@hooded-Tutor ATI MATERNAL
NEWBORN
PROCTORED
EXAMS2019 A, B & C
Versions · Updated 2026
Edition · 200+ Questions
with Answers &
Rationales
(Authentic digital file)
, TABLE OF CONTENTS
Exam Overview
EXAM A – Antepartum & Intrapartum
Antepartum Care & Complications
Intrapartum Care & Interventions
EXAM B – Postpartum & Newborn Care
Postpartum Assessment & Complications
Newborn Assessment & Care
EXAM C – High-Risk & Pharmacologic Management
High-Risk Pregnancy Complications
Pharmacology & Therapeutic Interventions
Conclusion & Study Tips
EXAM OVERVIEW
Exam: ATI Maternal Newborn Proctored Exam (2019 A, B & C)
Updated: 2026 Edition
Format: 200+ Multiple Choice Questions with Verified Answers & Rationales
Content: Antepartum, Intrapartum, Postpartum, Newborn Care, High-Risk Complications,
Pharmacology
Page 1 of 40
, EXAM A – ANTEPARTUM & INTRAPARTUM
Antepartum Care & Complications
1. A nurse is caring for a client at 36 weeks gestation who has preeclampsia. Which finding should the
nurse report to the provider?
A. Blood pressure 142/90 mmHg
B. Urine protein 1+
C. Epigastric pain
D. Mild ankle edema
Correct Answer: C
Rationale: Epigastric pain is a sign of severe preeclampsia and impending HELLP syndrome . It indicates liver
capsule distension and requires immediate provider notification.
2. A nurse is teaching a client about the signs of preterm labor. Which statement indicates understanding?
A. "I should count contractions for 1 hour and call if I have more than 4 in an hour."
B. "I should call if I have any vaginal discharge."
C. "I should rest in a supine position."
D. "I should drink extra fluids to stop contractions."
Correct Answer: A
Rationale: Preterm labor is defined as regular contractions (more than 4 in 1 hour) with cervical changes .
Clients should be instructed to count contractions for 1 hour and report if more than 4 occur.
3. A client at 38 weeks gestation with gestational diabetes is scheduled for a non-stress test (NST). The
NST is reactive. What does this indicate?
A. Fetal well-being and adequate oxygenation
B. Fetal distress and need for immediate delivery
C. Maternal hyperglycemia
D. Placental insufficiency
Correct Answer: A
Rationale: A reactive NST (2 accelerations of fetal heart rate of at least 15 bpm for 15 seconds in 20 minutes)
indicates fetal well-being . It suggests the fetus is not in distress.
4. A client with a history of deep vein thrombosis (DVT) is prescribed enoxaparin during pregnancy.
Which statement indicates understanding of the medication?
A. "I will need to have my INR checked regularly."
B. "I will stop taking this medication when I go into labor."
C. "I will inject this medication into the vastus lateralis muscle."
D. "I will need to take this medication until my baby is delivered."
Correct Answer: B
Rationale: Enoxaparin (Lovenox) should be stopped 12-24 hours before scheduled induction or cesarean
delivery to reduce bleeding risk . It is given subcutaneously, not IM, and does not require INR monitoring
(unlike warfarin).
Page 2 of 40
, 5. A nurse is assessing a client at 32 weeks gestation with placenta previa. Which finding is most
concerning?
A. Painless vaginal bleeding
B. Uterine contractions
C. Fetal heart rate of 140 bpm
D. Blood pressure 120/80 mmHg
Correct Answer: A
Rationale: Placenta previa presents with painless, bright red vaginal bleeding in the third trimester . This is the
hallmark sign. A vaginal exam should not be performed as it can cause severe hemorrhage.
6. A nurse is providing education to a client about Rh isoimmunization. The client is Rh-negative and is
receiving Rh immune globulin. When should this medication be administered?
A. At 28 weeks gestation
B. Immediately after delivery of an Rh-positive infant
C. After an amniocentesis
D. All of the above
Correct Answer: D
Rationale: Rh immune globulin (RhoGAM) is given at 28 weeks gestation and within 72 hours after delivery of
an Rh-positive infant . It is also given after any event that could cause fetomaternal bleeding (amniocentesis,
abortion, trauma).
7. A client at 30 weeks gestation is diagnosed with gestational diabetes. Which finding would the nurse
expect?
A. Polyhydramnios
B. Hypotension
C. Decreased fetal growth
D. Hypoglycemia
Correct Answer: A
Rationale: Gestational diabetes is associated with polyhydramnios (excess amniotic fluid) . Maternal
hyperglycemia causes fetal hyperglycemia and polyuria, leading to increased amniotic fluid.
8. A nurse is teaching a client about the signs of preeclampsia. Which of the following should be included?
A. Blurred vision
B. Edema of the lower extremities
C. Headache
D. All of the above
Correct Answer: D
Rationale: Preeclampsia symptoms include headache, blurred vision, and edema . Clients should be educated to
report these signs immediately as they indicate worsening preeclampsia.
