ATI RN Maternal Newborn Proctored Exam
2026/2027 | Pass ATI RN Maternal Newborn Using
This Verified 170 Questions and Answers Test
Guide That Assures Level 2 Score in the Actual ATI
RN Maternal Newborn Proctored Exam
EXAM OVERVIEW
Feature Detail
Exam Type ATI RN Maternal Newborn Proctored Exam
Total
170 total (150 scored + 20 pretest)
Questions
Time Limit 3 hours
Target Score Level 2 or higher
NGN Format Bow-Tie, Matrix, Highlight, Drop-Down, and Drag-and-Drop items
Antepartum care, Intrapartum labor and delivery, Postpartum recovery and complications,
Key Topics
Newborn assessment and disorders, High-risk pregnancy emergencies, Prioritization
SECTION 1: ANTEPARTUM CARE (Prenatal Care & Complications) – Questions 1-50
1. A nurse is teaching a client who is at 8 weeks of gestation about manifestations to report to
the provider during pregnancy. Which of the following information should the nurse include
in the teaching?
, • A. Nausea upon awakening
• B. Blurred or double vision
• C. Increase in white vaginal discharge
• D. Leg cramps when sleeping
Answer: B
Rationale: Blurred or double vision can indicate preeclampsia, a serious complication of
pregnancy. The nurse should instruct the client to report this immediately. Nausea upon
awakening is a common discomfort in the first trimester. Increased white vaginal discharge
(leukorrhea) is normal during pregnancy. Leg cramps are common in later pregnancy .
2. A nurse is teaching a client who is at 12 weeks of gestation and has HIV. Which of the
following statements should the nurse include in the teaching?
• A. "You will be in isolation after delivery."
• B. "Abstain from sexual intercourse throughout pregnancy."
• C. "Breastfeed your newborn to provide passive immunity."
• D. "You should continue to take zidovudine throughout the pregnancy."
Answer: D
Rationale: Taking antiviral medication daily decreases the risk of transmission of HIV to the
newborn. Isolation is not required. Sexual activity can continue with precautions. HIV can be
transmitted through breast milk, so breastfeeding is not recommended .
3. A nurse is caring for a client who is pregnant and states that her last menstrual period was
April 1st. Which of the following is the client's estimated date of delivery?
• A. January 8
• B. January 15
• C. February 8
• D. February 15
,Answer: A
Rationale: Nagele's rule: Subtract 3 months from the first day of the LMP, add 7 days, and add 1
year. April 1st minus 3 months = January 1st; plus 7 days = January 8th .
4. A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy.
The client's health records includes G3 T1 P0 A1 L1. How should the nurse interpret this?
(Select all that apply)
• A. Client has delivered one newborn at term
• B. Client has experienced no preterm labor
• C. Client has had 2 pregnancies
• D. Client has one living child
• E. Client has been through active labor
Answer: A, C, D
Rationale: GTPAL: G (Gravida) = 3 pregnancies; T (Term births) = 1; P (Preterm births) = 0; A
(Abortions) = 1; L (Living children) = 1. This indicates the client has had 3 pregnancies, 1 term
birth, 1 abortion, and 1 living child .
5. A nurse is reviewing the health record of a client who is pregnant. The provider indicated
the client exhibits probable signs of pregnancy. Which of the following findings should the
nurse expect? (Select all that apply)
• A. Montgomery glands
• B. Goodell's sign
• C. Ballottement
• D. Chadwick's sign
• E. Quickening
Answer: B, C, D
Rationale: Probable signs of pregnancy include Goodell's sign (softening of the cervix),
ballottement, and Chadwick's sign (bluish discoloration of the cervix/vagina). Montgomery
glands and quickening are presumptive signs. Positive signs include fetal heart tones and
palpable fetal movement .
, 6. A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes
of maternal hypotension. The client asks the nurse what causes these episodes. Which of the
following responses should the nurse make?
• A. "This is due to an increase in blood volume"
• B. "This is due to pressure from the uterus on the diaphragm"
• C. "This is due to the weight of the uterus on the vena cava"
• D. "This is due to increase cardiac output"
Answer: C
Rationale: Supine hypotensive syndrome occurs when the gravid uterus compresses the inferior
vena cava, decreasing venous return and cardiac output. The client should be advised to lie on
her left side to relieve this pressure .
7. A nurse in a clinic receives a phone call from a client who believes she is pregnant and
would like to be tested in the clinic to confirm her pregnancy. Which of the following
information should the nurse provide to the client?
• A. "You should wait until 4 weeks after conception to be tested"
• B. "You should be off any medications for 24 hours prior to the test"
• C. "You should be NPO for at least 8 hours prior to the test"
• D. "You should collect urine from the first morning void"
Answer: D
Rationale: The client should collect urine from the first morning void because it has the highest
concentration of hCG, which increases the accuracy of the pregnancy test .
8. A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm
labor. Which of the following medications should the nurse plan to administer?
