ATI RN Maternal Newborn Proctored Exam : Attain a 96%
Success Rate (Actual Exam Screenshots) with 70 Real Exam
Questions & Answers for RN Maternal Newborn, 2026 Advanced
Revision - Questions and Answers Already Graded A+ Premium
Exam Tested And Verified
Subject Area Maternal Newborn Nursing
Description This proctored exam assesses RN-level competency in maternal newborn nursing
across antepartum, intrapartum, postpartum, and newborn care, including
complications, pharmacology, safety, health promotion, and psychosocial
integrity. Questions require clinical judgment, multi-step analysis, and application
of current ACOG, AAP, and AWHONN standards.
Expected Grade A+
Total Questions 146
Duration 3 hours
Learning Outcomes 1. Synthesize antepartum, intrapartum, postpartum, and newborn assessment data
to prioritize nursing interventions.
2. Apply evidence-based guidelines to manage complications of pregnancy, labor,
birth, postpartum, and the newborn.
3. Evaluate pharmacological and parenteral therapies for safety and efficacy in
maternal newborn care.
4. Demonstrate safety and infection control practices that prevent maternal and
neonatal harm.
5. Integrate psychosocial and health promotion principles into family-centered
maternal newborn care.
Accreditation Aligned with the ATI RN Maternal Newborn Proctored Exam Test Plan (2026),
NCLEX-RN Test Plan (2026), AWHONN Perinatal Nursing Standards, and
current ACOG/AAP clinical practice guidelines; meets US university-level
nursing accreditation standards.
Page 1
,Question 1 of 146
Which lab finding most strongly predicts severe neonatal unconjugated hyperbilirubinemia?
A. Cord blood hematocrit 45%
B. Direct Coombs positive with maternal O, infant A
C. Infant blood type A with maternal type O
D. Reticulocyte count 4%
The correct answer is:
Correct Action: Direct Coombs positive with maternal O, infant A
Rationales
• Direct Coombs positive with maternal O, infant A (Correct):
This is the correct action. A positive direct Coombs test in an ABO-incompatible pair (maternal O, infant A) indicates
antibody-coated RBCs and high risk for hemolysis and severe hyperbilirubinemia. Infant blood type alone without Coombs
does not predict severity; hematocrit and reticulocyte count are supportive but less specific.
• Cord blood hematocrit 45% (Incorrect):
This option is not appropriate. Infant blood type alone without Coombs does not predict severity; hematocrit and
reticulocyte count are supportive but less specific.
• Infant blood type A with maternal type O (Incorrect):
This option is not appropriate. Infant blood type alone without Coombs does not predict severity; hematocrit and
reticulocyte count are supportive but less specific.
• Reticulocyte count 4% (Incorrect):
This option is not appropriate. Infant blood type alone without Coombs does not predict severity; hematocrit and
reticulocyte count are supportive but less specific.
Page 2
,Question 2 of 146
Which finding best differentiates true postpartum hemorrhage from normal lochia?
A. Saturating a peripad in 15 minutes
B. Lochia serosa at 48 hours
C. Fundus firm at umbilicus
D. Clots smaller than 2 cm
The correct answer is:
Correct Action: Saturating a peripad in 15 minutes
Rationales
• Saturating a peripad in 15 minutes (Correct):
This is the correct action. Saturating a peripad in 15 minutes or less indicates excessive bleeding consistent with postpartum
hemorrhage (1000 mL or hemodynamic change). Lochia serosa at 48 hours and small clots are normal; a firm fundus at the
umbilicus does not rule out hemorrhage.
• Lochia serosa at 48 hours (Incorrect):
This option is not appropriate. Lochia serosa at 48 hours and small clots are normal; a firm fundus at the umbilicus does not
rule out hemorrhage.
• Fundus firm at umbilicus (Incorrect):
This option is not appropriate. Lochia serosa at 48 hours and small clots are normal; a firm fundus at the umbilicus does not
rule out hemorrhage.
• Clots smaller than 2 cm (Incorrect):
This option is not appropriate. Lochia serosa at 48 hours and small clots are normal; a firm fundus at the umbilicus does not
rule out hemorrhage.
Page 3
, Question 3 of 146
A laboring client at 8 cm has a Category II fetal heart tracing with recurrent late decelerations.
What is the priority nursing action?
A. Increase oxytocin to augment labor
B. Reposition to left lateral and administer oxygen
C. Perform fetal scalp stimulation
D. Document and continue monitoring
The correct answer is:
Correct Action: Reposition to left lateral and administer oxygen
Rationales
• Reposition to left lateral and administer oxygen (Correct):
This is the correct action. Recurrent late decelerations indicate uteroplacental insufficiency; intrauterine resuscitation
begins with maternal repositioning (left lateral), oxygen, and IV fluid bolus, and discontinuation of oxytocin. Augmenting
labor or merely documenting worsens fetal hypoxia; scalp stimulation is for Category II with minimal variability, not late
• Increase oxytocin to augment labor (Incorrect):
This option is not appropriate. Augmenting labor or merely documenting worsens fetal hypoxia; scalp stimulation is for
Category II with minimal variability, not late decels.
• Perform fetal scalp stimulation (Incorrect):
This option is not appropriate. Augmenting labor or merely documenting worsens fetal hypoxia; scalp stimulation is for
Category II with minimal variability, not late decels.
• Document and continue monitoring (Incorrect):
This option is not appropriate. Augmenting labor or merely documenting worsens fetal hypoxia; scalp stimulation is for
Category II with minimal variability, not late decels.
