ATI RN MATERNAL NEWBORN PROCTORED EXAM 2025/2026 | 250
VERIFIED MATERNITY QUESTIONS & RATIONALES
Course: ATI RN Maternal Newborn Nursing CMS | Total: 200 Verified Questions
Description: Maternity: labor stages, fetal monitoring, preeclampsia, postpartum hemorrhage, newborn care, APGAR,
breastfeeding.
Original study material based on ATI testing standards, Lewis Med-Surg, Saunders NCLEX, and NCSBN Clinical Judgment Measurement Model. All
questions author-created, not copied from ATI.
[1] Late decelerations on fetal monitor indicate?
Uteroplacental insufficiency - reposition left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Correct Answer: A
Rationale: Late decels = uteroplacental insufficiency. Interventions: left lateral, O2, stop oxytocin, increase IV fluids, notify provider.
[2] Postpartum hemorrhage: fundus boggy. First?
Massage fundus, empty bladder
Call provider only
Give oral meds
Ambulate
Correct Answer: A
Rationale: Boggy fundus = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
[3] Preeclampsia: magnesium sulfate toxicity sign?
Decreased reflexes, RR <12, decreased UO, decreased LOC
Increased reflexes
Hypertension
Tachycardia
Correct Answer: A
Rationale: Mag sulfate toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
[4] Late decelerations on fetal monitor indicate? (Case Variant 4)
Uteroplacental insufficiency - reposition left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Correct Answer: A
Rationale: Late decels = uteroplacental insufficiency. Interventions: left lateral, O2, stop oxytocin, increase IV fluids, notify provider.
[5] Postpartum hemorrhage: fundus boggy. First? (Case Variant 5)
Massage fundus, empty bladder
Call provider only
Give oral meds
Ambulate
Correct Answer: A
Rationale: Boggy fundus = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
[6] Preeclampsia: magnesium sulfate toxicity sign? (Case Variant 6)
Decreased reflexes, RR <12, decreased UO, decreased LOC
Increased reflexes
Hypertension
Tachycardia
,Correct Answer: A
Rationale: Mag sulfate toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
[7] Late decelerations on fetal monitor indicate? (Case Variant 7)
Uteroplacental insufficiency - reposition left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Correct Answer: A
Rationale: Late decels = uteroplacental insufficiency. Interventions: left lateral, O2, stop oxytocin, increase IV fluids, notify provider.
[8] Postpartum hemorrhage: fundus boggy. First? (Case Variant 8)
Massage fundus, empty bladder
Call provider only
Give oral meds
Ambulate
Correct Answer: A
Rationale: Boggy fundus = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
[9] Preeclampsia: magnesium sulfate toxicity sign? (Case Variant 9)
Decreased reflexes, RR <12, decreased UO, decreased LOC
Increased reflexes
Hypertension
Tachycardia
Correct Answer: A
Rationale: Mag sulfate toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
[10] Late decelerations on fetal monitor indicate? (Case Variant 10)
Uteroplacental insufficiency - reposition left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Correct Answer: A
Rationale: Late decels = uteroplacental insufficiency. Interventions: left lateral, O2, stop oxytocin, increase IV fluids, notify provider.
[11] Postpartum hemorrhage: fundus boggy. First? (Case Variant 11)
Massage fundus, empty bladder
Call provider only
Give oral meds
Ambulate
Correct Answer: A
Rationale: Boggy fundus = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
[12] Preeclampsia: magnesium sulfate toxicity sign? (Case Variant 12)
Decreased reflexes, RR <12, decreased UO, decreased LOC
Increased reflexes
Hypertension
Tachycardia
Correct Answer: A
Rationale: Mag sulfate toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
[13] Late decelerations on fetal monitor indicate? (Case Variant 13)
Uteroplacental insufficiency - reposition left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
, Cord compression
Correct Answer: A
Rationale: Late decels = uteroplacental insufficiency. Interventions: left lateral, O2, stop oxytocin, increase IV fluids, notify provider.
[14] Postpartum hemorrhage: fundus boggy. First? (Case Variant 14)
Massage fundus, empty bladder
Call provider only
Give oral meds
Ambulate
Correct Answer: A
Rationale: Boggy fundus = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
[15] Preeclampsia: magnesium sulfate toxicity sign? (Case Variant 15)
Decreased reflexes, RR <12, decreased UO, decreased LOC
Increased reflexes
Hypertension
Tachycardia
Correct Answer: A
Rationale: Mag sulfate toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
[16] Late decelerations on fetal monitor indicate? (Case Variant 16)
Uteroplacental insufficiency - reposition left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Correct Answer: A
Rationale: Late decels = uteroplacental insufficiency. Interventions: left lateral, O2, stop oxytocin, increase IV fluids, notify provider.
[17] Postpartum hemorrhage: fundus boggy. First? (Case Variant 17)
Massage fundus, empty bladder
Call provider only
Give oral meds
Ambulate
Correct Answer: A
Rationale: Boggy fundus = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
[18] Preeclampsia: magnesium sulfate toxicity sign? (Case Variant 18)
Decreased reflexes, RR <12, decreased UO, decreased LOC
Increased reflexes
Hypertension
Tachycardia
Correct Answer: A
Rationale: Mag sulfate toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
[19] Late decelerations on fetal monitor indicate? (Case Variant 19)
Uteroplacental insufficiency - reposition left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Correct Answer: A
Rationale: Late decels = uteroplacental insufficiency. Interventions: left lateral, O2, stop oxytocin, increase IV fluids, notify provider.
