ATI RN MATERNAL NEWBORN OB PROCTORED
EXAM WITH NGN – SCREENSHOT QUESTIONS
AND ANSWERS 2026/2027
ATI RN Maternal-Newborn OB Proctored Exam — NGN-Style Practice
2026/2027 | 200 Questions with Answers and Rationales
Format: Multiple choice, one correct answer
Difficulty: 60 basic recall (30%), 100 application (50%), 40 analysis/critical thinking (20%)
Recommended use: Comprehensive RN-level practice and clinical-judgment review
Note: This is an independently created practice examination and is not affiliated with or
endorsed by Assessment Technologies Institute (ATI).
Table of Contents
Section Content Questions
1 Antepartum Assessment, Prenatal Care & Fetal Development Q1–Q34
2 High-Risk Pregnancy & Maternal Complications Q35–Q68
3 Intrapartum Nursing, Labor & Delivery Q69–Q101
4 Postpartum Maternal Care & Complications Q102–Q134
5 Newborn Assessment, Care & Complications Q135–Q167
6 Maternal-Newborn Medications, Feeding, Safety & Clinical Judgment Q168–Q200
SECTION 1 — Antepartum Assessment, Prenatal Care & Fetal Development
Questions 1–34
Q1
A nurse is reviewing expected physiologic changes during pregnancy. Which finding is
considered a normal cardiovascular adaptation?
A. Decreased cardiac output
B. Increased cardiac output
C. Persistent hypertension
D. Decreased plasma volume
,Correct answer: B
Rationale: Cardiac output increases during pregnancy to meet maternal and fetal metabolic
demands. Decreased cardiac output and persistent hypertension are not expected physiologic
adaptations.
Q2
A client asks when fetal movement is commonly first perceived during pregnancy. Which
response should the nurse provide?
A. 4 to 6 weeks
B. 8 to 10 weeks
C. 16 to 20 weeks
D. 28 to 32 weeks
Correct answer: C
Rationale: Fetal movement, or quickening, is commonly perceived around 16 to 20 weeks,
particularly in a first pregnancy. Earlier or later perception can occur depending on individual
factors.
Q3
Which hormone is primarily responsible for maintaining the endometrial lining during early
pregnancy?
A. Oxytocin
B. Progesterone
C. Prolactin
D. Follicle-stimulating hormone
Correct answer: B
Rationale: Progesterone maintains the endometrium and supports continuation of pregnancy.
Oxytocin primarily stimulates uterine contractions and milk ejection.
Q4
A pregnant client asks which food is a good source of folate. Which choice should the nurse
recommend?
A. White rice
B. Leafy green vegetables
C. Hard candy
D. Butter
Correct answer: B
,Rationale: Leafy green vegetables are rich sources of folate. Adequate folate intake helps reduce
the risk of neural tube defects.
Q5
Which finding is generally considered a positive sign of pregnancy?
A. Amenorrhea
B. Nausea
C. Positive pregnancy test
D. Fetal heart activity detected by ultrasound
Correct answer: D
Rationale: Fetal heart activity is a positive sign because it directly confirms the presence of a
developing fetus. Amenorrhea, nausea, and a positive pregnancy test are presumptive or probable
signs.
Q6
A nurse teaches a pregnant client about avoiding supine hypotension. Which position should the
client use when resting?
A. Flat on the back
B. Right lateral only
C. Left lateral
D. Prone
Correct answer: C
Rationale: Left lateral positioning promotes venous return by reducing compression of the vena
cava by the gravid uterus. Supine positioning can decrease venous return and cause maternal
hypotension.
Q7
A client at 10 weeks of gestation reports morning nausea. Which instruction is appropriate?
A. Eat one large meal daily.
B. Drink fluids only with meals.
C. Eat small, frequent meals.
D. Remain NPO until nausea resolves.
Correct answer: C
Rationale: Small, frequent meals can reduce pregnancy-related nausea. Prolonged fasting can
worsen nausea and does not provide adequate maternal nutrition.
, Q8
Which immunization is generally recommended during pregnancy to provide protection against
pertussis?
A. Tdap
B. MMR
C. Varicella
D. Live intranasal influenza vaccine
Correct answer: A
Rationale: Tdap is recommended during each pregnancy, generally during the early third
trimester, to maximize passive antibody transfer to the fetus. MMR and varicella are live
vaccines and are not routinely administered during pregnancy.
Q9
A nurse is teaching a client about warning signs during pregnancy. Which finding requires
prompt evaluation?
A. Mild fatigue
B. Urinary frequency during early pregnancy
C. Vaginal bleeding
D. Mild breast tenderness
Correct answer: C
Rationale: Vaginal bleeding during pregnancy requires evaluation because it can indicate
miscarriage, placental problems, or another complication. Mild fatigue and breast tenderness are
common pregnancy changes.
Q10
Which assessment finding is expected during pregnancy?
A. Increased urinary frequency
B. Severe persistent headache
C. Vaginal bleeding
D. Persistent visual disturbances
Correct answer: A
Rationale: Increased urinary frequency commonly occurs because of hormonal changes and
uterine pressure on the bladder. Severe headache and visual disturbances can indicate
hypertensive complications.
