ATI RN Maternal-Newborn Proctored Exam 2026–2027:
350 Comprehensive Practice Questions with Verified
Answers, Clinical Rationales, and Topic-Based
ReviewComprehensive Maternal-Newborn Review
A structured 350-question review covering antepartum, intrapartum, postpartum, newborn assessment, complications,
medications, safety, infection prevention, and clinical priorities. Every item includes four answer choices, a clearly marked
correct answer, and a concise rationale.
PART TOPIC QUESTIONS
1 Antepartum Care 1–25
2 High-Risk Pregnancy 26–50
3 Labor & Birth 51–75
4 Fetal Monitoring 76–100
5 Labor Emergencies 101–125
6 Postpartum Care 126–150
7 Postpartum Complications 151–175
8 Newborn Transition 176–200
9 Newborn Feeding 201–225
10 Newborn Complications 226–250
11 Prematurity 251–275
12 Maternal-Newborn Medications 276–300
13 Safety & Infection Prevention 301–325
14 Integrated Priorities & Discharge 326–350
Antepartum Care
Question 1 • Folic acid
A nurse is caring for a client. Which supplement is recommended before conception and during early pregnancy to
reduce neural-tube defects? Which action or interpretation is best?
A. Folic acid
B. Iron only
C. Calcium only
D. Vitamin K
Page 1
,✓✓ CORRECT ANSWER: A ✓✓
Rationale: Folic acid is recommended before conception and during early pregnancy.
Question 2 • Folic acid
During assessment, the nurse notes the described situation. Which supplement is recommended before conception
and during early pregnancy to reduce neural-tube defects? Which response is most appropriate?
A. Iron only
B. Folic acid
C. Calcium only
D. Vitamin K
✓✓ CORRECT ANSWER: B ✓✓
Rationale: Folic acid is recommended before conception and during early pregnancy.
Question 3 • Folic acid
A client asks the nurse about this finding. Which supplement is recommended before conception and during early
pregnancy to reduce neural-tube defects? Which answer should the nurse provide?
A. Calcium only
B. Vitamin K
C. Folic acid
D. Iron only
✓✓ CORRECT ANSWER: C ✓✓
Rationale: Folic acid is recommended before conception and during early pregnancy.
Question 4 • Folic acid
The nurse is reviewing the topic with a student nurse. Which supplement is recommended before conception and
during early pregnancy to reduce neural-tube defects? Which statement demonstrates understanding?
A. Vitamin K
B. Calcium only
C. Iron only
D. Folic acid
✓✓ CORRECT ANSWER: D ✓✓
Rationale: Folic acid is recommended before conception and during early pregnancy.
Question 5 • Folic acid
A client presents with the described situation. Which supplement is recommended before conception and during
early pregnancy to reduce neural-tube defects? Which nursing response has the highest priority?
A. Iron only
B. Vitamin K
C. Folic acid
D. Calcium only
✓✓ CORRECT ANSWER: C ✓✓
Rationale: Folic acid is recommended before conception and during early pregnancy.
Page 2
,Question 6 • Supine hypotension
A nurse is caring for a client. A pregnant client becomes dizzy while lying flat. What should the nurse do? Which
action or interpretation is best?
A. Reposition to the left lateral position
B. Keep the client supine
C. Encourage prolonged standing
D. Restrict fluids
✓✓ CORRECT ANSWER: A ✓✓
Rationale: The lateral position reduces vena-cava compression and improves maternal circulation.
Question 7 • Supine hypotension
During assessment, the nurse notes the described situation. A pregnant client becomes dizzy while lying flat. What
should the nurse do? Which response is most appropriate?
A. Keep the client supine
B. Reposition to the left lateral position
C. Encourage prolonged standing
D. Restrict fluids
✓✓ CORRECT ANSWER: B ✓✓
Rationale: The lateral position reduces vena-cava compression and improves maternal circulation.
Question 8 • Supine hypotension
A client asks the nurse about this finding. A pregnant client becomes dizzy while lying flat. What should the nurse
do? Which answer should the nurse provide?
A. Encourage prolonged standing
B. Restrict fluids
C. Reposition to the left lateral position
D. Keep the client supine
✓✓ CORRECT ANSWER: C ✓✓
Rationale: The lateral position reduces vena-cava compression and improves maternal circulation.
