ACTUAL ATI RN MATERNAL NEWBORN (OB) 2026 LEVEL 3
PROCTORED EXAM ASSESSMENT WITH NGN
SCREENSHOTS, QUESTIONS AND CORRECT ANSWERS
150 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Apply prioritized clinical judgment to antepartum, intrapartum, postpartum, and neonatal scenarios
2 Analyze maternal-fetal pharmacologic and parenteral therapies for safety and efficacy
3 Interpret NGN case exhibits to select anticipated, nonessential, or contraindicated interventions
4 Actual ATI RN Maternal Newborn
5 2026 Level 3 Proctored Exam Assessment with NGN Screenshots
6 Questions and Correct Answers
7 Foundations of Maternal Newborn (Obstetrics) Nursing
8 Applied Maternal Newborn (Obstetrics) Nursing
9 Advanced Maternal Newborn (Obstetrics) Nursing
10 Maternal Newborn (Obstetrics) Nursing Review
ABSTRACT
This study document brings together 150 carefully worded exam questions drawn from Actual ATI
RN Maternal Newborn (OB) 2026 Level 3 Proctored Exam Assessment with NGN Screenshots,
Questions and Correct Answers, with the strongest emphasis placed on Apply prioritized clinical
judgment to antepartum, intrapartum, postpartum, and neonatal scenarios, Analyze maternal-fetal
pharmacologic and parenteral therapies for safety and efficacy, Interpret NGN case exhibits to
select anticipated, nonessential and or contraindicated interventions. Every item follows the
wording style and level of reasoning you meet in the real paper, and each one is paired with a clear
rationale so the correct choice is never a guess. Work through the set at your own pace, mark the
questions that slow you down, then come back to them until the reasoning feels automatic.
Learners who revise this way walk into the exam room recognising the pattern behind the
questions instead of meeting them for the first time. Keep going - steady, honest practice is what
turns a difficult paper into a comfortable pass.
Page 1
,Q1 APPLY PRIORITIZED CLINICAL JUDGMENT TO ANTEPARTUM, INTRAPARTUM,
POSTPARTUM, AND NEONATAL SCENARIOS
Which assessment finding best differentiates mild preeclampsia from severe
features?
A. Blood pressure 148/92 mm Hg
B. 1+ proteinuria on dipstick
C. Platelet count 92,000/mm3 CORRECT
D. Mild bilateral pedal edema
RATIONALE: Thrombocytopenia below 100,000/mm3 is a severe feature per ACOG criteria,
whereas BP 148/92, 1+ proteinuria, and mild edema are consistent with preeclampsia without
severe features. This distinction drives magnesium sulfate and antihypertensive decisions.
Q2 APPLY PRIORITIZED CLINICAL JUDGMENT TO ANTEPARTUM, INTRAPARTUM,
POSTPARTUM, AND NEONATAL SCENARIOS
A laboring client at 8 cm suddenly has a prolonged deceleration to 70 bpm lasting
4 minutes. What is the priority nursing action?
A. Increase oxytocin to augment labor
B. Reposition to left lateral and stop oxytocin CORRECT
C. Prepare for immediate cesarean birth
D. Document and continue monitoring
RATIONALE: A prolonged deceleration requires intrauterine resuscitation: stop oxytocin,
reposition, and improve perfusion. Augmenting oxytocin worsens the insult, cesarean is not yet
indicated, and documentation alone ignores the emergency.
Page 2
,Q3 APPLY PRIORITIZED CLINICAL JUDGMENT TO ANTEPARTUM, INTRAPARTUM,
POSTPARTUM, AND NEONATAL SCENARIOS
Which finding in a neonate at 36 hours most strongly suggests pathologic
jaundice?
A. Total serum bilirubin 9 mg/dL
B. Jaundice of face and chest only
C. Bilirubin rising 0.2 mg/dL/hour
D. Bilirubin rising 5 mg/dL in 24 hours CORRECT
RATIONALE: A rise greater than 5 mg/dL/day or 0.2 mg/dL/hour suggests hemolysis or
pathologic jaundice; however, the 5 mg/dL/24-hour rise is the strongest indicator. Facial jaundice
and bilirubin 9 mg/dL are common physiologic findings.
