ATI Maternal Newborn Proctored
Examination 2026–2027 | Comprehensive
Question Practice Test with Answers &
Rationales| Free Pdf Access
1. A nurse is assessing a client at 38 weeks of gestation. Which finding should
be reported immediately?
A. Blood pressure 168/104 mmHg
B. Mild ankle edema
C. Urinary frequency
D. Back discomfort
Correct Answer: A
Rationale: Severe hypertension during pregnancy may indicate preeclampsia and requires
immediate intervention.
2. A client in labor reports a sudden gush of fluid from the vagina. The nurse's
first action is to:
A. Assess fetal heart rate
B. Obtain maternal weight
C. Encourage ambulation
D. Administer pain medication
Correct Answer: A
Rationale: After rupture of membranes, fetal heart rate assessment is the priority to detect
cord compression or prolapse.
3. Which finding is an early sign of labor?
,A. Regular uterine contractions
B. Complete cervical dilation
C. Placental separation
D. Fetal expulsion
Correct Answer: A
Rationale: Regular contractions that cause cervical change indicate the onset of labor.
4. A nurse is caring for a client with preeclampsia. Which medication should
the nurse anticipate administering?
A. Magnesium sulfate
B. Oxytocin
C. Terbutaline
D. Methylergonovine
Correct Answer: A
Rationale: Magnesium sulfate is administered to prevent seizures associated with
preeclampsia.
5. Which assessment finding indicates magnesium sulfate toxicity?
A. Respiratory rate 10/min
B. Blood pressure 140/88 mmHg
C. Heart rate 88/min
D. Temperature 98.6°F (37°C)
Correct Answer: A
Rationale: Respiratory depression is a serious sign of magnesium toxicity.
6. A client at 32 weeks gestation reports painless vaginal bleeding. The nurse
should suspect:
A. Placenta previa
B. Abruptio placentae
C. Uterine rupture
D. Ectopic pregnancy
Correct Answer: A
Rationale: Placenta previa commonly presents with painless bright red bleeding.
, 7. Which finding is most characteristic of abruptio placentae?
A. Painful vaginal bleeding
B. Painless vaginal bleeding
C. Polyuria
D. Bradycardia
Correct Answer: A
Rationale: Abruptio placentae typically presents with painful bleeding and uterine
tenderness.
8. A nurse is assessing fetal heart tones. Which fetal heart rate is within the
expected range?
A. 140/min
B. 90/min
C. 180/min
D. 70/min
Correct Answer: A
Rationale: A normal fetal heart rate ranges from 110 to 160 beats/minute.
9. Which client should the nurse assess first?
A. Client reporting decreased fetal movement
B. Client requesting water
C. Client asking about discharge instructions
D. Client requesting a blanket
Correct Answer: A
Rationale: Decreased fetal movement may indicate fetal compromise.
10. A client receives oxytocin for labor induction. Which finding requires
immediate action?
A. Contractions every 1 minute lasting 90 seconds
B. Contractions every 3 minutes
C. Cervical dilation progressing
D. Maternal pulse 84/min
Correct Answer: A
Rationale: Excessive uterine stimulation can compromise fetal oxygenation.
Examination 2026–2027 | Comprehensive
Question Practice Test with Answers &
Rationales| Free Pdf Access
1. A nurse is assessing a client at 38 weeks of gestation. Which finding should
be reported immediately?
A. Blood pressure 168/104 mmHg
B. Mild ankle edema
C. Urinary frequency
D. Back discomfort
Correct Answer: A
Rationale: Severe hypertension during pregnancy may indicate preeclampsia and requires
immediate intervention.
2. A client in labor reports a sudden gush of fluid from the vagina. The nurse's
first action is to:
A. Assess fetal heart rate
B. Obtain maternal weight
C. Encourage ambulation
D. Administer pain medication
Correct Answer: A
Rationale: After rupture of membranes, fetal heart rate assessment is the priority to detect
cord compression or prolapse.
3. Which finding is an early sign of labor?
,A. Regular uterine contractions
B. Complete cervical dilation
C. Placental separation
D. Fetal expulsion
Correct Answer: A
Rationale: Regular contractions that cause cervical change indicate the onset of labor.
4. A nurse is caring for a client with preeclampsia. Which medication should
the nurse anticipate administering?
A. Magnesium sulfate
B. Oxytocin
C. Terbutaline
D. Methylergonovine
Correct Answer: A
Rationale: Magnesium sulfate is administered to prevent seizures associated with
preeclampsia.
5. Which assessment finding indicates magnesium sulfate toxicity?
A. Respiratory rate 10/min
B. Blood pressure 140/88 mmHg
C. Heart rate 88/min
D. Temperature 98.6°F (37°C)
Correct Answer: A
Rationale: Respiratory depression is a serious sign of magnesium toxicity.
6. A client at 32 weeks gestation reports painless vaginal bleeding. The nurse
should suspect:
A. Placenta previa
B. Abruptio placentae
C. Uterine rupture
D. Ectopic pregnancy
Correct Answer: A
Rationale: Placenta previa commonly presents with painless bright red bleeding.
, 7. Which finding is most characteristic of abruptio placentae?
A. Painful vaginal bleeding
B. Painless vaginal bleeding
C. Polyuria
D. Bradycardia
Correct Answer: A
Rationale: Abruptio placentae typically presents with painful bleeding and uterine
tenderness.
8. A nurse is assessing fetal heart tones. Which fetal heart rate is within the
expected range?
A. 140/min
B. 90/min
C. 180/min
D. 70/min
Correct Answer: A
Rationale: A normal fetal heart rate ranges from 110 to 160 beats/minute.
9. Which client should the nurse assess first?
A. Client reporting decreased fetal movement
B. Client requesting water
C. Client asking about discharge instructions
D. Client requesting a blanket
Correct Answer: A
Rationale: Decreased fetal movement may indicate fetal compromise.
10. A client receives oxytocin for labor induction. Which finding requires
immediate action?
A. Contractions every 1 minute lasting 90 seconds
B. Contractions every 3 minutes
C. Cervical dilation progressing
D. Maternal pulse 84/min
Correct Answer: A
Rationale: Excessive uterine stimulation can compromise fetal oxygenation.
