN 2026
60-QUESTION NGN-STYLE PRACTICE ASSESSMENT
CORRECT ANSWERS & DETAILED RATIONALES
Important: This is an original study resource written in an ATI/NGN-inspired style. It is not an actual or verified 2026 ATI proctored exam,
does not reproduce confidential ATI items, and does not claim to use ATI's proprietary marking scheme.
Instructions: Select the single best answer for each item. Review the answer and rationale after choosing.
1. A client at 34 weeks' gestation reports severe headache, blurred vision, and epigastric pain. BP is 168/112
mm Hg. What is the priority action?
A. Reassess in 4 hours
B. Notify the obstetric provider immediately and initiate urgent safety measures
C. Encourage ambulation
D. Provide routine prenatal teaching
Correct answer: B. Notify the obstetric provider immediately and initiate urgent safety measures
Rationale: Severe-range hypertension with neurologic and epigastric symptoms suggests preeclampsia with severe features
and requires urgent treatment to reduce risks such as stroke and seizure.
2. A client receiving oxytocin has contractions every minute lasting 90 seconds and recurrent late
decelerations. What should the nurse do first?
A. Increase oxytocin
B. Stop the oxytocin infusion
C. Encourage pushing
D. Prepare for discharge
Correct answer: B. Stop the oxytocin infusion
Rationale: Excessive uterine activity can reduce placental perfusion. Stop oxytocin, reposition laterally, assess maternal-fetal
status, and escalate care per protocol.
3. One hour after birth, a client has heavy vaginal bleeding and a boggy uterus. Which action is the priority?
A. Massage the uterine fundus
B. Offer oral fluids only
C. Assist the client to shower
D. Reassess in one hour
Correct answer: A. Massage the uterine fundus
Rationale: A boggy uterus suggests uterine atony, a common cause of postpartum hemorrhage. Begin fundal massage and
activate the hemorrhage response as indicated.
4. A newborn is cold, lethargic, and feeding poorly. Which complication should the nurse consider?
A. Hypoglycemia
B. Normal transition only
C. Physiologic jaundice only
D. Teething
Correct answer: A. Hypoglycemia
Rationale: Hypothermia, lethargy, and poor feeding can signal hypoglycemia or serious illness. Promptly assess the newborn
and check glucose according to protocol.
Original practice material — not official ATI exam content Page 1
, 5. A client at 30 weeks reports painless, bright-red vaginal bleeding. What action is appropriate?
A. Perform a digital vaginal examination
B. Avoid digital vaginal examination and notify the obstetric provider
C. Encourage exercise
D. Discharge if fetal movement is present
Correct answer: B. Avoid digital vaginal examination and notify the obstetric provider
Rationale: Placenta previa is a possible cause. A digital examination can provoke severe bleeding until placental location is
known.
6. A postpartum client has unilateral calf pain, warmth, and swelling. What should the nurse do?
A. Massage the calf
B. Encourage vigorous walking before assessment
C. Promptly notify the provider for possible DVT
D. Ignore symptoms if there is no fever
Correct answer: C. Promptly notify the provider for possible DVT
Rationale: These symptoms may indicate deep-vein thrombosis. Prompt evaluation is needed; avoid calf massage. Sudden
chest pain or dyspnea is an emergency.
7. A newborn has grunting, nasal flaring, and chest retractions. What takes priority?
A. Delay until next feeding
B. Obtain immediate assistance and support respiratory status
C. Leave the newborn alone to rest
D. Give sterile water
Correct answer: B. Obtain immediate assistance and support respiratory status
Rationale: Grunting, flaring, and retractions indicate respiratory distress and require immediate assessment and support.
8. Why is a newborn of a client with gestational diabetes monitored for hypoglycemia?
A. All such newborns have diabetes
B. Fetal insulin production may remain high after maternal glucose supply stops at birth
C. Monitoring prevents congenital disorders
D. Only crying newborns need checks
Correct answer: B. Fetal insulin production may remain high after maternal glucose supply stops at birth
Rationale: Fetal hyperinsulinemia can persist after birth and lower the newborn's glucose level.
9. An unsensitized Rh-negative client delivers an Rh-positive newborn. Which intervention should the nurse
anticipate?
A. Rho(D) immune globulin within the recommended window, usually 72 hours
B. No intervention is ever indicated
C. Give the newborn's vaccines to the parent
D. Give iron only
Correct answer: A. Rho(D) immune globulin within the recommended window, usually 72 hours
Rationale: Rho(D) immune globulin helps prevent Rh sensitization and is generally given within 72 hours after delivery of an
Rh-positive infant when indicated.
