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2026 ATI RN MATERNAL NEWBORN PROCTORED 2026-2027 ACTUAL EXAM TEST
BANK-MATERNAL NEWBORN ATI PROCTORED EXAM REAL EXAM QUESTIONS
AND ANSWERS
Question:
A G2P1 patient at 39 weeks reports contractions every 4–5 minutes with rupture of membranes.
What is the priority nursing action?
Answer:
Assess fetal heart rate for signs of distress
Rationale:
Ruptured membranes increase the risk of infection and cord prolapse; fetal monitoring ensures
prompt detection of complications.
Question:
A newborn’s APGAR scores are 7 at 1 minute and 9 at 5 minutes. What does this indicate?
Answer:
The newborn is transitioning well
Rationale:
Scores 7–10 indicate the baby is adjusting adequately; continue routine care and monitoring.
Question:
A postpartum patient reports heavy lochia with clots two days after vaginal birth. What is the
priority action?
Answer:
Assess fundus and vital signs
Rationale:
Heavy bleeding with clots may indicate postpartum hemorrhage; early assessment allows rapid
intervention.
Question:
A patient at 32 weeks gestation has blood pressure 150/95, proteinuria, and edema. What is the
priority intervention?
practice exam 2026
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Answer:
Notify the provider for evaluation of preeclampsia
Rationale:
Preeclampsia can progress rapidly; early detection prevents maternal and fetal complications.
Question:
Which instruction is most important for a breastfeeding mother to prevent mastitis?
Answer:
Ensure proper latch and complete emptying of breasts
Rationale:
Incomplete emptying can lead to milk stasis and infection; good technique reduces mastitis risk.
Question:
A newborn’s blood glucose is 38 mg/dL 2 hours after birth. What is the priority action?
Answer:
Feed the newborn or provide glucose supplementation
Rationale:
Hypoglycemia can cause neurologic damage; early intervention stabilizes blood sugar.
Question:
A patient is 28 weeks pregnant and reports painless bright red vaginal bleeding. What is the
priority action?
Answer:
Assess for placenta previa and notify the provider
Rationale:
Painless bleeding in the second or third trimester may indicate placenta previa, which can
threaten maternal and fetal safety.
Question:
A newborn has nasal flaring, grunting, and retractions. What is the priority nursing intervention?
practice exam 2026
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Answer:
Administer oxygen and notify provider
Rationale:
These are signs of respiratory distress; early intervention prevents hypoxia and complications.
Question:
Which maternal teaching is appropriate for a patient with preterm labor risk?
Answer:
Encourage hydration, rest, and report uterine contractions promptly
Rationale:
Preterm labor can be prevented or managed early by recognizing warning signs and minimizing
uterine irritability.
Question:
A postpartum patient is 6 hours after birth and has a firm uterus at the umbilicus but reports
moderate bleeding. What is the next step?
Answer:
Assess perineal pads and monitor vital signs
Rationale:
A firm fundus with moderate lochia is usually normal; monitoring ensures early detection of
hemorrhage.
Question:
A patient in labor has a non-reassuring fetal heart rate pattern with variable decelerations. What
is the priority nursing action?
Answer:
Reposition the patient and assess for cord compression
Rationale:
Variable decelerations often indicate cord compression; repositioning relieves pressure and
improves fetal oxygenation.
practice exam 2026
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Question:
A patient is 40 weeks gestation and requests pain management during labor. Which medication is
appropriate for early labor?
Answer:
IV opioid analgesic as prescribed
Rationale:
Opioids can reduce pain during early labor without significantly affecting fetal status if used
appropriately.
Question:
A newborn’s temperature is 35.8°C (96.4°F). What is the priority nursing intervention?
Answer:
Provide skin-to-skin contact and warm the newborn
Rationale:
Newborn hypothermia can cause respiratory distress and hypoglycemia; early warming prevents
complications.
Question:
A postpartum patient is taking oxytocin infusion after vaginal birth. Which assessment is most
important?
Answer:
Monitor uterine tone and vaginal bleeding
Rationale:
Oxytocin promotes uterine contraction; monitoring prevents postpartum hemorrhage.
Question:
Which sign indicates magnesium sulfate toxicity in a patient with preeclampsia?