Question 9 • Supine hypotension
The nurse is reviewing the topic with a student nurse. A pregnant client becomes dizzy while lying flat. What should
the nurse do? Which statement demonstrates understanding?
A. Restrict fluids
Encourage prolonged standing
Keep the client supine
Reposition to the left lateral position
CORRECT ANSWER: D ✓✓
The lateral position reduces vena-cava compression and improves maternal circulation.
B.
C.
D.
✓✓
Rationale:
Page 3
, Question 10 • Supine hypotension
A client presents with the described situation. A pregnant client becomes dizzy while lying flat. What should the
nurse do? Which nursing response has the highest priority?
A. Keep the client supine
B. Restrict fluids
C. Reposition to the left lateral position
D. Encourage prolonged standing
✓✓ CORRECT ANSWER: C ✓✓
Rationale: The lateral position reduces vena-cava compression and improves maternal circulation.
Question 11 • Danger signs
A nurse is caring for a client. Which pregnancy finding requires prompt evaluation? Which action or interpretation
is best?
A. Vaginal bleeding
B. Mild breast tenderness
C. Mild morning nausea
D. Urinary frequency
✓✓ CORRECT ANSWER: A ✓✓
Rationale: Bleeding, severe headache, visual changes, and decreased fetal movement can signal complications.
Question 12 • Danger signs
During assessment, the nurse notes the described situation. Which pregnancy finding requires prompt evaluation?
Which response is most appropriate?
A. Mild breast tenderness
B. Vaginal bleeding
C. Mild morning nausea
D. Urinary frequency
✓✓ CORRECT ANSWER: B ✓✓
Rationale: Bleeding, severe headache, visual changes, and decreased fetal movement can signal complications.
Question 13 • Danger signs
A client asks the nurse about this finding. Which pregnancy finding requires prompt evaluation? Which answer
should the nurse provide?
A. Mild morning nausea
B. Urinary frequency
C. Vaginal bleeding
D. Mild breast tenderness
✓✓ CORRECT ANSWER: C ✓✓
Rationale: Bleeding, severe headache, visual changes, and decreased fetal movement can signal complications.
B.
C.
D.
✓✓
Rationale:
Page 4
350 Comprehensive Practice Questions with Verified
Answers, Clinical Rationales, and Topic-Based
ReviewComprehensive Maternal-Newborn Review
A structured 350-question review covering antepartum, intrapartum, postpartum, newborn assessment, complications,
medications, safety, infection prevention, and clinical priorities. Every item includes four answer choices, a clearly marked
correct answer, and a concise rationale.
PART TOPIC QUESTIONS
1 Antepartum Care 1–25
2 High-Risk Pregnancy 26–50
3 Labor & Birth 51–75
4 Fetal Monitoring 76–100
5 Labor Emergencies 101–125
6 Postpartum Care 126–150
7 Postpartum Complications 151–175
8 Newborn Transition 176–200
9 Newborn Feeding 201–225
10 Newborn Complications 226–250
11 Prematurity 251–275
12 Maternal-Newborn Medications 276–300
13 Safety & Infection Prevention 301–325
14 Integrated Priorities & Discharge 326–350
Antepartum Care
Question 1 • Folic acid
A nurse is caring for a client. Which supplement is recommended before conception and during early pregnancy to
reduce neural-tube defects? Which action or interpretation is best?
A. Folic acid
B. Iron only
C. Calcium only
D. Vitamin K
Page 1
,✓✓ CORRECT ANSWER: A ✓✓
Rationale: Folic acid is recommended before conception and during early pregnancy.
Question 2 • Folic acid
During assessment, the nurse notes the described situation. Which supplement is recommended before conception
and during early pregnancy to reduce neural-tube defects? Which response is most appropriate?
A. Iron only
B. Folic acid
C. Calcium only
D. Vitamin K
✓✓ CORRECT ANSWER: B ✓✓
Rationale: Folic acid is recommended before conception and during early pregnancy.
Question 3 • Folic acid
A client asks the nurse about this finding. Which supplement is recommended before conception and during early
pregnancy to reduce neural-tube defects? Which answer should the nurse provide?
A. Calcium only
B. Vitamin K
C. Folic acid
D. Iron only
✓✓ CORRECT ANSWER: C ✓✓
Rationale: Folic acid is recommended before conception and during early pregnancy.