Q4 APPLY PRIORITIZED CLINICAL JUDGMENT TO ANTEPARTUM, INTRAPARTUM,
POSTPARTUM, AND NEONATAL SCENARIOS
Which instruction is most critical for a client receiving magnesium sulfate for
preeclampsia?
A. Expect warmth and flushing after infusion
B. Report decreased fetal movement immediately CORRECT
C. Take ibuprofen for headache
D. Limit oral fluids to 1 L per day
RATIONALE: Magnesium sulfate can cause fetal neurobehavioral depression; decreased fetal
movement requires immediate evaluation. Warmth/flushing is expected, ibuprofen is unsafe in
preeclampsia, and fluid restriction is not standard.
Page 3
, Q5 APPLY PRIORITIZED CLINICAL JUDGMENT TO ANTEPARTUM, INTRAPARTUM,
POSTPARTUM, AND NEONATAL SCENARIOS
A client with placenta previa at 34 weeks has painless bright red bleeding. Which
action is contraindicated?
A. Continuous fetal monitoring
B. Digital cervical examination CORRECT
C. IV access and type and screen
D. Betamethasone administration
RATIONALE: Digital cervical examination is absolutely contraindicated in placenta previa
because it can provoke catastrophic hemorrhage. Monitoring, IV access, and betamethasone are
appropriate.
Q6 APPLY PRIORITIZED CLINICAL JUDGMENT TO ANTEPARTUM, INTRAPARTUM,
POSTPARTUM, AND NEONATAL SCENARIOS
Which maternal factor most increases the risk of early-onset neonatal group B
streptococcal sepsis?
A. Maternal age over 35
B. Positive GBS rectovaginal culture at 36 weeks CORRECT
C. Gestational diabetes controlled by diet
D. History of one prior preterm birth
RATIONALE: A positive GBS rectovaginal culture at 36-37 weeks is the strongest predictor and
requires intrapartum penicillin prophylaxis. Age, diet-controlled diabetes, and prior preterm birth
are not primary GBS risk factors.
Page 4
PROCTORED EXAM ASSESSMENT WITH NGN
SCREENSHOTS, QUESTIONS AND CORRECT ANSWERS
150 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Apply prioritized clinical judgment to antepartum, intrapartum, postpartum, and neonatal scenarios
2 Analyze maternal-fetal pharmacologic and parenteral therapies for safety and efficacy
3 Interpret NGN case exhibits to select anticipated, nonessential, or contraindicated interventions
4 Actual ATI RN Maternal Newborn
5 2026 Level 3 Proctored Exam Assessment with NGN Screenshots
6 Questions and Correct Answers
7 Foundations of Maternal Newborn (Obstetrics) Nursing
8 Applied Maternal Newborn (Obstetrics) Nursing
9 Advanced Maternal Newborn (Obstetrics) Nursing
10 Maternal Newborn (Obstetrics) Nursing Review
ABSTRACT
This study document brings together 150 carefully worded exam questions drawn from Actual ATI
RN Maternal Newborn (OB) 2026 Level 3 Proctored Exam Assessment with NGN Screenshots,
Questions and Correct Answers, with the strongest emphasis placed on Apply prioritized clinical
judgment to antepartum, intrapartum, postpartum, and neonatal scenarios, Analyze maternal-fetal
pharmacologic and parenteral therapies for safety and efficacy, Interpret NGN case exhibits to
select anticipated, nonessential and or contraindicated interventions. Every item follows the
wording style and level of reasoning you meet in the real paper, and each one is paired with a clear
rationale so the correct choice is never a guess. Work through the set at your own pace, mark the
questions that slow you down, then come back to them until the reasoning feels automatic.
Learners who revise this way walk into the exam room recognising the pattern behind the
questions instead of meeting them for the first time. Keep going - steady, honest practice is what
turns a difficult paper into a comfortable pass.
Page 1
,Q1 APPLY PRIORITIZED CLINICAL JUDGMENT TO ANTEPARTUM, INTRAPARTUM,
POSTPARTUM, AND NEONATAL SCENARIOS
Which assessment finding best differentiates mild preeclampsia from severe
features?
