Page 1 of 117
ATI RN MATERNAL NEWBORN PROCTORED EXAM — ACTUAL &
RETAKE EXAM 2026 QUESTIONS WITH VERIFIED QUESTIONS
DETAILED RATIONALES GRADED A+
ATI RN Maternal Newborn Proctored Exam — Actual & Retake: Questions with Rationales
Summarized 10-Point Exam Coverage
Based on the ATI RN Maternal Newborn Proctored Exam blueprint:
Antepartum Care — prenatal assessment, physiological changes of pregnancy, prenatal
screening, nutrition, and high-risk pregnancy.
Intrapartum Care — labor stages, fetal monitoring, pain management, obstetric emergencies,
and delivery.
Postpartum Care — fundal assessment, lochia, breastfeeding, complications, and postpartum
hemorrhage.
Newborn Care — Apgar scoring, newborn assessment, reflexes, feeding, and common newborn
conditions.
Complications of Pregnancy — preeclampsia, gestational diabetes, placenta previa, placental
abruption, and ectopic pregnancy.
Labor and Delivery Management — induction, augmentation, operative delivery, and fetal
surveillance.
Breastfeeding and Nutrition — lactation, formula feeding, and maternal nutrition.
,Page 2 of 117
Contraception and Family Planning — contraceptive methods, counseling, and patient
education.
Postpartum Complications — endometritis, wound infection, thromboembolism, and
postpartum depression.
NGN Clinical Judgment — recognizing cues, analyzing cues, prioritizing hypotheses, generating
solutions, and evaluating outcomes.
SECTION 1: ANTEPARTUM CARE (Questions 1–60)
Q1. A nurse is caring for a client at 32 weeks gestation who reports a sudden gush of fluid
from the vagina. What is the nurse's priority action?
A. Perform a sterile vaginal examination
B. Assess the fetal heart rate
C. Encourage the client to ambulate
D. Obtain maternal blood pressure
Correct Answer: B
Rationale: After rupture of membranes, the priority is to assess fetal well-being by checking the
fetal heart rate. Umbilical cord prolapse is a potential complication following rupture of
membranes and can cause fetal distress. A vaginal examination should be delayed until cord
prolapse is ruled out.
Q2. 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?
A. Misoprostol
B. Betamethasone
,Page 3 of 117
C. Poractant alfa
D. Methylergonovine
Correct Answer: B
Rationale: Betamethasone is a corticosteroid administered to promote fetal lung maturity in
preterm labor. Misoprostol is used for cervical ripening, poractant alfa is a surfactant, and
methylergonovine is used for postpartum hemorrhage.
Q3. A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant. The
client asks how the provider will confirm her pregnancy. What lab test will be used?
A. Urine test for presence of HCG
B. Urine test for the presence of HCS
C. Blood test for presence of estrogen
D. Blood test for the amount of circulating progesterone
Correct Answer: A
Rationale: A urine test for the presence of human chorionic gonadotropin (HCG) is the standard
test to confirm pregnancy. HCG is produced by the placenta shortly after implantation.
Q4. A nurse is caring for a client who believes she may be pregnant. What finding should the
nurse identify as a positive sign of pregnancy?
A. Palpable fetal movement
B. Amenorrhea
C. Chadwick's sign
D. Positive pregnancy test
Correct Answer: A
Rationale: Palpable fetal movement is a positive sign of pregnancy, meaning it can only be
, Page 4 of 117
caused by pregnancy. Amenorrhea, Chadwick's sign, and a positive pregnancy test are
presumptive or probable signs.
Q5. A nurse is caring for a client who has oligohydramnios. What fetal anomalies should the
nurse expect?
A. Renal agenesis
B. Atrial septal defect
C. Spina bifida
D. Hydrocephalus
Correct Answer: A
Rationale: Oligohydramnios (decreased amniotic fluid) is associated with renal agenesis because
fetal urine is a major source of amniotic fluid.
Q6. A nurse is assessing a client who is at 37 weeks gestation and has a suspected pelvic
fracture due to blunt abdominal trauma. What findings should the nurse expect?
A. Uterine contractions
B. Bradycardia
C. Seizures
D. Bradypnea
Correct Answer: A
Rationale: The nurse should expect the client to be experiencing uterine contractions due to
abdominal trauma.
Q7. A nurse is assessing a client who is at 12 weeks gestation and has a hydatidiform mole.
What findings should the nurse expect?
