ATI RN Maternal Newborn Exam with NGN 70 Questions | 120 Minutes
ATI RN Maternal Newborn Nursing Exam 2026
With Next Generation NCLEX (NGN) Question Formats
Total Questions 70
Time Limit 120 Minutes
Question Types Multiple Choice (MCQ), Multiple Select (MSA),
Ordered Response (ORD)
Content Areas Antepartum, Intrapartum, Postpartum, Newborn Care,
Complications
Instructions:
1. Read each question carefully before selecting your answer.
2. For Multiple Select (MSA) questions, select all correct answers (more than one may
be correct).
3. For Ordered Response (ORD) questions, place the items in the correct sequence.
4. There is no penalty for guessing. Answer every question.
5. Choose the best answer for each question based on current nursing practice
guidelines.
Answer key at the end
1. A nurse is providing discharge teaching to a client who is at 10 weeks of gestation
and has a positive hepatitis B surface antigen (HBsAg) result. Which of the
following statements by the client indicates an understanding of the teaching?
A. "I will need to receive the hepatitis B immune globulin during my third
trimester."
B. "My baby will need to receive the hepatitis B vaccine and immune globulin
within 12 hours of birth."
C. "I should avoid breastfeeding my baby after delivery."
D. "I will need a repeat hepatitis B surface antigen test at 36 weeks of gestation."
2. A nurseis caring for a client at 28 weeks of gestation who is undergoing a
nonstress test (NST). The fetal heart rate (FHR) baseline is 130 bpm. The nurse
observes two accelerations of 15 bpm above baseline, each lasting 20 seconds,
Page 1
,ATI RN Maternal Newborn Exam with NGN 70 Questions | 120 Minutes
within a 20-minute window. Which of the following interpretations of this finding
is correct?
A. Nonreactive NST
B. Reactive NST
C. Suspicious NST
D. Unsatisfactory NST
3. A nurse is
reviewing the laboratory results of a client at 16 weeks of gestation.
Which of the following findings should the nurse report to the provider
immediately?
A. Hemoglobin 11.2 g/dL
B. White blood cell count 12,000/mmS
C. Fasting blood glucose 142 mg/dL
D. Urine specific gravity 1.015
Page 2
,ATI RN Maternal Newborn Exam with NGN 70 Questions | 120 Minutes
4. Anurse is teaching a client who is in the first trimester of pregnancy about
nutrition. Which of the following foods should the nurse recommend to prevent
neural tube defects? (Select all that apply.) [Select all that apply]
A. Fortifiedbreakfast cereals
B. Green leafy vegetables
C. Orange juice
D. Raw shellfish
E. Lentils and beans
5. A nurse is
assessing a client at 24 weeks of gestation who reports decreased fetal
movement over the past 24 hours. Which of the following actions should the nurse
take first?
A. Auscultate the fetal heart rate with a Doppler device.
B. Instruct the client to drink orange juice and count fetal movements for 1 hour.
C. Notify the primary health care provider immediately.
D. Schedule a biophysical profile.
6. A nurse is providing teaching to a client at 32 weeks of gestation who has
tested positive for group B streptococcus (GBS). Which of the following
statements by the client indicates a need for further teaching?
A. "I willreceive antibiotics during labor to protect my baby."
B. "I was tested for GBS at 36 weeks of gestation."
C. "I will need a cesarean delivery because I tested positive."
D. "My baby will be monitored closely after delivery for signs of infection."
7. A nurse is preparing to perform Leopold maneuvers on a client at 34 weeks of
gestation. In which order should the nurse perform the maneuvers? [Place in the
correct order]
1. Determine what part of the fetus is in the fundus (fundal grip).
2. Determine the position of the fetal back (lateral grip).
3. Determine the presenting part and whether it is engaged (pelvic grip).
4. Determine the attitude of the fetal head (Pawlik grip).
8. A nurse is caring for a client at 12 weeks of gestation who is experiencing nausea
Page 3
, ATI RN Maternal Newborn Exam with NGN 70 Questions | 120 Minutes
and vomiting. The client asks the nurse about taking ginger to relieve her symptoms.
Which of the following responses by the nurse is appropriate?
A. "Ginger is unsafe during pregnancy and should be avoided."
B. "Ginger can be effective in reducing nausea and is considered safe during
pregnancy."
C. "Ginger should only be used in the third trimester."
D. "Ginger will increase the risk of bleeding during pregnancy."
9. A nurse is reviewing the prenatal record of a client at 20 weeks of gestation. The
fundal height is measured at the umbilicus. Which of the following actions should
the nurse take?
A. Notify the
provider, as this finding is above the expected level.