Q11
EXAM WITH NGN – SCREENSHOT QUESTIONS
AND ANSWERS 2026/2027
ATI RN Maternal-Newborn OB Proctored Exam — NGN-Style Practice
2026/2027 | 200 Questions with Answers and Rationales
Format: Multiple choice, one correct answer
Difficulty: 60 basic recall (30%), 100 application (50%), 40 analysis/critical thinking (20%)
Recommended use: Comprehensive RN-level practice and clinical-judgment review
Note: This is an independently created practice examination and is not affiliated with or
endorsed by Assessment Technologies Institute (ATI).
Table of Contents
Section Content Questions
1 Antepartum Assessment, Prenatal Care & Fetal Development Q1–Q34
2 High-Risk Pregnancy & Maternal Complications Q35–Q68
3 Intrapartum Nursing, Labor & Delivery Q69–Q101
4 Postpartum Maternal Care & Complications Q102–Q134
5 Newborn Assessment, Care & Complications Q135–Q167
6 Maternal-Newborn Medications, Feeding, Safety & Clinical Judgment Q168–Q200
SECTION 1 — Antepartum Assessment, Prenatal Care & Fetal Development
Questions 1–34
Q1
A nurse is reviewing expected physiologic changes during pregnancy. Which finding is
considered a normal cardiovascular adaptation?
A. Decreased cardiac output
B. Increased cardiac output
C. Persistent hypertension
D. Decreased plasma volume
,Correct answer: B
Rationale: Cardiac output increases during pregnancy to meet maternal and fetal metabolic
demands. Decreased cardiac output and persistent hypertension are not expected physiologic
adaptations.
Q2
A client asks when fetal movement is commonly first perceived during pregnancy. Which
response should the nurse provide?
A. 4 to 6 weeks
B. 8 to 10 weeks
C. 16 to 20 weeks
D. 28 to 32 weeks
Correct answer: C
Rationale: Fetal movement, or quickening, is commonly perceived around 16 to 20 weeks,
particularly in a first pregnancy. Earlier or later perception can occur depending on individual
factors.
Q3
Which hormone is primarily responsible for maintaining the endometrial lining during early
pregnancy?
A. Oxytocin
B. Progesterone
C. Prolactin
D. Follicle-stimulating hormone
Correct answer: B
Rationale: Progesterone maintains the endometrium and supports continuation of pregnancy.
Oxytocin primarily stimulates uterine contractions and milk ejection.
Q4
A pregnant client asks which food is a good source of folate. Which choice should the nurse
recommend?
A. White rice
B. Leafy green vegetables
C. Hard candy
D. Butter
Correct answer: B
,Rationale: Leafy green vegetables are rich sources of folate. Adequate folate intake helps reduce
the risk of neural tube defects.
Q5
Which finding is generally considered a positive sign of pregnancy?
A. Amenorrhea
B. Nausea
C. Positive pregnancy test
D. Fetal heart activity detected by ultrasound
Correct answer: D
Rationale: Fetal heart activity is a positive sign because it directly confirms the presence of a
developing fetus. Amenorrhea, nausea, and a positive pregnancy test are presumptive or probable
signs.
Q6
A nurse teaches a pregnant client about avoiding supine hypotension. Which position should the
client use when resting?
A. Flat on the back
B. Right lateral only
C. Left lateral
D. Prone
Correct answer: C
Rationale: Left lateral positioning promotes venous return by reducing compression of the vena
cava by the gravid uterus. Supine positioning can decrease venous return and cause maternal
hypotension.
Q7
A client at 10 weeks of gestation reports morning nausea. Which instruction is appropriate?
A. Eat one large meal daily.
B. Drink fluids only with meals.
C. Eat small, frequent meals.
D. Remain NPO until nausea resolves.
Correct answer: C
Rationale: Small, frequent meals can reduce pregnancy-related nausea. Prolonged fasting can
worsen nausea and does not provide adequate maternal nutrition.
, Q8
Which immunization is generally recommended during pregnancy to provide protection against
pertussis?
A. Tdap
B. MMR
C. Varicella
D. Live intranasal influenza vaccine
Correct answer: A
Rationale: Tdap is recommended during each pregnancy, generally during the early third
trimester, to maximize passive antibody transfer to the fetus. MMR and varicella are live
vaccines and are not routinely administered during pregnancy.
Q9
A nurse is teaching a client about warning signs during pregnancy. Which finding requires
prompt evaluation?
A. Mild fatigue
B. Urinary frequency during early pregnancy
C. Vaginal bleeding
D. Mild breast tenderness
Correct answer: C
Rationale: Vaginal bleeding during pregnancy requires evaluation because it can indicate
miscarriage, placental problems, or another complication. Mild fatigue and breast tenderness are
common pregnancy changes.
Q10
Which assessment finding is expected during pregnancy?
A. Increased urinary frequency
B. Severe persistent headache
C. Vaginal bleeding
D. Persistent visual disturbances
Correct answer: A
Rationale: Increased urinary frequency commonly occurs because of hormonal changes and
uterine pressure on the bladder. Severe headache and visual disturbances can indicate
hypertensive complications.
Q11