• A. Misoprostol
• B. Betamethasone
• C. Poractant alfa
2026/2027 | Pass ATI RN Maternal Newborn Using
This Verified 170 Questions and Answers Test
Guide That Assures Level 2 Score in the Actual ATI
RN Maternal Newborn Proctored Exam
EXAM OVERVIEW
Feature Detail
Exam Type ATI RN Maternal Newborn Proctored Exam
Total
170 total (150 scored + 20 pretest)
Questions
Time Limit 3 hours
Target Score Level 2 or higher
NGN Format Bow-Tie, Matrix, Highlight, Drop-Down, and Drag-and-Drop items
Antepartum care, Intrapartum labor and delivery, Postpartum recovery and complications,
Key Topics
Newborn assessment and disorders, High-risk pregnancy emergencies, Prioritization
SECTION 1: ANTEPARTUM CARE (Prenatal Care & Complications) – Questions 1-50
1. A nurse is teaching a client who is at 8 weeks of gestation about manifestations to report to
the provider during pregnancy. Which of the following information should the nurse include
in the teaching?
, • A. Nausea upon awakening
• B. Blurred or double vision
• C. Increase in white vaginal discharge
• D. Leg cramps when sleeping
Answer: B
Rationale: Blurred or double vision can indicate preeclampsia, a serious complication of
pregnancy. The nurse should instruct the client to report this immediately. Nausea upon
awakening is a common discomfort in the first trimester. Increased white vaginal discharge
(leukorrhea) is normal during pregnancy. Leg cramps are common in later pregnancy .
2. A nurse is teaching a client who is at 12 weeks of gestation and has HIV. Which of the
following statements should the nurse include in the teaching?
• A. "You will be in isolation after delivery."
• B. "Abstain from sexual intercourse throughout pregnancy."
• C. "Breastfeed your newborn to provide passive immunity."
• D. "You should continue to take zidovudine throughout the pregnancy."
Answer: D
Rationale: Taking antiviral medication daily decreases the risk of transmission of HIV to the
newborn. Isolation is not required. Sexual activity can continue with precautions. HIV can be
transmitted through breast milk, so breastfeeding is not recommended .
3. A nurse is caring for a client who is pregnant and states that her last menstrual period was
April 1st. Which of the following is the client's estimated date of delivery?
• A. January 8
• B. January 15
• C. February 8
• D. February 15
,Answer: A
Rationale: Nagele's rule: Subtract 3 months from the first day of the LMP, add 7 days, and add 1
year. April 1st minus 3 months = January 1st; plus 7 days = January 8th .
4. A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy.
The client's health records includes G3 T1 P0 A1 L1. How should the nurse interpret this?
(Select all that apply)
• A. Client has delivered one newborn at term
• B. Client has experienced no preterm labor
• C. Client has had 2 pregnancies
• D. Client has one living child
• E. Client has been through active labor
Answer: A, C, D
Rationale: GTPAL: G (Gravida) = 3 pregnancies; T (Term births) = 1; P (Preterm births) = 0; A
(Abortions) = 1; L (Living children) = 1. This indicates the client has had 3 pregnancies, 1 term
birth, 1 abortion, and 1 living child .
5. A nurse is reviewing the health record of a client who is pregnant. The provider indicated
the client exhibits probable signs of pregnancy. Which of the following findings should the
nurse expect? (Select all that apply)
• A. Montgomery glands
• B. Goodell's sign
• C. Ballottement
• D. Chadwick's sign
• E. Quickening
Answer: B, C, D
Rationale: Probable signs of pregnancy include Goodell's sign (softening of the cervix),
ballottement, and Chadwick's sign (bluish discoloration of the cervix/vagina). Montgomery
glands and quickening are presumptive signs. Positive signs include fetal heart tones and
palpable fetal movement .
, 6. A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes
of maternal hypotension. The client asks the nurse what causes these episodes. Which of the
following responses should the nurse make?
• A. "This is due to an increase in blood volume"
• B. "This is due to pressure from the uterus on the diaphragm"
• C. "This is due to the weight of the uterus on the vena cava"
• D. "This is due to increase cardiac output"
Answer: C
Rationale: Supine hypotensive syndrome occurs when the gravid uterus compresses the inferior
vena cava, decreasing venous return and cardiac output. The client should be advised to lie on
her left side to relieve this pressure .
7. A nurse in a clinic receives a phone call from a client who believes she is pregnant and
would like to be tested in the clinic to confirm her pregnancy. Which of the following
information should the nurse provide to the client?
• A. "You should wait until 4 weeks after conception to be tested"
• B. "You should be off any medications for 24 hours prior to the test"
• C. "You should be NPO for at least 8 hours prior to the test"
• D. "You should collect urine from the first morning void"
Answer: D
Rationale: The client should collect urine from the first morning void because it has the highest
concentration of hCG, which increases the accuracy of the pregnancy test .
8. A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm
labor. Which of the following medications should the nurse plan to administer?
• A. Misoprostol
• B. Betamethasone
• C. Poractant alfa