B. Document the finding as within the expected range for gestational age.
C. Prepare the client for an immediate ultrasound.
Page 4
ATI RN Maternal Newborn Nursing Exam 2026
With Next Generation NCLEX (NGN) Question Formats
Total Questions 70
Time Limit 120 Minutes
Question Types Multiple Choice (MCQ), Multiple Select (MSA),
Ordered Response (ORD)
Content Areas Antepartum, Intrapartum, Postpartum, Newborn Care,
Complications
Instructions:
1. Read each question carefully before selecting your answer.
2. For Multiple Select (MSA) questions, select all correct answers (more than one may
be correct).
3. For Ordered Response (ORD) questions, place the items in the correct sequence.
4. There is no penalty for guessing. Answer every question.
5. Choose the best answer for each question based on current nursing practice
guidelines.
Answer key at the end
1. A nurse is providing discharge teaching to a client who is at 10 weeks of gestation
and has a positive hepatitis B surface antigen (HBsAg) result. Which of the
following statements by the client indicates an understanding of the teaching?
A. "I will need to receive the hepatitis B immune globulin during my third
trimester."
B. "My baby will need to receive the hepatitis B vaccine and immune globulin
within 12 hours of birth."
C. "I should avoid breastfeeding my baby after delivery."
D. "I will need a repeat hepatitis B surface antigen test at 36 weeks of gestation."
2. A nurseis caring for a client at 28 weeks of gestation who is undergoing a
nonstress test (NST). The fetal heart rate (FHR) baseline is 130 bpm. The nurse
observes two accelerations of 15 bpm above baseline, each lasting 20 seconds,
Page 1
,ATI RN Maternal Newborn Exam with NGN 70 Questions | 120 Minutes
within a 20-minute window. Which of the following interpretations of this finding
is correct?
A. Nonreactive NST
B. Reactive NST
C. Suspicious NST
D. Unsatisfactory NST
3. A nurse is
reviewing the laboratory results of a client at 16 weeks of gestation.
Which of the following findings should the nurse report to the provider
immediately?
A. Hemoglobin 11.2 g/dL
B. White blood cell count 12,000/mmS
C. Fasting blood glucose 142 mg/dL
D. Urine specific gravity 1.015
Page 2
,ATI RN Maternal Newborn Exam with NGN 70 Questions | 120 Minutes
4. Anurse is teaching a client who is in the first trimester of pregnancy about
nutrition. Which of the following foods should the nurse recommend to prevent
neural tube defects? (Select all that apply.) [Select all that apply]
A. Fortifiedbreakfast cereals
B. Green leafy vegetables
C. Orange juice
D. Raw shellfish
E. Lentils and beans
5. A nurse is
assessing a client at 24 weeks of gestation who reports decreased fetal
movement over the past 24 hours. Which of the following actions should the nurse
take first?
A. Auscultate the fetal heart rate with a Doppler device.
B. Instruct the client to drink orange juice and count fetal movements for 1 hour.
C. Notify the primary health care provider immediately.
D. Schedule a biophysical profile.
6. A nurse is providing teaching to a client at 32 weeks of gestation who has
tested positive for group B streptococcus (GBS). Which of the following
statements by the client indicates a need for further teaching?
A. "I willreceive antibiotics during labor to protect my baby."
B. "I was tested for GBS at 36 weeks of gestation."
C. "I will need a cesarean delivery because I tested positive."
D. "My baby will be monitored closely after delivery for signs of infection."
7. A nurse is preparing to perform Leopold maneuvers on a client at 34 weeks of
gestation. In which order should the nurse perform the maneuvers? [Place in the
correct order]
1. Determine what part of the fetus is in the fundus (fundal grip).
2. Determine the position of the fetal back (lateral grip).
3. Determine the presenting part and whether it is engaged (pelvic grip).
4. Determine the attitude of the fetal head (Pawlik grip).
8. A nurse is caring for a client at 12 weeks of gestation who is experiencing nausea
Page 3
, ATI RN Maternal Newborn Exam with NGN 70 Questions | 120 Minutes
and vomiting. The client asks the nurse about taking ginger to relieve her symptoms.
Which of the following responses by the nurse is appropriate?
A. "Ginger is unsafe during pregnancy and should be avoided."
B. "Ginger can be effective in reducing nausea and is considered safe during
pregnancy."
C. "Ginger should only be used in the third trimester."
D. "Ginger will increase the risk of bleeding during pregnancy."
9. A nurse is reviewing the prenatal record of a client at 20 weeks of gestation. The
fundal height is measured at the umbilicus. Which of the following actions should
the nurse take?
A. Notify the
provider, as this finding is above the expected level.
B. Document the finding as within the expected range for gestational age.
C. Prepare the client for an immediate ultrasound.
Page 4
