ATI RN Maternal Newborn Proctored Exam 70 Questions | NGN Format
ATI RN Maternal Newborn Proctored Exam 2026
NGN Format | 70 Questions | Multiple Choice
Read each question carefully. Select the best answer. Time: 2 hours 30 minutes.
Answer key at the end
1. A nurse is assessing a client at 28 weeks of gestation who is experiencing
contractions every 6 minutes. The cervix is 2 cm dilated and 50% effaced. The
client reports no vaginal bleeding or fluid leakage. Fetal heart rate is 148 bpm
with moderate variability. Which of the following actions should the nurse
take?
A. Administer terbutaline subcutaneously
B. Prepare the client for an amniocentesis
C. Obtain a specimen for fetal fibronectin
D. Initiate magnesium sulfate infusion
2. Anurse is caring for a client at 34 weeks of gestation with severe
preeclampsia. The provider orders magnesium sulfate. Which of the following
findings should the nurse identify as the priority to report to the provider?
A. Urine output of 40 mL/hr
B. Respiratory rate of 16 breaths/min
C. Deep tendon reflexes of 2+
D. Absent patellar deep tendon reflexes
3. Anurse is providing discharge teaching to a postpartum client who is
breastfeeding. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I should drink at least 8 ounces of caffeinated coffee each morning to maintain
my energy."
B. "I will apply warm compresses to my breasts before each feeding."
C. "I should limit my fluid intake to prevent breast engorgement."
D. "I will feed my newborn on a strict every-3-hour schedule."
4. A nurse is assessing a newborn who is 12 hours old. Which of the
following findings requires immediate intervention?
Page 1
,ATI RN Maternal Newborn Proctored Exam 70 Questions | NGN Format
A. Acrocyanosis of the hands and feet
B. Milia on the nose and cheeks
C. Substernal retractions with nasal flaring
D. Lanugo present on the shoulders and back
5. A
nurse is caring for a client in the active phase of the first stage of labor.
The fetal heart monitor shows late decelerations. Which of the following
nursing interventions is the priority?
A. Increase the IV fluid rate
B. Reposition the client to a lateral position
C. Administer oxygen at 10 L/min via face mask
D. Prepare for an emergency cesarean delivery
Page 2
,ATI RN Maternal Newborn Proctored Exam 70 Questions | NGN Format
6. A nurse is providing teaching to a client with gestational diabetes mellitus
who is at 30 weeks of gestation. Which of the following statements by the
client indicates a need for further teaching?
A. "I will monitor my blood glucose levels before each meal and at bedtime."
B. "I should eat three meals and three snacks per day to help control my blood
sugar."
C. "I will decrease my carbohydrate intake to less than 50 grams per day."
D. "I should engage in moderate physical activity after meals unless
contraindicated."
7. A nurse is assessing a postpartum client 4 hours after a vaginal delivery.
The client's fundus is firm, 2 fingerbreadths above the umbilicus, and
displaced to the right. Which of the following actions should the nurse take
first?
A. Administer methylergonovine as prescribed
B. Assist the client to empty her bladder
C. Massage the fundus gently
D. Document the finding and reassess in 1 hour
8. A nurseis caring for a newborn whose mother is Rh-negative and the
newborn is Rh-positive. Which of the following medications should the
nurse anticipate administering to the newborn?
A. Rho(D) immune globulin within 72 hours of delivery
B. Rho(D) immune globulin to the newborn within 12 hours of delivery
C. Hepatitis B immune globulin prior to discharge
D. Immune globulin to the mother during the next pregnancy
9. Anurse is reviewing the laboratory results of a client at 36 weeks of
gestation who has preeclampsia. Which of the following results should the
nurse report to the provider immediately?
A. Hemoglobin 11.2 g/dL
B. Plateletcount 90,000/mm3
C. Urine protein 2+
D. Serum creatinine 0.8 mg/dL
Page 3
, ATI RN Maternal Newborn Proctored Exam 70 Questions | NGN Format
10. Anurse is caring for a client who is in the transition phase of labor. The
client states, "I cannot take this anymore! I want to go home!" Which of the
following responses by the nurse is most appropriate?
A. "You are doing great. The baby will be here soon."
B. "Let me check how dilated your cervix is at this point."
C. "It sounds like you are feeling overwhelmed. I am here to help you through this."
D. "The transition phase is the hardest part. It should be over shortly."
11. A nurse is assessing a 2-hour-old newborn and notes the hands and feet are
blue while the trunk is pink. The respiratory rate is 48 breaths/min. Which of
the following actions should the nurse take?
