, NGN ATI RN MATERNAL NEWBORN
PROCTORED EXAM 2025-2027 4 VERSIONS
QUESTIONS & VERIFIED A+ ANSWERS
130 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Analyze complex maternal-fetal assessments to guide clinical decisions
2 Evaluate and implement evidence-based interventions for high-risk obstetric and neonatal conditions
3 Synthesize pharmacological and non-pharmacological management across the perinatal continuum
4 NGN ATI RN Maternal Newborn Proctored Exam 2025
5 2027 4 Versions Questions & Verified A+ Answers
6 Foundations of Maternal-Newborn Nursing
7 Applied Maternal-Newborn Nursing
8 Advanced Maternal-Newborn Nursing
9 Maternal-Newborn Nursing Review
Q1 ANALYZE COMPLEX MATERNAL-FETAL ASSESSMENTS TO GUIDE CLINICAL DECISIONS
A client at 32 weeks gestation presents with sudden onset of painless, bright red
vaginal bleeding. Ultrasound reveals a placenta previa. Which finding on
assessment should prompt immediate preparation for cesarean birth?
A. Fetal heart rate with moderate variability and accelerations
B. Cervical dilation of 3 cm with irregular contractions CORRECT
C. Maternal blood pressure of 110/70 mmHg and pulse 88 bpm
D. A decrease in hemoglobin from 11.2 to 9.8 g/dL over 2 hours
RATIONALE: In placenta previa, cervical dilation or contractions increase the risk of hemorrhage;
active labor is an indication for immediate cesarean birth. Stable vital signs and reassuring fetal
status allow for planned management, while a rapid hemoglobin drop indicates active bleeding
but may not solely dictate immediate birth if other parameters are stable.
Page 1
,Q2 ANALYZE COMPLEX MATERNAL-FETAL ASSESSMENTS TO GUIDE CLINICAL DECISIONS
Which physiological change in the newborn's cardiovascular system is most
critical for the transition from fetal to neonatal circulation?
A. Closure of the ductus venosus due to increased portal pressure
B. Decrease in pulmonary vascular resistance and increase in systemic vascular resistance
CORRECT
C. Functional closure of the foramen ovale due to increased right atrial pressure
D. Constriction of the ductus arteriosus in response to decreased oxygen tension
RATIONALE: The critical transition is the drop in pulmonary vascular resistance and increase in
systemic vascular resistance, which reverses shunting through the foramen ovale and ductus
arteriosus. The other options describe secondary changes that occur as a result of this primary
shift.
Q3 ANALYZE COMPLEX MATERNAL-FETAL ASSESSMENTS TO GUIDE CLINICAL DECISIONS
A client in active labor receives an epidural. Thirty minutes later, her blood
pressure drops from 120/80 to 90/60 mmHg, and she reports dizziness. What is the
priority nursing intervention?
A. Increase the mainline IV infusion rate
B. Administer ephedrine as prescribed
C. Turn the client to a left lateral position CORRECT
D. Document the findings and continue to monitor
RATIONALE: The priority is to displace the uterus off the inferior vena cava to improve venous
return and cardiac output; left lateral positioning is the first-line intervention for epidural-induced
hypotension. Increasing IV fluids is secondary, and ephedrine is used if positioning and fluids fail.
Page 2
, Q4 ANALYZE COMPLEX MATERNAL-FETAL ASSESSMENTS TO GUIDE CLINICAL DECISIONS
A postpartum client has a fundus that is boggy and displaced to the right, with
moderate lochia rubra. Which sequence of actions is most appropriate?
A. Massage the fundus, then assist the client to void, and reassess
B. Assist the client to void, then massage the fundus, and reassess CORRECT
C. Administer methylergonovine, then massage the fundus, and reassess
D. Notify the provider immediately and prepare for ultrasound
RATIONALE: A displaced fundus suggests a distended bladder. The bladder should be emptied
first to allow the uterus to contract properly; then massage if still boggy. Administering uterotonics
without addressing bladder distention is less effective, and immediate provider notification is
premature.
Q5 ANALYZE COMPLEX MATERNAL-FETAL ASSESSMENTS TO GUIDE CLINICAL DECISIONS
A newborn at 39 weeks gestation has a blood glucose level of 32 mg/dL at 2 hours
of age. The newborn is asymptomatic. Which intervention is most appropriate?
A. Initiate IV dextrose 10% at 80 mL/kg/day
B. Recheck blood glucose in 30 minutes after feeding
C. Provide formula or breast milk feeding and recheck in 1 hour CORRECT
D. Begin continuous glucose monitoring and observe for symptoms
RATIONALE: For asymptomatic hypoglycemia, the first-line intervention is to feed the newborn
and recheck glucose within 1 hour. IV dextrose is reserved for symptomatic or severe
hypoglycemia. Rechecking in 30 minutes is too soon to assess the response to feeding, and
continuous monitoring is not standard.
