ATI RN MATERNAL NEWBORN 2026 PROCTORED EXAM WITH NGN
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDFevaluates
foundational maternal-newborn concepts, antepartum and
intrapartum care, postpartum assessment, newborn transition, and
clinical decision-making through multiple-choice and Next Generation
NCLEX (NGN)-style case scenarios
CORE DOMAINS
• Antepartum Care and Prenatal Assessment
• Intrapartum Care and Fetal Monitoring
• Postpartum Care and Complications
• Newborn Assessment and Transition
• High-Risk Pregnancy and Obstetric Emergencies
• Contraception and Family Planning
• Maternal Nutrition and Pharmacology
• NGN Clinical Judgment Case Studies
INTRODUCTION
The ATI RN Maternal Newborn Proctored examination assesses the clinical
judgment, prioritization, and application-based knowledge required for safe
nursing practice in maternal-newborn settings. The exam evaluates
foundational maternal-newborn concepts, antepartum and intrapartum care,
postpartum assessment, newborn transition, and clinical decision-making
through multiple-choice and Next Generation NCLEX (NGN)-style case
scenarios. Candidates must demonstrate competency in recognizing cues,
analyzing findings, generating solutions, and evaluating outcomes to ensure
patient safety and optimal care delivery for women and newborns across the
childbearing continuum.
,SECTION ONE: QUESTIONS 1–200
Question 1
A nurse is caring for a client who is at 38 weeks of gestation and experiencing
spontaneous rupture of membranes (ROM). Which of the following actions
should the nurse take first?
A. Check the fetal heart rate.
B. Assess the color and odor of the fluid.
C. Perform a sterile vaginal exam.
D. Notify the provider.
A. Check the fetal heart rate.
RATIONALE: After ROM, the priority is to assess fetal well-being. Cord
prolapse is a risk, so the nurse should first auscultate the fetal heart rate to
ensure no signs of distress.
Question 2
A nurse is assessing a newborn who was born 2 hours ago. Which of the
following findings requires immediate intervention?
A. Grunting respirations.
B. Acrocyanosis.
C. Heart rate of 160/min.
D. Axillary temperature of 97.8°F (36.6°C).
A. Grunting respirations.
RATIONALE: Grunting is a sign of respiratory distress in a newborn,
indicating possible retained fluid, pneumothorax, or infection. Acrocyanosis
is normal in the first 24 hours.
Question 3
,A nurse is administering magnesium sulfate IV to a client with severe
preeclampsia. Which of the following findings indicates magnesium toxicity?
A. Respiratory rate of 14/min.
B. Deep tendon reflexes 3+.
C. Urine output 25 mL/hour.
D. Absent patellar reflexes.
D. Absent patellar reflexes.
RATIONALE: Absent deep tendon reflexes is an early sign of magnesium
toxicity. Other signs include respiratory depression (<12/min) and decreased
urine output (<30 mL/hour).
Question 4
A nurse is teaching a new mother about breastfeeding. Which of the
following statements indicates understanding?
A. "I should wait until my breasts feel engorged before feeding."
B. "My baby will feed every 2 to 3 hours."
C. "I can give my baby water between feedings."
D. "I should wash my nipples with soap before each feeding."
B. "My baby will feed every 2 to 3 hours."
RATIONALE: Newborns typically feed every 2-3 hours (8-12 times in 24
hours). Waiting for engorgement can lead to poor latch. Water is not needed;
breast milk provides hydration.
Question 5
A nurse is caring for a postpartum client who has a third-degree perineal
laceration. Which of the following interventions should the nurse
implement?
, A. Apply an ice pack to the perineum for the first 24 hours.
B. Administer a warm sitz bath immediately after delivery.
C. Encourage the client to use a donut-shaped pillow for sitting.
D. Instruct the client to avoid breastfeeding due to pain medication.
A. Apply an ice pack to the perineum for the first 24 hours.
RATIONALE: Ice packs help reduce edema and pain in the first 24 hours
after delivery. Sitz baths are typically started after 24 hours. Donut pillows can
increase pressure and delay healing.
Question 6
A nurse is assessing a client at 32 weeks of gestation who reports a headache
and blurred vision. The nurse notes a blood pressure of 160/100 mm Hg.
Which of the following medications should the nurse anticipate
administering?
A. Terbutaline.
B. Magnesium sulfate.
C. Betamethasone.
D. Oxytocin.
B. Magnesium sulfate.
RATIONALE: The client is showing signs of severe preeclampsia.
Magnesium sulfate is administered for seizure prophylaxis. Betamethasone is
for fetal lung maturity.
Question 7
A nurse is caring for a client who is at 32 weeks gestation and is experiencing
preterm labor. What medication should the nurse plan to administer?