Page 3 of 40
NEWBORN
PROCTORED
EXAMS2019 A, B & C
Versions · Updated 2026
Edition · 200+ Questions
with Answers &
Rationales
(Authentic digital file)
, TABLE OF CONTENTS
Exam Overview
EXAM A – Antepartum & Intrapartum
Antepartum Care & Complications
Intrapartum Care & Interventions
EXAM B – Postpartum & Newborn Care
Postpartum Assessment & Complications
Newborn Assessment & Care
EXAM C – High-Risk & Pharmacologic Management
High-Risk Pregnancy Complications
Pharmacology & Therapeutic Interventions
Conclusion & Study Tips
EXAM OVERVIEW
Exam: ATI Maternal Newborn Proctored Exam (2019 A, B & C)
Updated: 2026 Edition
Format: 200+ Multiple Choice Questions with Verified Answers & Rationales
Content: Antepartum, Intrapartum, Postpartum, Newborn Care, High-Risk Complications,
Pharmacology
Page 1 of 40
, EXAM A – ANTEPARTUM & INTRAPARTUM
Antepartum Care & Complications
1. A nurse is caring for a client at 36 weeks gestation who has preeclampsia. Which finding should the
nurse report to the provider?
A. Blood pressure 142/90 mmHg
B. Urine protein 1+
C. Epigastric pain
D. Mild ankle edema
Correct Answer: C
Rationale: Epigastric pain is a sign of severe preeclampsia and impending HELLP syndrome . It indicates liver
capsule distension and requires immediate provider notification.
2. A nurse is teaching a client about the signs of preterm labor. Which statement indicates understanding?
A. "I should count contractions for 1 hour and call if I have more than 4 in an hour."
B. "I should call if I have any vaginal discharge."
C. "I should rest in a supine position."
D. "I should drink extra fluids to stop contractions."
Correct Answer: A
Rationale: Preterm labor is defined as regular contractions (more than 4 in 1 hour) with cervical changes .
Clients should be instructed to count contractions for 1 hour and report if more than 4 occur.
3. A client at 38 weeks gestation with gestational diabetes is scheduled for a non-stress test (NST). The
NST is reactive. What does this indicate?
A. Fetal well-being and adequate oxygenation
B. Fetal distress and need for immediate delivery
C. Maternal hyperglycemia
D. Placental insufficiency
Correct Answer: A
Rationale: A reactive NST (2 accelerations of fetal heart rate of at least 15 bpm for 15 seconds in 20 minutes)
indicates fetal well-being . It suggests the fetus is not in distress.
4. A client with a history of deep vein thrombosis (DVT) is prescribed enoxaparin during pregnancy.
Which statement indicates understanding of the medication?
A. "I will need to have my INR checked regularly."
B. "I will stop taking this medication when I go into labor."
C. "I will inject this medication into the vastus lateralis muscle."
D. "I will need to take this medication until my baby is delivered."
Correct Answer: B
Rationale: Enoxaparin (Lovenox) should be stopped 12-24 hours before scheduled induction or cesarean
delivery to reduce bleeding risk . It is given subcutaneously, not IM, and does not require INR monitoring
(unlike warfarin).
Page 2 of 40
, 5. A nurse is assessing a client at 32 weeks gestation with placenta previa. Which finding is most
concerning?
A. Painless vaginal bleeding
B. Uterine contractions
C. Fetal heart rate of 140 bpm
D. Blood pressure 120/80 mmHg
Correct Answer: A
Rationale: Placenta previa presents with painless, bright red vaginal bleeding in the third trimester . This is the
hallmark sign. A vaginal exam should not be performed as it can cause severe hemorrhage.
6. A nurse is providing education to a client about Rh isoimmunization. The client is Rh-negative and is
receiving Rh immune globulin. When should this medication be administered?
A. At 28 weeks gestation
B. Immediately after delivery of an Rh-positive infant
C. After an amniocentesis
D. All of the above
Correct Answer: D
Rationale: Rh immune globulin (RhoGAM) is given at 28 weeks gestation and within 72 hours after delivery of
an Rh-positive infant . It is also given after any event that could cause fetomaternal bleeding (amniocentesis,
abortion, trauma).
7. A client at 30 weeks gestation is diagnosed with gestational diabetes. Which finding would the nurse
expect?
A. Polyhydramnios
B. Hypotension
C. Decreased fetal growth
D. Hypoglycemia
Correct Answer: A
Rationale: Gestational diabetes is associated with polyhydramnios (excess amniotic fluid) . Maternal
hyperglycemia causes fetal hyperglycemia and polyuria, leading to increased amniotic fluid.
8. A nurse is teaching a client about the signs of preeclampsia. Which of the following should be included?
A. Blurred vision
B. Edema of the lower extremities
C. Headache
D. All of the above
Correct Answer: D
Rationale: Preeclampsia symptoms include headache, blurred vision, and edema . Clients should be educated to
report these signs immediately as they indicate worsening preeclampsia.
Page 3 of 40
