RN Maternal Newborn ATI Proctored Exam
– 2025/2026 – 100 Questions and correct
with Verified Rationalized with solutions
RN Maternal-Newborn Practice Questions (1–20)
1. A nurse is teaching a client at 12 weeks gestation about prenatal vitamins. Which of
the following statements indicates the client understands the teaching?
✅
A. “I should take my vitamin on an empty stomach.”
B. “I need to take extra iron to prevent anemia.”
C. “I should stop taking the vitamin after the first trimester.”
D. “Prenatal vitamins are optional if I eat well.”
Answer: B
Rationale: Prenatal vitamins contain iron to prevent anemia, folic acid to prevent neural
tube defects, and other essential nutrients. They should be taken throughout pregnancy.
2. A client at 28 weeks gestation reports swelling in the face and hands and a headache.
What is the nurse’s priority action?
✅
A. Assess fetal heart rate
B. Check blood pressure
C. Encourage increased fluid intake
D. Advise bed rest at home
Answer: B
Rationale: Swelling of the face/hands and headache may indicate preeclampsia. Blood
pressure assessment is the priority to identify hypertensive complications.
3. During labor, a client’s contractions are every 2 minutes and lasting 90 seconds. The
fetal heart rate shows late decelerations. What should the nurse do first?
✅
A. Administer oxytocin
B. Increase IV fluids
,C. Assist with pushing
D. Prepare for a C-section
Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency. The first intervention
is intrauterine resuscitation, including increasing IV fluids to improve placental
perfusion.
4. A newborn is delivered at 38 weeks with Apgar scores of 8 and 9 at 1 and 5 minutes.
✅
Which action should the nurse perform first?
A. Initiate skin-to-skin contact
B. Administer vitamin K
C. Obtain weight and measurements
D. Perform a heel stick glucose test
Answer: A
Rationale: The newborn is stable; skin-to-skin contact promotes bonding,
thermoregulation, and breastfeeding initiation.
5. A postpartum client is experiencing heavy lochia and a boggy uterus. Which
intervention should the nurse implement first?
✅
A. Call the healthcare provider
B. Massage the fundus
C. Administer pain medication
D. Encourage ambulation
Answer: B
Rationale: A boggy uterus with heavy bleeding indicates uterine atony. Fundal massage
helps the uterus contract and reduces hemorrhage.
6. A nurse is teaching a client about newborn immunizations. Which vaccine is given
✅
within 24 hours of birth?
A. Hepatitis B
B. DTaP
C. MMR
D. Polio
Answer: A
Rationale: The Hepatitis B vaccine is administered within 24 hours of birth to prevent
hepatitis B infection.
, 7. A client at 34 weeks gestation reports decreased fetal movement. What is the nurse’s
priority action?
✅
A. Encourage the client to rest
B. Perform a non-stress test
C. Schedule a routine ultrasound
D. Teach kick counts
Answer: B
Rationale: Decreased fetal movement may indicate fetal compromise. A non-stress test
assesses fetal well-being immediately.
8. A nurse is caring for a client with preterm premature rupture of membranes (PPROM).
Which action is appropriate?
✅
A. Encourage sexual activity
B. Monitor for signs of infection
C. Administer oxytocin
D. Perform vaginal exams frequently
Answer: B
Rationale: PPROM increases the risk of infection. Vaginal exams should be minimized,
and infection monitoring is critical.
9. A client is 28 weeks pregnant and tests positive for gestational diabetes. Which
teaching is most important?
✅
A. Monitor fetal movements daily
B. Limit carbohydrate intake
C. Avoid exercise
D. Take insulin only if blood sugar is >200 mg/dL
Answer: B
Rationale: Carbohydrate monitoring helps maintain blood glucose within target range.
Diet, exercise, and possibly insulin help manage gestational diabetes.
10. A nurse is assessing a newborn for signs of hypoglycemia. Which finding requires
✅
intervention?
