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ATI RN Maternal Newborn Proctored Exam 2025/2026 –
Actual Exam Questions with Verified Answers | Graded A+
Student Name: _________________________ Date: _______________
Time Limit: 90 minutes Total Questions: 70
Labor & Delivery Management
1. A nurse is assessing a client in active labor at 8 cm dilation. Which finding indicates the
need for immediate intervention?
A. Fetal heart rate of 140 bpm
B. Contractions every 2–3 minutes, lasting 60 seconds
C. Late decelerations on the fetal monitor
D. Moderate variability in fetal heart rate
Correct Answer: C. Late decelerations on the fetal monitor
Rationale: Late decelerations indicate uteroplacental insufficiency, requiring
immediate intervention to improve fetal oxygenation. Other findings are within
normal limits for active labor.
2. A client in labor receives oxytocin to augment contractions. Which adverse effect should
the nurse monitor for?
A. Hypotension
B. Uterine tachysystole
C. Bradycardia
D. Hypoglycemia
Correct Answer: B. Uterine tachysystole
Rationale: Oxytocin can cause excessive uterine contractions (tachysystole), leading
to fetal distress. Monitoring contraction frequency and duration is critical.
3. SATA: A nurse is preparing a client for a cesarean section. Which preoperative
interventions should the nurse perform? (Select All That Apply)
A. Administer a broad-spectrum antibiotic.
B. Insert an indwelling urinary catheter.
C. Encourage oral intake of clear fluids.
D. Verify informed consent is signed.
E. Assess fetal heart rate.
Correct Answers: A, B, D, E
Rationale: Preoperative care includes antibiotics to prevent infection, catheter
insertion for bladder management, verifying consent, and assessing fetal heart rate.
Oral intake is typically restricted to prevent aspiration.
,4. Priority Question: A client in labor reports sudden, severe abdominal pain and vaginal
bleeding. What is the nurse’s priority action?
A. Administer oxygen at 2 L/min via nasal cannula.
B. Notify the provider immediately.
C. Check the client’s blood pressure.
D. Reassure the client that this is normal.
Correct Answer: B. Notify the provider immediately.
Rationale: Sudden severe pain and bleeding may indicate placental abruption, a
medical emergency requiring immediate provider notification for evaluation and
intervention.
5. A nurse is monitoring a client receiving epidural anesthesia. Which finding requires
immediate action?
A. Blood pressure of 110/70 mmHg
B. Respiratory rate of 10 breaths/min
C. Pain level of 2/10
D. Temperature of 98.6°F
Correct Answer: B. Respiratory rate of 10 breaths/min
Rationale: A respiratory rate of 10 breaths/min may indicate respiratory
depression, a serious complication of epidural anesthesia, requiring immediate
intervention.
6. A client is in the transition phase of labor. Which intervention promotes comfort?
A. Encourage pushing with each contraction.
B. Apply a warm compress to the lower back.
C. Administer IV fluids at 250 mL/hr.
D. Restrict movement to the bed.
Correct Answer: B. Apply a warm compress to the lower back.
Rationale: Warm compresses can relieve back pain during the transition phase.
Pushing is inappropriate until full dilation, and movement should not be restricted
unless necessary.
7. A nurse is assessing a client in labor with a non-reassuring fetal heart rate. Which
position should the nurse place the client in?
A. Supine
B. Left lateral
C. Trendelenburg
D. Prone
Correct Answer: B. Left lateral
Rationale: The left lateral position improves uteroplacental blood flow, enhancing
fetal oxygenation in cases of non-reassuring fetal heart rate.
8. A client in labor is prescribed magnesium sulfate for preterm labor. Which adverse effect
should the nurse monitor for?
A. Hyperreflexia
B. Respiratory depression
C. Hypertension
D. Tachycardia
Correct Answer: B. Respiratory depression
Rationale: Magnesium sulfate can cause respiratory depression, requiring close
, monitoring. It typically causes hyporeflexia, not hyperreflexia, and hypotension, not
hypertension.
Page 1 of 8
Postpartum Care
9. A nurse is assessing a client 2 hours postpartum. Which finding indicates a potential
complication?
A. Lochia rubra with small clots
B. Fundus firm, 2 cm above the umbilicus
C. Saturation of a perineal pad in 15 minutes
D. Mild cramping during breastfeeding
Correct Answer: C. Saturation of a perineal pad in 15 minutes
Rationale: Saturating a pad in 15 minutes indicates excessive bleeding, a sign of
postpartum hemorrhage requiring immediate intervention. Other findings are
normal postpartum.
10. A postpartum client is prescribed methylergonovine for uterine atony. Which condition is
a contraindication?
A. Diabetes mellitus
B. Hypertension
C. Hypothyroidism
D. Asthma
Correct Answer: B. Hypertension
Rationale: Methylergonovine, a uterotonic, can cause vasoconstriction and is
contraindicated in hypertension due to the risk of severe blood pressure elevation.
11. SATA: A nurse is teaching a postpartum client about self-care. Which instructions should
be included? (Select All That Apply)
A. “Report a fever above 100.4°F.”
B. “Take a warm sitz bath to promote perineal healing.”
C. “Resume sexual activity within 1 week.”
D. “Monitor lochia for foul odor.”
E. “Avoid heavy lifting for 6 weeks.”
Correct Answers: A, B, D, E
Rationale: Postpartum teaching includes reporting fever, using sitz baths,
monitoring lochia, and avoiding heavy lifting. Sexual activity is typically resumed
after 6 weeks.
12. Priority Question: A postpartum client reports severe calf pain and swelling. What is the
nurse’s priority action?
A. Massage the affected leg.
B. Notify the provider immediately.
C. Apply a warm compress.
D. Encourage ambulation.
Correct Answer: B. Notify the provider immediately.