Page 3
PROCTORED EXAM 2025-2027 4 VERSIONS
QUESTIONS & VERIFIED A+ ANSWERS
130 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Analyze complex maternal-fetal assessments to guide clinical decisions
2 Evaluate and implement evidence-based interventions for high-risk obstetric and neonatal conditions
3 Synthesize pharmacological and non-pharmacological management across the perinatal continuum
4 NGN ATI RN Maternal Newborn Proctored Exam 2025
5 2027 4 Versions Questions & Verified A+ Answers
6 Foundations of Maternal-Newborn Nursing
7 Applied Maternal-Newborn Nursing
8 Advanced Maternal-Newborn Nursing
9 Maternal-Newborn Nursing Review
Q1 ANALYZE COMPLEX MATERNAL-FETAL ASSESSMENTS TO GUIDE CLINICAL DECISIONS
A client at 32 weeks gestation presents with sudden onset of painless, bright red
vaginal bleeding. Ultrasound reveals a placenta previa. Which finding on
assessment should prompt immediate preparation for cesarean birth?
A. Fetal heart rate with moderate variability and accelerations
B. Cervical dilation of 3 cm with irregular contractions CORRECT
C. Maternal blood pressure of 110/70 mmHg and pulse 88 bpm
D. A decrease in hemoglobin from 11.2 to 9.8 g/dL over 2 hours
RATIONALE: In placenta previa, cervical dilation or contractions increase the risk of hemorrhage;
active labor is an indication for immediate cesarean birth. Stable vital signs and reassuring fetal
status allow for planned management, while a rapid hemoglobin drop indicates active bleeding
but may not solely dictate immediate birth if other parameters are stable.
Page 1
,Q2 ANALYZE COMPLEX MATERNAL-FETAL ASSESSMENTS TO GUIDE CLINICAL DECISIONS
Which physiological change in the newborn's cardiovascular system is most
critical for the transition from fetal to neonatal circulation?
A. Closure of the ductus venosus due to increased portal pressure
B. Decrease in pulmonary vascular resistance and increase in systemic vascular resistance
CORRECT
C. Functional closure of the foramen ovale due to increased right atrial pressure
D. Constriction of the ductus arteriosus in response to decreased oxygen tension
RATIONALE: The critical transition is the drop in pulmonary vascular resistance and increase in
systemic vascular resistance, which reverses shunting through the foramen ovale and ductus
arteriosus. The other options describe secondary changes that occur as a result of this primary
shift.
Q3 ANALYZE COMPLEX MATERNAL-FETAL ASSESSMENTS TO GUIDE CLINICAL DECISIONS
A client in active labor receives an epidural. Thirty minutes later, her blood
pressure drops from 120/80 to 90/60 mmHg, and she reports dizziness. What is the
priority nursing intervention?
A. Increase the mainline IV infusion rate
B. Administer ephedrine as prescribed
C. Turn the client to a left lateral position CORRECT
D. Document the findings and continue to monitor
RATIONALE: The priority is to displace the uterus off the inferior vena cava to improve venous
return and cardiac output; left lateral positioning is the first-line intervention for epidural-induced
hypotension. Increasing IV fluids is secondary, and ephedrine is used if positioning and fluids fail.
Page 2
, Q4 ANALYZE COMPLEX MATERNAL-FETAL ASSESSMENTS TO GUIDE CLINICAL DECISIONS
A postpartum client has a fundus that is boggy and displaced to the right, with
moderate lochia rubra. Which sequence of actions is most appropriate?
A. Massage the fundus, then assist the client to void, and reassess
B. Assist the client to void, then massage the fundus, and reassess CORRECT
C. Administer methylergonovine, then massage the fundus, and reassess
D. Notify the provider immediately and prepare for ultrasound
RATIONALE: A displaced fundus suggests a distended bladder. The bladder should be emptied
first to allow the uterus to contract properly; then massage if still boggy. Administering uterotonics
without addressing bladder distention is less effective, and immediate provider notification is
premature.
Q5 ANALYZE COMPLEX MATERNAL-FETAL ASSESSMENTS TO GUIDE CLINICAL DECISIONS
A newborn at 39 weeks gestation has a blood glucose level of 32 mg/dL at 2 hours
of age. The newborn is asymptomatic. Which intervention is most appropriate?
A. Initiate IV dextrose 10% at 80 mL/kg/day
B. Recheck blood glucose in 30 minutes after feeding
C. Provide formula or breast milk feeding and recheck in 1 hour CORRECT
D. Begin continuous glucose monitoring and observe for symptoms
RATIONALE: For asymptomatic hypoglycemia, the first-line intervention is to feed the newborn
and recheck glucose within 1 hour. IV dextrose is reserved for symptomatic or severe
hypoglycemia. Rechecking in 30 minutes is too soon to assess the response to feeding, and
continuous monitoring is not standard.
Page 3