Question 4 • Folic acid
The nurse is reviewing the topic with a student nurse. Which supplement is recommended before conception and
during early pregnancy to reduce neural-tube defects? Which statement demonstrates understanding?
A. Vitamin K
B. Calcium only
C. Iron only
D. Folic acid
✓✓ CORRECT ANSWER: D ✓✓
Rationale: Folic acid is recommended before conception and during early pregnancy.
Question 5 • Folic acid
A client presents with the described situation. Which supplement is recommended before conception and during
early pregnancy to reduce neural-tube defects? Which nursing response has the highest priority?
A. Iron only
B. Vitamin K
C. Folic acid
D. Calcium only
✓✓ CORRECT ANSWER: C ✓✓
Rationale: Folic acid is recommended before conception and during early pregnancy.
Page 2
,Question 6 • Supine hypotension
A nurse is caring for a client. A pregnant client becomes dizzy while lying flat. What should the nurse do? Which
action or interpretation is best?
A. Reposition to the left lateral position
B. Keep the client supine
C. Encourage prolonged standing
D. Restrict fluids
✓✓ CORRECT ANSWER: A ✓✓
Rationale: The lateral position reduces vena-cava compression and improves maternal circulation.
Question 7 • Supine hypotension
During assessment, the nurse notes the described situation. A pregnant client becomes dizzy while lying flat. What
should the nurse do? Which response is most appropriate?
A. Keep the client supine
B. Reposition to the left lateral position
C. Encourage prolonged standing
D. Restrict fluids
✓✓ CORRECT ANSWER: B ✓✓
Rationale: The lateral position reduces vena-cava compression and improves maternal circulation.
Question 8 • Supine hypotension
A client asks the nurse about this finding. A pregnant client becomes dizzy while lying flat. What should the nurse
do? Which answer should the nurse provide?
A. Encourage prolonged standing
B. Restrict fluids
C. Reposition to the left lateral position
D. Keep the client supine
✓✓ CORRECT ANSWER: C ✓✓
Rationale: The lateral position reduces vena-cava compression and improves maternal circulation.
Question 9 • Supine hypotension
The nurse is reviewing the topic with a student nurse. A pregnant client becomes dizzy while lying flat. What should
the nurse do? Which statement demonstrates understanding?
A. Restrict fluids
Encourage prolonged standing
Keep the client supine
Reposition to the left lateral position
CORRECT ANSWER: D ✓✓
The lateral position reduces vena-cava compression and improves maternal circulation.
B.
C.
D.
✓✓
Rationale:
Page 3
, Question 10 • Supine hypotension
A client presents with the described situation. A pregnant client becomes dizzy while lying flat. What should the
nurse do? Which nursing response has the highest priority?
A. Keep the client supine
B. Restrict fluids
C. Reposition to the left lateral position
D. Encourage prolonged standing
✓✓ CORRECT ANSWER: C ✓✓
Rationale: The lateral position reduces vena-cava compression and improves maternal circulation.
Question 11 • Danger signs
A nurse is caring for a client. Which pregnancy finding requires prompt evaluation? Which action or interpretation
is best?
A. Vaginal bleeding
B. Mild breast tenderness
C. Mild morning nausea
D. Urinary frequency
✓✓ CORRECT ANSWER: A ✓✓
Rationale: Bleeding, severe headache, visual changes, and decreased fetal movement can signal complications.
Question 12 • Danger signs
During assessment, the nurse notes the described situation. Which pregnancy finding requires prompt evaluation?
Which response is most appropriate?
A. Mild breast tenderness
B. Vaginal bleeding
C. Mild morning nausea
D. Urinary frequency
✓✓ CORRECT ANSWER: B ✓✓
Rationale: Bleeding, severe headache, visual changes, and decreased fetal movement can signal complications.
Question 13 • Danger signs
A client asks the nurse about this finding. Which pregnancy finding requires prompt evaluation? Which answer
should the nurse provide?
A. Mild morning nausea
B. Urinary frequency
C. Vaginal bleeding
D. Mild breast tenderness
✓✓ CORRECT ANSWER: C ✓✓
Rationale: Bleeding, severe headache, visual changes, and decreased fetal movement can signal complications.
B.
C.
D.
✓✓
Rationale:
Page 4