A. Blood pressure 148/92 mm Hg
B. 1+ proteinuria on dipstick
C. Platelet count 92,000/mm3 CORRECT
D. Mild bilateral pedal edema
RATIONALE: Thrombocytopenia below 100,000/mm3 is a severe feature per ACOG criteria,
whereas BP 148/92, 1+ proteinuria, and mild edema are consistent with preeclampsia without
severe features. This distinction drives magnesium sulfate and antihypertensive decisions.
Q2 APPLY PRIORITIZED CLINICAL JUDGMENT TO ANTEPARTUM, INTRAPARTUM,
POSTPARTUM, AND NEONATAL SCENARIOS
A laboring client at 8 cm suddenly has a prolonged deceleration to 70 bpm lasting
4 minutes. What is the priority nursing action?
A. Increase oxytocin to augment labor
B. Reposition to left lateral and stop oxytocin CORRECT
C. Prepare for immediate cesarean birth
D. Document and continue monitoring
RATIONALE: A prolonged deceleration requires intrauterine resuscitation: stop oxytocin,
reposition, and improve perfusion. Augmenting oxytocin worsens the insult, cesarean is not yet
indicated, and documentation alone ignores the emergency.
Page 2
,Q3 APPLY PRIORITIZED CLINICAL JUDGMENT TO ANTEPARTUM, INTRAPARTUM,
POSTPARTUM, AND NEONATAL SCENARIOS
Which finding in a neonate at 36 hours most strongly suggests pathologic
jaundice?
A. Total serum bilirubin 9 mg/dL
B. Jaundice of face and chest only
C. Bilirubin rising 0.2 mg/dL/hour
D. Bilirubin rising 5 mg/dL in 24 hours CORRECT
RATIONALE: A rise greater than 5 mg/dL/day or 0.2 mg/dL/hour suggests hemolysis or
pathologic jaundice; however, the 5 mg/dL/24-hour rise is the strongest indicator. Facial jaundice
and bilirubin 9 mg/dL are common physiologic findings.
Q4 APPLY PRIORITIZED CLINICAL JUDGMENT TO ANTEPARTUM, INTRAPARTUM,
POSTPARTUM, AND NEONATAL SCENARIOS
Which instruction is most critical for a client receiving magnesium sulfate for
preeclampsia?
A. Expect warmth and flushing after infusion
B. Report decreased fetal movement immediately CORRECT
C. Take ibuprofen for headache
D. Limit oral fluids to 1 L per day
RATIONALE: Magnesium sulfate can cause fetal neurobehavioral depression; decreased fetal
movement requires immediate evaluation. Warmth/flushing is expected, ibuprofen is unsafe in
preeclampsia, and fluid restriction is not standard.
Page 3
, Q5 APPLY PRIORITIZED CLINICAL JUDGMENT TO ANTEPARTUM, INTRAPARTUM,
POSTPARTUM, AND NEONATAL SCENARIOS
A client with placenta previa at 34 weeks has painless bright red bleeding. Which
action is contraindicated?
A. Continuous fetal monitoring
B. Digital cervical examination CORRECT
C. IV access and type and screen
D. Betamethasone administration
RATIONALE: Digital cervical examination is absolutely contraindicated in placenta previa
because it can provoke catastrophic hemorrhage. Monitoring, IV access, and betamethasone are
appropriate.
Q6 APPLY PRIORITIZED CLINICAL JUDGMENT TO ANTEPARTUM, INTRAPARTUM,
POSTPARTUM, AND NEONATAL SCENARIOS
Which maternal factor most increases the risk of early-onset neonatal group B
streptococcal sepsis?
A. Maternal age over 35
B. Positive GBS rectovaginal culture at 36 weeks CORRECT
C. Gestational diabetes controlled by diet
D. History of one prior preterm birth
RATIONALE: A positive GBS rectovaginal culture at 36-37 weeks is the strongest predictor and
requires intrapartum penicillin prophylaxis. Age, diet-controlled diabetes, and prior preterm birth
are not primary GBS risk factors.
Page 4