Page 4
Success Rate (Actual Exam Screenshots) with 70 Real Exam
Questions & Answers for RN Maternal Newborn, 2026 Advanced
Revision - Questions and Answers Already Graded A+ Premium
Exam Tested And Verified
Subject Area Maternal Newborn Nursing
Description This proctored exam assesses RN-level competency in maternal newborn nursing
across antepartum, intrapartum, postpartum, and newborn care, including
complications, pharmacology, safety, health promotion, and psychosocial
integrity. Questions require clinical judgment, multi-step analysis, and application
of current ACOG, AAP, and AWHONN standards.
Expected Grade A+
Total Questions 146
Duration 3 hours
Learning Outcomes 1. Synthesize antepartum, intrapartum, postpartum, and newborn assessment data
to prioritize nursing interventions.
2. Apply evidence-based guidelines to manage complications of pregnancy, labor,
birth, postpartum, and the newborn.
3. Evaluate pharmacological and parenteral therapies for safety and efficacy in
maternal newborn care.
4. Demonstrate safety and infection control practices that prevent maternal and
neonatal harm.
5. Integrate psychosocial and health promotion principles into family-centered
maternal newborn care.
Accreditation Aligned with the ATI RN Maternal Newborn Proctored Exam Test Plan (2026),
NCLEX-RN Test Plan (2026), AWHONN Perinatal Nursing Standards, and
current ACOG/AAP clinical practice guidelines; meets US university-level
nursing accreditation standards.
Page 1
,Question 1 of 146
Which lab finding most strongly predicts severe neonatal unconjugated hyperbilirubinemia?
A. Cord blood hematocrit 45%
B. Direct Coombs positive with maternal O, infant A
C. Infant blood type A with maternal type O
D. Reticulocyte count 4%
The correct answer is:
Correct Action: Direct Coombs positive with maternal O, infant A
Rationales
• Direct Coombs positive with maternal O, infant A (Correct):
This is the correct action. A positive direct Coombs test in an ABO-incompatible pair (maternal O, infant A) indicates
antibody-coated RBCs and high risk for hemolysis and severe hyperbilirubinemia. Infant blood type alone without Coombs
does not predict severity; hematocrit and reticulocyte count are supportive but less specific.
• Cord blood hematocrit 45% (Incorrect):
This option is not appropriate. Infant blood type alone without Coombs does not predict severity; hematocrit and
reticulocyte count are supportive but less specific.
• Infant blood type A with maternal type O (Incorrect):
This option is not appropriate. Infant blood type alone without Coombs does not predict severity; hematocrit and
reticulocyte count are supportive but less specific.
• Reticulocyte count 4% (Incorrect):
This option is not appropriate. Infant blood type alone without Coombs does not predict severity; hematocrit and
reticulocyte count are supportive but less specific.
Page 2
,Question 2 of 146
Which finding best differentiates true postpartum hemorrhage from normal lochia?
A. Saturating a peripad in 15 minutes
B. Lochia serosa at 48 hours
C. Fundus firm at umbilicus
D. Clots smaller than 2 cm
The correct answer is:
Correct Action: Saturating a peripad in 15 minutes
Rationales
• Saturating a peripad in 15 minutes (Correct):
This is the correct action. Saturating a peripad in 15 minutes or less indicates excessive bleeding consistent with postpartum
hemorrhage (1000 mL or hemodynamic change). Lochia serosa at 48 hours and small clots are normal; a firm fundus at the
umbilicus does not rule out hemorrhage.
• Lochia serosa at 48 hours (Incorrect):
This option is not appropriate. Lochia serosa at 48 hours and small clots are normal; a firm fundus at the umbilicus does not
rule out hemorrhage.
• Fundus firm at umbilicus (Incorrect):
This option is not appropriate. Lochia serosa at 48 hours and small clots are normal; a firm fundus at the umbilicus does not
rule out hemorrhage.
• Clots smaller than 2 cm (Incorrect):
This option is not appropriate. Lochia serosa at 48 hours and small clots are normal; a firm fundus at the umbilicus does not
rule out hemorrhage.
Page 3
, Question 3 of 146
A laboring client at 8 cm has a Category II fetal heart tracing with recurrent late decelerations.
What is the priority nursing action?
A. Increase oxytocin to augment labor
B. Reposition to left lateral and administer oxygen
C. Perform fetal scalp stimulation
D. Document and continue monitoring
The correct answer is:
Correct Action: Reposition to left lateral and administer oxygen
Rationales
• Reposition to left lateral and administer oxygen (Correct):
This is the correct action. Recurrent late decelerations indicate uteroplacental insufficiency; intrauterine resuscitation
begins with maternal repositioning (left lateral), oxygen, and IV fluid bolus, and discontinuation of oxytocin. Augmenting
labor or merely documenting worsens fetal hypoxia; scalp stimulation is for Category II with minimal variability, not late
• Increase oxytocin to augment labor (Incorrect):
This option is not appropriate. Augmenting labor or merely documenting worsens fetal hypoxia; scalp stimulation is for
Category II with minimal variability, not late decels.
• Perform fetal scalp stimulation (Incorrect):
This option is not appropriate. Augmenting labor or merely documenting worsens fetal hypoxia; scalp stimulation is for
Category II with minimal variability, not late decels.
• Document and continue monitoring (Incorrect):
This option is not appropriate. Augmenting labor or merely documenting worsens fetal hypoxia; scalp stimulation is for
Category II with minimal variability, not late decels.
Page 4
