ATI RN MATERNAL NEWBORN PROCTORED EXAM 2026 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 Adaptations
Newborn Nursing Care and Transition to Extrauterine Life
High-Risk Pregnancy and Complications
Pharmacology and Medication Administration in Maternal-Newborn Nursing
Maternal-Fetal Assessment and Fetal Monitoring
Neonatal Resuscitation and Immediate Newborn Care
Postpartum Complications and Emergency Management
Reproductive Health, Family Planning, and Patient Education
Introduction
This comprehensive examination is designed to assess the knowledge and clinical judgment of nursing students
preparing for the ATI RN Maternal Newborn Proctored Exam. It evaluates competency in antepartum, intrapartum,
postpartum, and newborn nursing care, including the management of high-risk pregnancies, fetal monitoring, and
neonatal resuscitation. The assessment consists of multiple-choice questions and scenario-based items that require
critical thinking, prioritization, and application of evidence-based practice. Emphasis is placed on real-world
,clinical decision-making, patient safety, and the provision of family-centered care. This examination prepares
candidates for success on the ATI proctored exam and safe nursing practice in maternal-newborn settings.
SECTION ONE: QUESTIONS 1-100
1. A nurse is caring for a client at 38 weeks gestation who reports a sudden gush of fluid from the vagina.
Which action should the nurse take first?
A. Assess the client's temperature
B. Check the fetal heart rate
C. Perform a Nitrazine test to confirm the fluid
D. Notify the healthcare provider
🟢 Correct answer: B
🔴 RATIONALE: The priority action after a suspected rupture of membranes is to assess the fetal heart rate to
ensure the fetus is not experiencing distress or cord compression. After confirming fetal well-being, the nurse
can perform other assessments.
2. A nurse is assessing a client who is at 32 weeks gestation and has preeclampsia. Which finding should be
reported to the healthcare provider immediately?
A. Blood pressure of 145/92 mmHg
B. Proteinuria of 1+
,C. Deep tendon reflexes of 2+
D. Visual disturbances and headache
🟢 Correct answer: D
🔴 RATIONALE: Visual disturbances and headache are signs of severe preeclampsia and impending eclampsia,
requiring immediate intervention. Blood pressure of 145/92 and proteinuria of 1+ are concerning but not as
urgent as neurologic symptoms.
3. A nurse is caring for a client in active labor. Which assessment finding indicates the client is in the
transition phase of labor?
A. Cervical dilation of 4 cm
B. Cervical dilation of 8 cm
C. Cervical dilation of 10 cm
D. Cervical dilation of 6 cm
🟢 Correct answer: B
🔴 RATIONALE: The transition phase is the final phase of the first stage of labor, characterized by cervical
dilation from 8 to 10 cm. The client typically experiences intense contractions, increased pressure, and may feel
an urge to push.
, 4. A nurse is assessing a newborn immediately after birth. Which finding should be reported to the
healthcare provider?
A. Heart rate of 140 beats/minute
B. Respiratory rate of 40 breaths/minute
C. Acrocyanosis of the hands and feet
D. Grunting respirations with nasal flaring
🟢 Correct answer: D
🔴 RATIONALE: Grunting respirations with nasal flaring are signs of respiratory distress in the newborn and
should be reported immediately. A heart rate of 140, respiratory rate of 40, and acrocyanosis are expected
findings in the normal newborn.
5. A client at 35 weeks gestation is diagnosed with gestational diabetes. Which instruction should the nurse
include in the teaching plan?
A. "Increase your intake of simple carbohydrates."
B. "You will need to take insulin daily."
C. "Monitor your blood glucose levels as prescribed."
D. "Your baby will be born with diabetes."
🟢 Correct answer: C
100% VERIFIED SOLUTIONS
Core Domains
Antepartum Nursing Care and Fetal Development
Intrapartum Nursing Care and Labor Management
Postpartum Nursing Care and Maternal Adaptations
Newborn Nursing Care and Transition to Extrauterine Life
High-Risk Pregnancy and Complications
Pharmacology and Medication Administration in Maternal-Newborn Nursing
Maternal-Fetal Assessment and Fetal Monitoring
Neonatal Resuscitation and Immediate Newborn Care
Postpartum Complications and Emergency Management
Reproductive Health, Family Planning, and Patient Education
Introduction
This comprehensive examination is designed to assess the knowledge and clinical judgment of nursing students
preparing for the ATI RN Maternal Newborn Proctored Exam. It evaluates competency in antepartum, intrapartum,
postpartum, and newborn nursing care, including the management of high-risk pregnancies, fetal monitoring, and
neonatal resuscitation. The assessment consists of multiple-choice questions and scenario-based items that require
critical thinking, prioritization, and application of evidence-based practice. Emphasis is placed on real-world
,clinical decision-making, patient safety, and the provision of family-centered care. This examination prepares
candidates for success on the ATI proctored exam and safe nursing practice in maternal-newborn settings.
SECTION ONE: QUESTIONS 1-100
1. A nurse is caring for a client at 38 weeks gestation who reports a sudden gush of fluid from the vagina.
Which action should the nurse take first?
A. Assess the client's temperature
B. Check the fetal heart rate
C. Perform a Nitrazine test to confirm the fluid
D. Notify the healthcare provider
🟢 Correct answer: B
🔴 RATIONALE: The priority action after a suspected rupture of membranes is to assess the fetal heart rate to
ensure the fetus is not experiencing distress or cord compression. After confirming fetal well-being, the nurse
can perform other assessments.
2. A nurse is assessing a client who is at 32 weeks gestation and has preeclampsia. Which finding should be
reported to the healthcare provider immediately?
A. Blood pressure of 145/92 mmHg
B. Proteinuria of 1+
,C. Deep tendon reflexes of 2+
D. Visual disturbances and headache
🟢 Correct answer: D
🔴 RATIONALE: Visual disturbances and headache are signs of severe preeclampsia and impending eclampsia,
requiring immediate intervention. Blood pressure of 145/92 and proteinuria of 1+ are concerning but not as
urgent as neurologic symptoms.
3. A nurse is caring for a client in active labor. Which assessment finding indicates the client is in the
transition phase of labor?
A. Cervical dilation of 4 cm
B. Cervical dilation of 8 cm
C. Cervical dilation of 10 cm
D. Cervical dilation of 6 cm
🟢 Correct answer: B
🔴 RATIONALE: The transition phase is the final phase of the first stage of labor, characterized by cervical
dilation from 8 to 10 cm. The client typically experiences intense contractions, increased pressure, and may feel
an urge to push.
, 4. A nurse is assessing a newborn immediately after birth. Which finding should be reported to the
healthcare provider?
A. Heart rate of 140 beats/minute
B. Respiratory rate of 40 breaths/minute
C. Acrocyanosis of the hands and feet
D. Grunting respirations with nasal flaring
🟢 Correct answer: D
🔴 RATIONALE: Grunting respirations with nasal flaring are signs of respiratory distress in the newborn and
should be reported immediately. A heart rate of 140, respiratory rate of 40, and acrocyanosis are expected
findings in the normal newborn.
5. A client at 35 weeks gestation is diagnosed with gestational diabetes. Which instruction should the nurse
include in the teaching plan?
A. "Increase your intake of simple carbohydrates."
B. "You will need to take insulin daily."
C. "Monitor your blood glucose levels as prescribed."
D. "Your baby will be born with diabetes."
🟢 Correct answer: C