[20] Postpartum hemorrhage: fundus boggy. First? (Case Variant 20)
Massage fundus, empty bladder
Call provider only
VERIFIED MATERNITY QUESTIONS & RATIONALES
Course: ATI RN Maternal Newborn Nursing CMS | Total: 200 Verified Questions
Description: Maternity: labor stages, fetal monitoring, preeclampsia, postpartum hemorrhage, newborn care, APGAR,
breastfeeding.
Original study material based on ATI testing standards, Lewis Med-Surg, Saunders NCLEX, and NCSBN Clinical Judgment Measurement Model. All
questions author-created, not copied from ATI.
[1] Late decelerations on fetal monitor indicate?
Uteroplacental insufficiency - reposition left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Correct Answer: A
Rationale: Late decels = uteroplacental insufficiency. Interventions: left lateral, O2, stop oxytocin, increase IV fluids, notify provider.
[2] Postpartum hemorrhage: fundus boggy. First?
Massage fundus, empty bladder
Call provider only
Give oral meds
Ambulate
Correct Answer: A
Rationale: Boggy fundus = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
[3] Preeclampsia: magnesium sulfate toxicity sign?
Decreased reflexes, RR <12, decreased UO, decreased LOC
Increased reflexes
Hypertension
Tachycardia
Correct Answer: A
Rationale: Mag sulfate toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
[4] Late decelerations on fetal monitor indicate? (Case Variant 4)
Uteroplacental insufficiency - reposition left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Correct Answer: A
Rationale: Late decels = uteroplacental insufficiency. Interventions: left lateral, O2, stop oxytocin, increase IV fluids, notify provider.
[5] Postpartum hemorrhage: fundus boggy. First? (Case Variant 5)
Massage fundus, empty bladder
Call provider only
Give oral meds
Ambulate
Correct Answer: A
Rationale: Boggy fundus = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
[6] Preeclampsia: magnesium sulfate toxicity sign? (Case Variant 6)
Decreased reflexes, RR <12, decreased UO, decreased LOC
Increased reflexes
Hypertension
Tachycardia
,Correct Answer: A
Rationale: Mag sulfate toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
[7] Late decelerations on fetal monitor indicate? (Case Variant 7)
Uteroplacental insufficiency - reposition left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Correct Answer: A
Rationale: Late decels = uteroplacental insufficiency. Interventions: left lateral, O2, stop oxytocin, increase IV fluids, notify provider.
[8] Postpartum hemorrhage: fundus boggy. First? (Case Variant 8)
Massage fundus, empty bladder
Call provider only
Give oral meds
Ambulate
Correct Answer: A
Rationale: Boggy fundus = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
[9] Preeclampsia: magnesium sulfate toxicity sign? (Case Variant 9)
Decreased reflexes, RR <12, decreased UO, decreased LOC
Increased reflexes
Hypertension
Tachycardia
Correct Answer: A
Rationale: Mag sulfate toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
[10] Late decelerations on fetal monitor indicate? (Case Variant 10)
Uteroplacental insufficiency - reposition left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Correct Answer: A
Rationale: Late decels = uteroplacental insufficiency. Interventions: left lateral, O2, stop oxytocin, increase IV fluids, notify provider.
[11] Postpartum hemorrhage: fundus boggy. First? (Case Variant 11)
Massage fundus, empty bladder
Call provider only
Give oral meds
Ambulate
Correct Answer: A
Rationale: Boggy fundus = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
[12] Preeclampsia: magnesium sulfate toxicity sign? (Case Variant 12)
Decreased reflexes, RR <12, decreased UO, decreased LOC
Increased reflexes
Hypertension
Tachycardia
Correct Answer: A
Rationale: Mag sulfate toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
[13] Late decelerations on fetal monitor indicate? (Case Variant 13)
Uteroplacental insufficiency - reposition left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
, Cord compression
Correct Answer: A
Rationale: Late decels = uteroplacental insufficiency. Interventions: left lateral, O2, stop oxytocin, increase IV fluids, notify provider.
[14] Postpartum hemorrhage: fundus boggy. First? (Case Variant 14)
Massage fundus, empty bladder
Call provider only
Give oral meds
Ambulate
Correct Answer: A
Rationale: Boggy fundus = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
[15] Preeclampsia: magnesium sulfate toxicity sign? (Case Variant 15)
Decreased reflexes, RR <12, decreased UO, decreased LOC
Increased reflexes
Hypertension
Tachycardia
Correct Answer: A
Rationale: Mag sulfate toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
[16] Late decelerations on fetal monitor indicate? (Case Variant 16)
Uteroplacental insufficiency - reposition left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Correct Answer: A
Rationale: Late decels = uteroplacental insufficiency. Interventions: left lateral, O2, stop oxytocin, increase IV fluids, notify provider.
[17] Postpartum hemorrhage: fundus boggy. First? (Case Variant 17)
Massage fundus, empty bladder
Call provider only
Give oral meds
Ambulate
Correct Answer: A
Rationale: Boggy fundus = atony. Massage, empty bladder (full bladder displaces uterus), oxytocin.
[18] Preeclampsia: magnesium sulfate toxicity sign? (Case Variant 18)
Decreased reflexes, RR <12, decreased UO, decreased LOC
Increased reflexes
Hypertension
Tachycardia
Correct Answer: A
Rationale: Mag sulfate toxicity: loss of patellar reflexes first, RR depression, decreased UO. Antidote calcium gluconate.
[19] Late decelerations on fetal monitor indicate? (Case Variant 19)
Uteroplacental insufficiency - reposition left side, O2 10L, stop oxytocin, IV fluids
Head compression
Normal
Cord compression
Correct Answer: A
Rationale: Late decels = uteroplacental insufficiency. Interventions: left lateral, O2, stop oxytocin, increase IV fluids, notify provider.
[20] Postpartum hemorrhage: fundus boggy. First? (Case Variant 20)
Massage fundus, empty bladder
Call provider only