Answer:
Respiratory rate less than 12/min
Rationale:
Magnesium sulfate depresses CNS; respiratory depression is a life-threatening adverse effect.
practice exam 2026
2026 ATI RN MATERNAL NEWBORN PROCTORED 2026-2027 ACTUAL EXAM TEST
BANK-MATERNAL NEWBORN ATI PROCTORED EXAM REAL EXAM QUESTIONS
AND ANSWERS
Question:
A G2P1 patient at 39 weeks reports contractions every 4–5 minutes with rupture of membranes.
What is the priority nursing action?
Answer:
Assess fetal heart rate for signs of distress
Rationale:
Ruptured membranes increase the risk of infection and cord prolapse; fetal monitoring ensures
prompt detection of complications.
Question:
A newborn’s APGAR scores are 7 at 1 minute and 9 at 5 minutes. What does this indicate?
Answer:
The newborn is transitioning well
Rationale:
Scores 7–10 indicate the baby is adjusting adequately; continue routine care and monitoring.
Question:
A postpartum patient reports heavy lochia with clots two days after vaginal birth. What is the
priority action?
Answer:
Assess fundus and vital signs
Rationale:
Heavy bleeding with clots may indicate postpartum hemorrhage; early assessment allows rapid
intervention.
Question:
A patient at 32 weeks gestation has blood pressure 150/95, proteinuria, and edema. What is the
priority intervention?
practice exam 2026
,2|Page
Answer:
Notify the provider for evaluation of preeclampsia
Rationale:
Preeclampsia can progress rapidly; early detection prevents maternal and fetal complications.
Question:
Which instruction is most important for a breastfeeding mother to prevent mastitis?
Answer:
Ensure proper latch and complete emptying of breasts
Rationale:
Incomplete emptying can lead to milk stasis and infection; good technique reduces mastitis risk.
Question:
A newborn’s blood glucose is 38 mg/dL 2 hours after birth. What is the priority action?
Answer:
Feed the newborn or provide glucose supplementation
Rationale:
Hypoglycemia can cause neurologic damage; early intervention stabilizes blood sugar.
Question:
A patient is 28 weeks pregnant and reports painless bright red vaginal bleeding. What is the
priority action?
Answer:
Assess for placenta previa and notify the provider
Rationale:
Painless bleeding in the second or third trimester may indicate placenta previa, which can
threaten maternal and fetal safety.
Question:
A newborn has nasal flaring, grunting, and retractions. What is the priority nursing intervention?
practice exam 2026
,3|Page
Answer:
Administer oxygen and notify provider
Rationale:
These are signs of respiratory distress; early intervention prevents hypoxia and complications.
Question:
Which maternal teaching is appropriate for a patient with preterm labor risk?
Answer:
Encourage hydration, rest, and report uterine contractions promptly
Rationale:
Preterm labor can be prevented or managed early by recognizing warning signs and minimizing
uterine irritability.
Question:
A postpartum patient is 6 hours after birth and has a firm uterus at the umbilicus but reports
moderate bleeding. What is the next step?
Answer:
Assess perineal pads and monitor vital signs
Rationale:
A firm fundus with moderate lochia is usually normal; monitoring ensures early detection of
hemorrhage.
Question:
A patient in labor has a non-reassuring fetal heart rate pattern with variable decelerations. What
is the priority nursing action?
Answer:
Reposition the patient and assess for cord compression
Rationale:
Variable decelerations often indicate cord compression; repositioning relieves pressure and
improves fetal oxygenation.
practice exam 2026
, 4|Page
Question:
A patient is 40 weeks gestation and requests pain management during labor. Which medication is
appropriate for early labor?
Answer:
IV opioid analgesic as prescribed
Rationale:
Opioids can reduce pain during early labor without significantly affecting fetal status if used
appropriately.
Question:
A newborn’s temperature is 35.8°C (96.4°F). What is the priority nursing intervention?
Answer:
Provide skin-to-skin contact and warm the newborn
Rationale:
Newborn hypothermia can cause respiratory distress and hypoglycemia; early warming prevents
complications.
Question:
A postpartum patient is taking oxytocin infusion after vaginal birth. Which assessment is most
important?
Answer:
Monitor uterine tone and vaginal bleeding
Rationale:
Oxytocin promotes uterine contraction; monitoring prevents postpartum hemorrhage.
Question:
Which sign indicates magnesium sulfate toxicity in a patient with preeclampsia?
Answer:
Respiratory rate less than 12/min
Rationale:
Magnesium sulfate depresses CNS; respiratory depression is a life-threatening adverse effect.
practice exam 2026