A. Jitteriness
B. Pink skin color
– 2025/2026 – 100 Questions and correct
with Verified Rationalized with solutions
RN Maternal-Newborn Practice Questions (1–20)
1. A nurse is teaching a client at 12 weeks gestation about prenatal vitamins. Which of
the following statements indicates the client understands the teaching?
✅
A. “I should take my vitamin on an empty stomach.”
B. “I need to take extra iron to prevent anemia.”
C. “I should stop taking the vitamin after the first trimester.”
D. “Prenatal vitamins are optional if I eat well.”
Answer: B
Rationale: Prenatal vitamins contain iron to prevent anemia, folic acid to prevent neural
tube defects, and other essential nutrients. They should be taken throughout pregnancy.
2. A client at 28 weeks gestation reports swelling in the face and hands and a headache.
What is the nurse’s priority action?
✅
A. Assess fetal heart rate
B. Check blood pressure
C. Encourage increased fluid intake
D. Advise bed rest at home
Answer: B
Rationale: Swelling of the face/hands and headache may indicate preeclampsia. Blood
pressure assessment is the priority to identify hypertensive complications.
3. During labor, a client’s contractions are every 2 minutes and lasting 90 seconds. The
fetal heart rate shows late decelerations. What should the nurse do first?
✅
A. Administer oxytocin
B. Increase IV fluids
,C. Assist with pushing
D. Prepare for a C-section
Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency. The first intervention
is intrauterine resuscitation, including increasing IV fluids to improve placental
perfusion.
4. A newborn is delivered at 38 weeks with Apgar scores of 8 and 9 at 1 and 5 minutes.
✅
Which action should the nurse perform first?
A. Initiate skin-to-skin contact
B. Administer vitamin K
C. Obtain weight and measurements
D. Perform a heel stick glucose test
Answer: A
Rationale: The newborn is stable; skin-to-skin contact promotes bonding,
thermoregulation, and breastfeeding initiation.
5. A postpartum client is experiencing heavy lochia and a boggy uterus. Which
intervention should the nurse implement first?
✅
A. Call the healthcare provider
B. Massage the fundus
C. Administer pain medication
D. Encourage ambulation
Answer: B
Rationale: A boggy uterus with heavy bleeding indicates uterine atony. Fundal massage
helps the uterus contract and reduces hemorrhage.
6. A nurse is teaching a client about newborn immunizations. Which vaccine is given
✅
within 24 hours of birth?
A. Hepatitis B
B. DTaP
C. MMR
D. Polio
Answer: A
Rationale: The Hepatitis B vaccine is administered within 24 hours of birth to prevent
hepatitis B infection.
, 7. A client at 34 weeks gestation reports decreased fetal movement. What is the nurse’s
priority action?
✅
A. Encourage the client to rest
B. Perform a non-stress test
C. Schedule a routine ultrasound
D. Teach kick counts
Answer: B
Rationale: Decreased fetal movement may indicate fetal compromise. A non-stress test
assesses fetal well-being immediately.
8. A nurse is caring for a client with preterm premature rupture of membranes (PPROM).
Which action is appropriate?
✅
A. Encourage sexual activity
B. Monitor for signs of infection
C. Administer oxytocin
D. Perform vaginal exams frequently
Answer: B
Rationale: PPROM increases the risk of infection. Vaginal exams should be minimized,
and infection monitoring is critical.
9. A client is 28 weeks pregnant and tests positive for gestational diabetes. Which
teaching is most important?
✅
A. Monitor fetal movements daily
B. Limit carbohydrate intake
C. Avoid exercise
D. Take insulin only if blood sugar is >200 mg/dL
Answer: B
Rationale: Carbohydrate monitoring helps maintain blood glucose within target range.
Diet, exercise, and possibly insulin help manage gestational diabetes.
10. A nurse is assessing a newborn for signs of hypoglycemia. Which finding requires
✅
intervention?
A. Jitteriness
B. Pink skin color
