ATI RN Maternal Newborn Proctored
Exam 2026: 200+ Practice Questions &
Rationales
Instructions
This practice exam is designed to prepare you for the ATI RN Maternal
Newborn Proctored Exam for the 2026 testing cycle. Questions are
aligned with the ATI Content Mastery blueprint and reflect Next
Generation NCLEX (NGN) style formats. Choose the single best
answer for each question. Detailed rationales are provided.
EXAM STRUCTURE & CONTENT AREAS
Content Area Approximate % of
Exam
Antepartum Care & 17%
Education
Intrapartum Care & 17%
Monitoring
Postpartum Care & 17%
Complications
,Newborn 17%
Assessment & Care
High-Risk Pregnancy 14%
Medications & 9%
Pharmacology
Fetal Assessment & 9%
Diagnostics
ATI Scoring Guide:
● Level 3 (90-100%): Exceeds Expectations
● Level 2 (80-89%): Meets Expectations
● Level 1 (70-79%): Near Expectations
● Below Level 1 (<70%): Below Expectations
SECTION 1: ANTEPARTUM CARE & EDUCATION
1. A nurse is providing teaching to a client who is at 8 weeks gestation
about manifestations to report to the provider. Which information
should the nurse include?
A. Nausea upon awakening
B. Blurred or double vision
C. Increase in white vaginal discharge
D. Leg cramps when sleeping
Correct Answer: B
,Rationale: Blurred or double vision can indicate preeclampsia or
gestational hypertension and should be reported immediately. Nausea
upon awakening (morning sickness), increased white vaginal
discharge (leukorrhea), and leg cramps are normal findings in early
pregnancy.
2. A nurse is teaching a client about the importance of folic acid
supplementation. Which statement indicates the client understands
the teaching?
A. "Folic acid will reduce my baby's risk of developing heart disease."
B. "Folic acid will increase my baby's healthy bone growth."
C. "Folic acid decreases the risk of neural tube defects."
D. "Folic acid will increase my milk production."
Correct Answer: C
Rationale: The primary benefit of folic acid supplementation (400-800
mcg) before and during early pregnancy is the prevention of neural
tube defects (spina bifida, anencephaly). The neural tube closes within
the first 28 days of pregnancy.
3. A client at 12 weeks gestation with a BMI of 45 asks about
recommended weight gain. Which response should the nurse provide?
A. "You should plan to gain no more than 20 pounds during your
pregnancy."
B. "You should plan to gain between 25 and 35 pounds."
C. "You should not plan to gain any weight because you are already
well-nourished."
D. "You should plan to gain 45 to 50 pounds."
, Correct Answer: A
Rationale: For clients with a BMI ≥30 (obese), the recommended
weight gain is 11-20 pounds (5-9 kg). This minimizes risks of
gestational diabetes, preeclampsia, and cesarean delivery.
4. A nurse is assessing a client at 16 weeks gestation. Which finding
should the nurse report to the provider?
A. Heartburn after meals
B. Nasal congestion
C. Epigastric pain
D. Breast tenderness
Correct Answer: C
Rationale: Epigastric pain, especially in a client at 16 weeks, may
indicate liver involvement (hepatic ischemia or edema) and can be a
sign of worsening preeclampsia, potentially progressing to HELLP
syndrome. Heartburn, nasal congestion, and breast tenderness are
normal pregnancy symptoms.
5. A client at 20 weeks gestation is diagnosed with placenta previa.
Which finding should the nurse expect?
A. Painless bright red vaginal bleeding
B. Severe abdominal pain with board-like uterus
C. Uterine contractions and fetal bradycardia
D. Dark red vaginal bleeding with back pain
Correct Answer: A
Exam 2026: 200+ Practice Questions &
Rationales
Instructions
This practice exam is designed to prepare you for the ATI RN Maternal
Newborn Proctored Exam for the 2026 testing cycle. Questions are
aligned with the ATI Content Mastery blueprint and reflect Next
Generation NCLEX (NGN) style formats. Choose the single best
answer for each question. Detailed rationales are provided.
EXAM STRUCTURE & CONTENT AREAS
Content Area Approximate % of
Exam
Antepartum Care & 17%
Education
Intrapartum Care & 17%
Monitoring
Postpartum Care & 17%
Complications
,Newborn 17%
Assessment & Care
High-Risk Pregnancy 14%
Medications & 9%
Pharmacology
Fetal Assessment & 9%
Diagnostics
ATI Scoring Guide:
● Level 3 (90-100%): Exceeds Expectations
● Level 2 (80-89%): Meets Expectations
● Level 1 (70-79%): Near Expectations
● Below Level 1 (<70%): Below Expectations
SECTION 1: ANTEPARTUM CARE & EDUCATION
1. A nurse is providing teaching to a client who is at 8 weeks gestation
about manifestations to report to the provider. Which information
should the nurse include?
A. Nausea upon awakening
B. Blurred or double vision
C. Increase in white vaginal discharge
D. Leg cramps when sleeping
Correct Answer: B
,Rationale: Blurred or double vision can indicate preeclampsia or
gestational hypertension and should be reported immediately. Nausea
upon awakening (morning sickness), increased white vaginal
discharge (leukorrhea), and leg cramps are normal findings in early
pregnancy.
2. A nurse is teaching a client about the importance of folic acid
supplementation. Which statement indicates the client understands
the teaching?
A. "Folic acid will reduce my baby's risk of developing heart disease."
B. "Folic acid will increase my baby's healthy bone growth."
C. "Folic acid decreases the risk of neural tube defects."
D. "Folic acid will increase my milk production."
Correct Answer: C
Rationale: The primary benefit of folic acid supplementation (400-800
mcg) before and during early pregnancy is the prevention of neural
tube defects (spina bifida, anencephaly). The neural tube closes within
the first 28 days of pregnancy.
3. A client at 12 weeks gestation with a BMI of 45 asks about
recommended weight gain. Which response should the nurse provide?
A. "You should plan to gain no more than 20 pounds during your
pregnancy."
B. "You should plan to gain between 25 and 35 pounds."
C. "You should not plan to gain any weight because you are already
well-nourished."
D. "You should plan to gain 45 to 50 pounds."
, Correct Answer: A
Rationale: For clients with a BMI ≥30 (obese), the recommended
weight gain is 11-20 pounds (5-9 kg). This minimizes risks of
gestational diabetes, preeclampsia, and cesarean delivery.
4. A nurse is assessing a client at 16 weeks gestation. Which finding
should the nurse report to the provider?
A. Heartburn after meals
B. Nasal congestion
C. Epigastric pain
D. Breast tenderness
Correct Answer: C
Rationale: Epigastric pain, especially in a client at 16 weeks, may
indicate liver involvement (hepatic ischemia or edema) and can be a
sign of worsening preeclampsia, potentially progressing to HELLP
syndrome. Heartburn, nasal congestion, and breast tenderness are
normal pregnancy symptoms.
5. A client at 20 weeks gestation is diagnosed with placenta previa.
Which finding should the nurse expect?
A. Painless bright red vaginal bleeding
B. Severe abdominal pain with board-like uterus
C. Uterine contractions and fetal bradycardia
D. Dark red vaginal bleeding with back pain
Correct Answer: A
