ATI RN Maternal Newborn Proctored Exam 2026 (A & B) + Retake NGN Complete Practice Test
Bank – 300 Questions with Verified Answers & Detailed Rationales
Table of Contents
Exam Overview ...... 3
Section 1: Antepartum – Prenatal Care & Fetal Development (Questions 1–60) ...... 4
Section 2: Antepartum – Complications & Risk Factors (Questions 61–100) ...... 10
Section 3: Intrapartum – Labor & Delivery (Questions 101–160) ...... 14
Section 4: Postpartum – Maternal Care & Complications (Questions 161–210) ...... 20
Section 5: Newborn Care – Assessment & Complications (Questions 211–260) ...... 25
Section 6: NGN – Clinical Judgment & Case Studies (Questions 261–300) ...... 30
Answer Key ...... 35
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Exam Overview
,Examination: ATI RN Maternal Newborn Proctored Exam 2026 (A & B) + Retake NGN
Purpose: The ATI RN Maternal Newborn Proctored Exam is a comprehensive assessment
designed to evaluate nursing students' knowledge and clinical judgment in caring for maternal-
newborn patients. This exam covers the full spectrum of maternal-newborn nursing, including
antepartum, intrapartum, postpartum, and newborn care. The NGN (Next Generation NCLEX)
format includes case studies and clinical judgment questions.
Exam Format:
- Question Types: Multiple-choice, Select All That Apply (SATA), Ordered Response, and NGN-
style case studies
- Content Areas: Antepartum, Intrapartum, Postpartum, Newborn Care, Complications, and
Clinical Judgment
Core Domains Covered:
| Domain | Approx. % |
|--------|-----------|
| Antepartum – Prenatal Care & Fetal Development | 20% |
| Antepartum – Complications & Risk Factors | 13% |
| Intrapartum – Labor & Delivery | 20% |
| Postpartum – Maternal Care & Complications | 17% |
| Newborn Care – Assessment & Complications | 17% |
| NGN – Clinical Judgment & Case Studies | 13% |
Key Concepts Tested:
- Prenatal care and fetal development milestones
- Maternal nutrition and health promotion
,- Antepartum complications (gestational diabetes, pre-eclampsia, bleeding disorders)
- Labor stages, fetal monitoring, and pain management
- Postpartum care, breastfeeding, and postpartum complications
- Newborn assessment, APGAR scoring, and common newborn conditions
- NGN clinical judgment and prioritization
Test-Taking Strategy:
- Apply the nursing process (ADPIE) to each scenario
- Use clinical judgment to prioritize care (ABCs, Maslow's Hierarchy)
- Recognize NGN-style questions requiring analysis of cues and prioritization
- Understand fetal monitoring patterns and interventions
- Patient safety is the highest priority in all clinical decisions
---
Section 1: Antepartum – Prenatal Care & Fetal Development
Questions 1–60
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Question 1
A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period (LMP) was May 10. Using Naegele's rule, what is the EDD?
A) February 3
B) February 10
, C) February 17
D) February 24
Answer: C) February 17
Rationale: Naegele's rule: Subtract 3 months from the LMP and add 7 days. May 10 minus 3
months = February 10. February 10 plus 7 days = February 17.
---
Question 2
Which of the following is an expected cardiovascular change during pregnancy?
A) Decreased cardiac output
B) Increased blood pressure
C) Increased heart rate
D) Decreased blood volume
Answer: C) Increased heart rate
Rationale: During pregnancy, heart rate increases by 10-15 beats per minute due to increased
metabolic demands. Cardiac output increases by 30-50%, and blood volume increases by 30-
50%. Blood pressure typically decreases in the second trimester.
---
Question 3
Bank – 300 Questions with Verified Answers & Detailed Rationales
Table of Contents
Exam Overview ...... 3
Section 1: Antepartum – Prenatal Care & Fetal Development (Questions 1–60) ...... 4
Section 2: Antepartum – Complications & Risk Factors (Questions 61–100) ...... 10
Section 3: Intrapartum – Labor & Delivery (Questions 101–160) ...... 14
Section 4: Postpartum – Maternal Care & Complications (Questions 161–210) ...... 20
Section 5: Newborn Care – Assessment & Complications (Questions 211–260) ...... 25
Section 6: NGN – Clinical Judgment & Case Studies (Questions 261–300) ...... 30
Answer Key ...... 35
---
Exam Overview
,Examination: ATI RN Maternal Newborn Proctored Exam 2026 (A & B) + Retake NGN
Purpose: The ATI RN Maternal Newborn Proctored Exam is a comprehensive assessment
designed to evaluate nursing students' knowledge and clinical judgment in caring for maternal-
newborn patients. This exam covers the full spectrum of maternal-newborn nursing, including
antepartum, intrapartum, postpartum, and newborn care. The NGN (Next Generation NCLEX)
format includes case studies and clinical judgment questions.
Exam Format:
- Question Types: Multiple-choice, Select All That Apply (SATA), Ordered Response, and NGN-
style case studies
- Content Areas: Antepartum, Intrapartum, Postpartum, Newborn Care, Complications, and
Clinical Judgment
Core Domains Covered:
| Domain | Approx. % |
|--------|-----------|
| Antepartum – Prenatal Care & Fetal Development | 20% |
| Antepartum – Complications & Risk Factors | 13% |
| Intrapartum – Labor & Delivery | 20% |
| Postpartum – Maternal Care & Complications | 17% |
| Newborn Care – Assessment & Complications | 17% |
| NGN – Clinical Judgment & Case Studies | 13% |
Key Concepts Tested:
- Prenatal care and fetal development milestones
- Maternal nutrition and health promotion
,- Antepartum complications (gestational diabetes, pre-eclampsia, bleeding disorders)
- Labor stages, fetal monitoring, and pain management
- Postpartum care, breastfeeding, and postpartum complications
- Newborn assessment, APGAR scoring, and common newborn conditions
- NGN clinical judgment and prioritization
Test-Taking Strategy:
- Apply the nursing process (ADPIE) to each scenario
- Use clinical judgment to prioritize care (ABCs, Maslow's Hierarchy)
- Recognize NGN-style questions requiring analysis of cues and prioritization
- Understand fetal monitoring patterns and interventions
- Patient safety is the highest priority in all clinical decisions
---
Section 1: Antepartum – Prenatal Care & Fetal Development
Questions 1–60
---
Question 1
A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period (LMP) was May 10. Using Naegele's rule, what is the EDD?
A) February 3
B) February 10
, C) February 17
D) February 24
Answer: C) February 17
Rationale: Naegele's rule: Subtract 3 months from the LMP and add 7 days. May 10 minus 3
months = February 10. February 10 plus 7 days = February 17.
---
Question 2
Which of the following is an expected cardiovascular change during pregnancy?
A) Decreased cardiac output
B) Increased blood pressure
C) Increased heart rate
D) Decreased blood volume
Answer: C) Increased heart rate
Rationale: During pregnancy, heart rate increases by 10-15 beats per minute due to increased
metabolic demands. Cardiac output increases by 30-50%, and blood volume increases by 30-
50%. Blood pressure typically decreases in the second trimester.
---
Question 3