ATI RN Maternal Newborn Proctored Exam 2025/2026 –
Actual Exam Questions with Verified Answers | Graded A+
Student Name: _________________________ Date: _______________
Time Limit: 90 minutes Total Questions: 70
Labor & Delivery Management
1. A nurse is assessing a client in active labor at 8 cm dilation. Which finding indicates the
need for immediate intervention?
A. Fetal heart rate of 140 bpm
B. Contractions every 2–3 minutes, lasting 60 seconds
C. Late decelerations on the fetal monitor
D. Moderate variability in fetal heart rate
Correct Answer: C. Late decelerations on the fetal monitor
Rationale: Late decelerations indicate uteroplacental insufficiency, requiring
immediate intervention to improve fetal oxygenation. Other findings are within
normal limits for active labor.
2. A client in labor receives oxytocin to augment contractions. Which adverse effect should
the nurse monitor for?
A. Hypotension
B. Uterine tachysystole
C. Bradycardia
D. Hypoglycemia
Correct Answer: B. Uterine tachysystole
Rationale: Oxytocin can cause excessive uterine contractions (tachysystole), leading
to fetal distress. Monitoring contraction frequency and duration is critical.
3. SATA: A nurse is preparing a client for a cesarean section. Which preoperative
interventions should the nurse perform? (Select All That Apply)
A. Administer a broad-spectrum antibiotic.
B. Insert an indwelling urinary catheter.
C. Encourage oral intake of clear fluids.
D. Verify informed consent is signed.
E. Assess fetal heart rate.
Correct Answers: A, B, D, E
Rationale: Preoperative care includes antibiotics to prevent infection, catheter
insertion for bladder management, verifying consent, and assessing fetal heart rate.
Oral intake is typically restricted to prevent aspiration.
,4. Priority Question: A client in labor reports sudden, severe abdominal pain and vaginal
bleeding. What is the nurse’s priority action?
A. Administer oxygen at 2 L/min via nasal cannula.
B. Notify the provider immediately.
C. Check the client’s blood pressure.
D. Reassure the client that this is normal.
Correct Answer: B. Notify the provider immediately.
Rationale: Sudden severe pain and bleeding may indicate placental abruption, a
medical emergency requiring immediate provider notification for evaluation and
intervention.
5. A nurse is monitoring a client receiving epidural anesthesia. Which finding requires
immediate action?
A. Blood pressure of 110/70 mmHg
B. Respiratory rate of 10 breaths/min
C. Pain level of 2/10
D. Temperature of 98.6°F
Correct Answer: B. Respiratory rate of 10 breaths/min
Rationale: A respiratory rate of 10 breaths/min may indicate respiratory
depression, a serious complication of epidural anesthesia, requiring immediate
intervention.
6. A client is in the transition phase of labor. Which intervention promotes comfort?
A. Encourage pushing with each contraction.
B. Apply a warm compress to the lower back.
C. Administer IV fluids at 250 mL/hr.
D. Restrict movement to the bed.
Correct Answer: B. Apply a warm compress to the lower back.
Rationale: Warm compresses can relieve back pain during the transition phase.
Pushing is inappropriate until full dilation, and movement should not be restricted
unless necessary.
7. A nurse is assessing a client in labor with a non-reassuring fetal heart rate. Which
position should the nurse place the client in?
A. Supine
B. Left lateral
C. Trendelenburg
D. Prone
Correct Answer: B. Left lateral
Rationale: The left lateral position improves uteroplacental blood flow, enhancing
fetal oxygenation in cases of non-reassuring fetal heart rate.
8. A client in labor is prescribed magnesium sulfate for preterm labor. Which adverse effect
should the nurse monitor for?
A. Hyperreflexia
B. Respiratory depression
C. Hypertension
D. Tachycardia
Correct Answer: B. Respiratory depression
Rationale: Magnesium sulfate can cause respiratory depression, requiring close
, monitoring. It typically causes hyporeflexia, not hyperreflexia, and hypotension, not
hypertension.
Page 1 of 8
Postpartum Care
9. A nurse is assessing a client 2 hours postpartum. Which finding indicates a potential
complication?
A. Lochia rubra with small clots
B. Fundus firm, 2 cm above the umbilicus
C. Saturation of a perineal pad in 15 minutes
D. Mild cramping during breastfeeding
Correct Answer: C. Saturation of a perineal pad in 15 minutes
Rationale: Saturating a pad in 15 minutes indicates excessive bleeding, a sign of
postpartum hemorrhage requiring immediate intervention. Other findings are
normal postpartum.
10. A postpartum client is prescribed methylergonovine for uterine atony. Which condition is
a contraindication?
A. Diabetes mellitus
B. Hypertension
C. Hypothyroidism
D. Asthma
Correct Answer: B. Hypertension
Rationale: Methylergonovine, a uterotonic, can cause vasoconstriction and is
contraindicated in hypertension due to the risk of severe blood pressure elevation.
11. SATA: A nurse is teaching a postpartum client about self-care. Which instructions should
be included? (Select All That Apply)
A. “Report a fever above 100.4°F.”
B. “Take a warm sitz bath to promote perineal healing.”
C. “Resume sexual activity within 1 week.”
D. “Monitor lochia for foul odor.”
E. “Avoid heavy lifting for 6 weeks.”
Correct Answers: A, B, D, E
Rationale: Postpartum teaching includes reporting fever, using sitz baths,
monitoring lochia, and avoiding heavy lifting. Sexual activity is typically resumed
after 6 weeks.
12. Priority Question: A postpartum client reports severe calf pain and swelling. What is the
nurse’s priority action?
A. Massage the affected leg.
B. Notify the provider immediately.
C. Apply a warm compress.
D. Encourage ambulation.
Correct Answer: B. Notify the provider immediately.