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDFevaluates
foundational maternal-newborn concepts, antepartum and
intrapartum care, postpartum assessment, newborn transition, and
clinical decision-making through multiple-choice and Next Generation
NCLEX (NGN)-style case scenarios
CORE DOMAINS
• Antepartum Care and Prenatal Assessment
• Intrapartum Care and Fetal Monitoring
• Postpartum Care and Complications
• Newborn Assessment and Transition
• High-Risk Pregnancy and Obstetric Emergencies
• Contraception and Family Planning
• Maternal Nutrition and Pharmacology
• NGN Clinical Judgment Case Studies
INTRODUCTION
The ATI RN Maternal Newborn Proctored examination assesses the clinical
judgment, prioritization, and application-based knowledge required for safe
nursing practice in maternal-newborn settings. The exam evaluates
foundational maternal-newborn concepts, antepartum and intrapartum care,
postpartum assessment, newborn transition, and clinical decision-making
through multiple-choice and Next Generation NCLEX (NGN)-style case
scenarios. Candidates must demonstrate competency in recognizing cues,
analyzing findings, generating solutions, and evaluating outcomes to ensure
patient safety and optimal care delivery for women and newborns across the
childbearing continuum.
,SECTION ONE: QUESTIONS 1–200
Question 1
A nurse is caring for a client who is at 38 weeks of gestation and experiencing
spontaneous rupture of membranes (ROM). Which of the following actions
should the nurse take first?
A. Check the fetal heart rate.
B. Assess the color and odor of the fluid.
C. Perform a sterile vaginal exam.
D. Notify the provider.
A. Check the fetal heart rate.
RATIONALE: After ROM, the priority is to assess fetal well-being. Cord
prolapse is a risk, so the nurse should first auscultate the fetal heart rate to
ensure no signs of distress.
Question 2
A nurse is assessing a newborn who was born 2 hours ago. Which of the
following findings requires immediate intervention?
A. Grunting respirations.
B. Acrocyanosis.
C. Heart rate of 160/min.
D. Axillary temperature of 97.8°F (36.6°C).
A. Grunting respirations.
RATIONALE: Grunting is a sign of respiratory distress in a newborn,
indicating possible retained fluid, pneumothorax, or infection. Acrocyanosis
is normal in the first 24 hours.
Question 3
,A nurse is administering magnesium sulfate IV to a client with severe
preeclampsia. Which of the following findings indicates magnesium toxicity?
A. Respiratory rate of 14/min.
B. Deep tendon reflexes 3+.
C. Urine output 25 mL/hour.
D. Absent patellar reflexes.
D. Absent patellar reflexes.
RATIONALE: Absent deep tendon reflexes is an early sign of magnesium
toxicity. Other signs include respiratory depression (<12/min) and decreased
urine output (<30 mL/hour).
Question 4
A nurse is teaching a new mother about breastfeeding. Which of the
following statements indicates understanding?
A. "I should wait until my breasts feel engorged before feeding."
B. "My baby will feed every 2 to 3 hours."
C. "I can give my baby water between feedings."
D. "I should wash my nipples with soap before each feeding."
B. "My baby will feed every 2 to 3 hours."
RATIONALE: Newborns typically feed every 2-3 hours (8-12 times in 24
hours). Waiting for engorgement can lead to poor latch. Water is not needed;
breast milk provides hydration.
Question 5
A nurse is caring for a postpartum client who has a third-degree perineal
laceration. Which of the following interventions should the nurse
implement?
, A. Apply an ice pack to the perineum for the first 24 hours.
B. Administer a warm sitz bath immediately after delivery.
C. Encourage the client to use a donut-shaped pillow for sitting.
D. Instruct the client to avoid breastfeeding due to pain medication.
A. Apply an ice pack to the perineum for the first 24 hours.
RATIONALE: Ice packs help reduce edema and pain in the first 24 hours
after delivery. Sitz baths are typically started after 24 hours. Donut pillows can
increase pressure and delay healing.
Question 6
A nurse is assessing a client at 32 weeks of gestation who reports a headache
and blurred vision. The nurse notes a blood pressure of 160/100 mm Hg.
Which of the following medications should the nurse anticipate
administering?
A. Terbutaline.
B. Magnesium sulfate.
C. Betamethasone.
D. Oxytocin.
B. Magnesium sulfate.
RATIONALE: The client is showing signs of severe preeclampsia.
Magnesium sulfate is administered for seizure prophylaxis. Betamethasone is
for fetal lung maturity.
Question 7
A nurse is caring for a client who is at 32 weeks gestation and is experiencing
preterm labor. What medication should the nurse plan to administer?