Original practice material — not official ATI exam content Page 2
60-QUESTION NGN-STYLE PRACTICE ASSESSMENT
CORRECT ANSWERS & DETAILED RATIONALES
Important: This is an original study resource written in an ATI/NGN-inspired style. It is not an actual or verified 2026 ATI proctored exam,
does not reproduce confidential ATI items, and does not claim to use ATI's proprietary marking scheme.
Instructions: Select the single best answer for each item. Review the answer and rationale after choosing.
1. A client at 34 weeks' gestation reports severe headache, blurred vision, and epigastric pain. BP is 168/112
mm Hg. What is the priority action?
A. Reassess in 4 hours
B. Notify the obstetric provider immediately and initiate urgent safety measures
C. Encourage ambulation
D. Provide routine prenatal teaching
Correct answer: B. Notify the obstetric provider immediately and initiate urgent safety measures
Rationale: Severe-range hypertension with neurologic and epigastric symptoms suggests preeclampsia with severe features
and requires urgent treatment to reduce risks such as stroke and seizure.
2. A client receiving oxytocin has contractions every minute lasting 90 seconds and recurrent late
decelerations. What should the nurse do first?
A. Increase oxytocin
B. Stop the oxytocin infusion
C. Encourage pushing
D. Prepare for discharge
Correct answer: B. Stop the oxytocin infusion
Rationale: Excessive uterine activity can reduce placental perfusion. Stop oxytocin, reposition laterally, assess maternal-fetal
status, and escalate care per protocol.
3. One hour after birth, a client has heavy vaginal bleeding and a boggy uterus. Which action is the priority?
A. Massage the uterine fundus
B. Offer oral fluids only
C. Assist the client to shower
D. Reassess in one hour
Correct answer: A. Massage the uterine fundus
Rationale: A boggy uterus suggests uterine atony, a common cause of postpartum hemorrhage. Begin fundal massage and
activate the hemorrhage response as indicated.
4. A newborn is cold, lethargic, and feeding poorly. Which complication should the nurse consider?
A. Hypoglycemia
B. Normal transition only
C. Physiologic jaundice only
D. Teething
Correct answer: A. Hypoglycemia
Rationale: Hypothermia, lethargy, and poor feeding can signal hypoglycemia or serious illness. Promptly assess the newborn
and check glucose according to protocol.
Original practice material — not official ATI exam content Page 1
, 5. A client at 30 weeks reports painless, bright-red vaginal bleeding. What action is appropriate?
A. Perform a digital vaginal examination
B. Avoid digital vaginal examination and notify the obstetric provider
C. Encourage exercise
D. Discharge if fetal movement is present
Correct answer: B. Avoid digital vaginal examination and notify the obstetric provider
Rationale: Placenta previa is a possible cause. A digital examination can provoke severe bleeding until placental location is
known.
6. A postpartum client has unilateral calf pain, warmth, and swelling. What should the nurse do?
A. Massage the calf
B. Encourage vigorous walking before assessment
C. Promptly notify the provider for possible DVT
D. Ignore symptoms if there is no fever
Correct answer: C. Promptly notify the provider for possible DVT
Rationale: These symptoms may indicate deep-vein thrombosis. Prompt evaluation is needed; avoid calf massage. Sudden
chest pain or dyspnea is an emergency.
7. A newborn has grunting, nasal flaring, and chest retractions. What takes priority?
A. Delay until next feeding
B. Obtain immediate assistance and support respiratory status
C. Leave the newborn alone to rest
D. Give sterile water
Correct answer: B. Obtain immediate assistance and support respiratory status
Rationale: Grunting, flaring, and retractions indicate respiratory distress and require immediate assessment and support.
8. Why is a newborn of a client with gestational diabetes monitored for hypoglycemia?
A. All such newborns have diabetes
B. Fetal insulin production may remain high after maternal glucose supply stops at birth
C. Monitoring prevents congenital disorders
D. Only crying newborns need checks
Correct answer: B. Fetal insulin production may remain high after maternal glucose supply stops at birth
Rationale: Fetal hyperinsulinemia can persist after birth and lower the newborn's glucose level.
9. An unsensitized Rh-negative client delivers an Rh-positive newborn. Which intervention should the nurse
anticipate?
A. Rho(D) immune globulin within the recommended window, usually 72 hours
B. No intervention is ever indicated
C. Give the newborn's vaccines to the parent
D. Give iron only
Correct answer: A. Rho(D) immune globulin within the recommended window, usually 72 hours
Rationale: Rho(D) immune globulin helps prevent Rh sensitization and is generally given within 72 hours after delivery of an
Rh-positive infant when indicated.
Original practice material — not official ATI exam content Page 2