ATI RN MATERNAL NEWBORN PROCTORED EXAM — ACTUAL &
RETAKE EXAM 2026 QUESTIONS WITH VERIFIED QUESTIONS
DETAILED RATIONALES GRADED A+
ATI RN Maternal Newborn Proctored Exam — Actual & Retake: Questions with Rationales
Summarized 10-Point Exam Coverage
Based on the ATI RN Maternal Newborn Proctored Exam blueprint:
Antepartum Care — prenatal assessment, physiological changes of pregnancy, prenatal
screening, nutrition, and high-risk pregnancy.
Intrapartum Care — labor stages, fetal monitoring, pain management, obstetric emergencies,
and delivery.
Postpartum Care — fundal assessment, lochia, breastfeeding, complications, and postpartum
hemorrhage.
Newborn Care — Apgar scoring, newborn assessment, reflexes, feeding, and common newborn
conditions.
Complications of Pregnancy — preeclampsia, gestational diabetes, placenta previa, placental
abruption, and ectopic pregnancy.
Labor and Delivery Management — induction, augmentation, operative delivery, and fetal
surveillance.
Breastfeeding and Nutrition — lactation, formula feeding, and maternal nutrition.
,Page 2 of 117
Contraception and Family Planning — contraceptive methods, counseling, and patient
education.
Postpartum Complications — endometritis, wound infection, thromboembolism, and
postpartum depression.
NGN Clinical Judgment — recognizing cues, analyzing cues, prioritizing hypotheses, generating
solutions, and evaluating outcomes.
SECTION 1: ANTEPARTUM CARE (Questions 1–60)
Q1. A nurse is caring for a client at 32 weeks gestation who reports a sudden gush of fluid
from the vagina. What is the nurse's priority action?
A. Perform a sterile vaginal examination
B. Assess the fetal heart rate
C. Encourage the client to ambulate
D. Obtain maternal blood pressure
Correct Answer: B
Rationale: After rupture of membranes, the priority is to assess fetal well-being by checking the
fetal heart rate. Umbilical cord prolapse is a potential complication following rupture of
membranes and can cause fetal distress. A vaginal examination should be delayed until cord
prolapse is ruled out.
Q2. 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?
A. Misoprostol
B. Betamethasone
,Page 3 of 117
C. Poractant alfa
D. Methylergonovine
Correct Answer: B
Rationale: Betamethasone is a corticosteroid administered to promote fetal lung maturity in
preterm labor. Misoprostol is used for cervical ripening, poractant alfa is a surfactant, and
methylergonovine is used for postpartum hemorrhage.
Q3. A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant. The
client asks how the provider will confirm her pregnancy. What lab test will be used?
A. Urine test for presence of HCG
B. Urine test for the presence of HCS
C. Blood test for presence of estrogen
D. Blood test for the amount of circulating progesterone
Correct Answer: A
Rationale: A urine test for the presence of human chorionic gonadotropin (HCG) is the standard
test to confirm pregnancy. HCG is produced by the placenta shortly after implantation.
Q4. A nurse is caring for a client who believes she may be pregnant. What finding should the
nurse identify as a positive sign of pregnancy?
A. Palpable fetal movement
B. Amenorrhea
C. Chadwick's sign
D. Positive pregnancy test
Correct Answer: A
Rationale: Palpable fetal movement is a positive sign of pregnancy, meaning it can only be
, Page 4 of 117
caused by pregnancy. Amenorrhea, Chadwick's sign, and a positive pregnancy test are
presumptive or probable signs.
Q5. A nurse is caring for a client who has oligohydramnios. What fetal anomalies should the
nurse expect?
A. Renal agenesis
B. Atrial septal defect
C. Spina bifida
D. Hydrocephalus
Correct Answer: A
Rationale: Oligohydramnios (decreased amniotic fluid) is associated with renal agenesis because
fetal urine is a major source of amniotic fluid.
Q6. A nurse is assessing a client who is at 37 weeks gestation and has a suspected pelvic
fracture due to blunt abdominal trauma. What findings should the nurse expect?
A. Uterine contractions
B. Bradycardia
C. Seizures
D. Bradypnea
Correct Answer: A
Rationale: The nurse should expect the client to be experiencing uterine contractions due to
abdominal trauma.
Q7. A nurse is assessing a client who is at 12 weeks gestation and has a hydatidiform mole.
What findings should the nurse expect?
