ATI RN MATERNAL NEWBORN PROCTORED EXAM 2026 ACTUAL AND
RETAKE | FULL 70+ QUESTIONS AND ANSWERS ALREADY GRADED
A+| 100% VERIFIED SOLUTIONS
Core Domains:
Antepartum Nursing Care and Fetal Development
Intrapartum Nursing Care and Labor Management
Postpartum Nursing Care and Maternal Adaptation
Newborn Nursing Care and Transition to Extrauterine Life
Complications of Pregnancy and High-Risk Conditions
Pharmacology and Pain Management in Obstetrics
Maternal and Newborn Nutrition
Family Planning and Reproductive Health
Ethical, Legal, and Cultural Considerations in Obstetric Care
Health Promotion and Education Across the Childbearing Cycle
Introduction
,This comprehensive practice examination is designed to prepare candidates for the ATI RN Maternal Newborn
Proctored Exam, evaluating essential knowledge and clinical judgment required for the care of childbearing
women, newborns, and families. The assessment consists of 100 multiple-choice questions covering antepartum,
intrapartum, postpartum, and newborn care, including common complications, pharmacological interventions,
and health promotion. Each question presents realistic clinical scenarios that challenge the test-taker to apply
critical thinking, prioritize care, recognize complications, and implement evidence-based nursing interventions. The
emphasis is on clinical reasoning, patient safety, and family-centered care. Successful completion demonstrates
readiness for the ATI Maternal Newborn Proctored Exam.
SECTION ONE: QUESTIONS 1-100
Question 1
A patient who is 32 weeks pregnant reports vaginal bleeding, abdominal pain, and uterine contractions. Which
condition should the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Preterm labor
D. Rupture of membranes
🟢 B. Abruptio placentae
,🔴 RATIONALE: Abruptio placentae is characterized by vaginal bleeding, abdominal pain, and uterine
contractions. Placenta previa typically presents with painless bleeding. Preterm labor presents with contractions
but not typically with bleeding. Rupture of membranes involves fluid leakage.
Question 2
A patient in active labor is receiving oxytocin (Pitocin) IV. The nurse notes the fetal heart rate has dropped to 80
beats per minute with contractions. What is the priority nursing action?
A. Turn the patient on her right side
B. Stop the oxytocin infusion
C. Increase the IV fluid rate
D. Administer oxygen via face mask
🟢 B. Stop the oxytocin infusion
🔴 RATIONALE: The priority action for fetal bradycardia with variable decelerations related to uterine
hyperstimulation is to stop the oxytocin infusion immediately. This reduces uterine activity and improves
placental perfusion.
Question 3
, A patient who is 38 weeks pregnant is in active labor. The fetal heart rate drops to 80 beats per minute during
contractions. Which action should the nurse take first?
A. Administer oxygen via non-rebreather mask
B. Increase the rate of IV fluids
C. Position the patient on her left side
D. Notify the healthcare provider
🟢 C. Position the patient on her left side
🔴 RATIONALE: Fetal bradycardia requires immediate interventions. Left lateral positioning improves
uteroplacental perfusion and is the first intervention for late or variable decelerations.
Question 4
A nurse is performing a vaginal examination on a patient in labor. The cervix is 5 cm dilated, 80% effaced, and
the fetal head is at 0 station. Which assessment finding is expected?
A. The presenting part is at the level of the ischial spines
B. The cervix is fully dilated
C. The cervix is completely effaced
D. The presenting part is above the pelvic inlet
🟢 A. The presenting part is at the level of the ischial spines
RETAKE | FULL 70+ QUESTIONS AND ANSWERS ALREADY GRADED
A+| 100% VERIFIED SOLUTIONS
Core Domains:
Antepartum Nursing Care and Fetal Development
Intrapartum Nursing Care and Labor Management
Postpartum Nursing Care and Maternal Adaptation
Newborn Nursing Care and Transition to Extrauterine Life
Complications of Pregnancy and High-Risk Conditions
Pharmacology and Pain Management in Obstetrics
Maternal and Newborn Nutrition
Family Planning and Reproductive Health
Ethical, Legal, and Cultural Considerations in Obstetric Care
Health Promotion and Education Across the Childbearing Cycle
Introduction
,This comprehensive practice examination is designed to prepare candidates for the ATI RN Maternal Newborn
Proctored Exam, evaluating essential knowledge and clinical judgment required for the care of childbearing
women, newborns, and families. The assessment consists of 100 multiple-choice questions covering antepartum,
intrapartum, postpartum, and newborn care, including common complications, pharmacological interventions,
and health promotion. Each question presents realistic clinical scenarios that challenge the test-taker to apply
critical thinking, prioritize care, recognize complications, and implement evidence-based nursing interventions. The
emphasis is on clinical reasoning, patient safety, and family-centered care. Successful completion demonstrates
readiness for the ATI Maternal Newborn Proctored Exam.
SECTION ONE: QUESTIONS 1-100
Question 1
A patient who is 32 weeks pregnant reports vaginal bleeding, abdominal pain, and uterine contractions. Which
condition should the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Preterm labor
D. Rupture of membranes
🟢 B. Abruptio placentae
,🔴 RATIONALE: Abruptio placentae is characterized by vaginal bleeding, abdominal pain, and uterine
contractions. Placenta previa typically presents with painless bleeding. Preterm labor presents with contractions
but not typically with bleeding. Rupture of membranes involves fluid leakage.
Question 2
A patient in active labor is receiving oxytocin (Pitocin) IV. The nurse notes the fetal heart rate has dropped to 80
beats per minute with contractions. What is the priority nursing action?
A. Turn the patient on her right side
B. Stop the oxytocin infusion
C. Increase the IV fluid rate
D. Administer oxygen via face mask
🟢 B. Stop the oxytocin infusion
🔴 RATIONALE: The priority action for fetal bradycardia with variable decelerations related to uterine
hyperstimulation is to stop the oxytocin infusion immediately. This reduces uterine activity and improves
placental perfusion.
Question 3
, A patient who is 38 weeks pregnant is in active labor. The fetal heart rate drops to 80 beats per minute during
contractions. Which action should the nurse take first?
A. Administer oxygen via non-rebreather mask
B. Increase the rate of IV fluids
C. Position the patient on her left side
D. Notify the healthcare provider
🟢 C. Position the patient on her left side
🔴 RATIONALE: Fetal bradycardia requires immediate interventions. Left lateral positioning improves
uteroplacental perfusion and is the first intervention for late or variable decelerations.
Question 4
A nurse is performing a vaginal examination on a patient in labor. The cervix is 5 cm dilated, 80% effaced, and
the fetal head is at 0 station. Which assessment finding is expected?
A. The presenting part is at the level of the ischial spines
B. The cervix is fully dilated
C. The cervix is completely effaced
D. The presenting part is above the pelvic inlet
🟢 A. The presenting part is at the level of the ischial spines