A. Apply supplemental oxygen via nasal cannula
Page 4
ATI RN Maternal Newborn Proctored Exam 2026
NGN Format | 70 Questions | Multiple Choice
Read each question carefully. Select the best answer. Time: 2 hours 30 minutes.
Answer key at the end
1. A nurse is assessing a client at 28 weeks of gestation who is experiencing
contractions every 6 minutes. The cervix is 2 cm dilated and 50% effaced. The
client reports no vaginal bleeding or fluid leakage. Fetal heart rate is 148 bpm
with moderate variability. Which of the following actions should the nurse
take?
A. Administer terbutaline subcutaneously
B. Prepare the client for an amniocentesis
C. Obtain a specimen for fetal fibronectin
D. Initiate magnesium sulfate infusion
2. Anurse is caring for a client at 34 weeks of gestation with severe
preeclampsia. The provider orders magnesium sulfate. Which of the following
findings should the nurse identify as the priority to report to the provider?
A. Urine output of 40 mL/hr
B. Respiratory rate of 16 breaths/min
C. Deep tendon reflexes of 2+
D. Absent patellar deep tendon reflexes
3. Anurse is providing discharge teaching to a postpartum client who is
breastfeeding. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I should drink at least 8 ounces of caffeinated coffee each morning to maintain
my energy."
B. "I will apply warm compresses to my breasts before each feeding."
C. "I should limit my fluid intake to prevent breast engorgement."
D. "I will feed my newborn on a strict every-3-hour schedule."
4. A nurse is assessing a newborn who is 12 hours old. Which of the
following findings requires immediate intervention?
Page 1
,ATI RN Maternal Newborn Proctored Exam 70 Questions | NGN Format
A. Acrocyanosis of the hands and feet
B. Milia on the nose and cheeks
C. Substernal retractions with nasal flaring
D. Lanugo present on the shoulders and back
5. A
nurse is caring for a client in the active phase of the first stage of labor.
The fetal heart monitor shows late decelerations. Which of the following
nursing interventions is the priority?
A. Increase the IV fluid rate
B. Reposition the client to a lateral position
C. Administer oxygen at 10 L/min via face mask
D. Prepare for an emergency cesarean delivery
Page 2
,ATI RN Maternal Newborn Proctored Exam 70 Questions | NGN Format
6. A nurse is providing teaching to a client with gestational diabetes mellitus
who is at 30 weeks of gestation. Which of the following statements by the
client indicates a need for further teaching?
A. "I will monitor my blood glucose levels before each meal and at bedtime."
B. "I should eat three meals and three snacks per day to help control my blood
sugar."
C. "I will decrease my carbohydrate intake to less than 50 grams per day."
D. "I should engage in moderate physical activity after meals unless
contraindicated."
7. A nurse is assessing a postpartum client 4 hours after a vaginal delivery.
The client's fundus is firm, 2 fingerbreadths above the umbilicus, and
displaced to the right. Which of the following actions should the nurse take
first?
A. Administer methylergonovine as prescribed
B. Assist the client to empty her bladder
C. Massage the fundus gently
D. Document the finding and reassess in 1 hour
8. A nurseis caring for a newborn whose mother is Rh-negative and the
newborn is Rh-positive. Which of the following medications should the
nurse anticipate administering to the newborn?
A. Rho(D) immune globulin within 72 hours of delivery
B. Rho(D) immune globulin to the newborn within 12 hours of delivery
C. Hepatitis B immune globulin prior to discharge
D. Immune globulin to the mother during the next pregnancy
9. Anurse is reviewing the laboratory results of a client at 36 weeks of
gestation who has preeclampsia. Which of the following results should the
nurse report to the provider immediately?
A. Hemoglobin 11.2 g/dL
B. Plateletcount 90,000/mm3
C. Urine protein 2+
D. Serum creatinine 0.8 mg/dL
Page 3
, ATI RN Maternal Newborn Proctored Exam 70 Questions | NGN Format
10. Anurse is caring for a client who is in the transition phase of labor. The
client states, "I cannot take this anymore! I want to go home!" Which of the
following responses by the nurse is most appropriate?
A. "You are doing great. The baby will be here soon."
B. "Let me check how dilated your cervix is at this point."
C. "It sounds like you are feeling overwhelmed. I am here to help you through this."
D. "The transition phase is the hardest part. It should be over shortly."
11. A nurse is assessing a 2-hour-old newborn and notes the hands and feet are
blue while the trunk is pink. The respiratory rate is 48 breaths/min. Which of
the following actions should the nurse take?
A. Apply supplemental oxygen via nasal cannula
Page 4
