ATI RN Maternal Newborn Nursing Proctored Exams 2025 250 Actual Exam Questions + Detailed Answer Key with Rationales Publisher: NPBoardPrep | Edition: 2025–2026 Testing Cycle | Format: Digital PDF + Printable | Pages: 428 | Release: November 2025

The ATI RN Maternal Newborn Nursing Proctored Exam 2025 – 250 Actual Questions + Detailed Answer Key with Rationales by NPBoardPrep is the most powerful, exam-specific weapon ever released for nursing students facing the dreaded ATI Maternal-Newborn Proctored Exam in 2025 and 2026. This is not a generic review book or recycled Q-bank. These are 250 real, retired, and predictive questions drawn directly from the 2024–2025 ATI testing pool – the exact style, phrasing, difficulty level, and priority topics that ATI is currently using on live proctored exams nationwide. Every single question in this collection has appeared on an actual ATI RN Maternal Newborn Proctored Exam between January 2024 and October 2025 or is a near-identical predictive item written by former ATI item writers and current OB clinical educators. Students who master this bank consistently score Level 3 (95–100%) on their first attempt, avoid costly remediation, and walk away with the highest possible maternity grade in their program. Why This Resource Guarantees a Level 3 ATI does not release official questions, but NPBoardPrep has spent years ethically compiling and verifying retired items from thousands of students across 400+ nursing programs. The result is the closest thing possible to taking the real exam before test day. Key advantages that no other resource offers: 100% current 2025–2026 ATI blueprint alignment (Antepartum 28%, Intrapartum 32%, Postpartum 22%, Newborn 18%) Exact ATI-style phrasing (“Which client should the nurse see first?”, “What is the priority nursing action?”) Detailed rationales for every answer choice (correct + all three distractors explained) Evidence-based references (March of Dimes, ACOG, AAP, AWHONN, CDC 2024–2025 guidelines) High-yield recurring topics ATI loves: preeclampsia severity, Bishop score interpretation, newborn hypoglycemia protocol, postpartum hemorrhage quantification, Group B strep management, magnesium toxicity, fetal heart rate tracing categories (I, II, III), and non-stress test reactivity Comprehensive, Exam-Focused Organization The bank is divided into five high-yield sections that mirror how ATI structures the proctored exam: Section 1: Antepartum Nursing (70 questions – 28%) Prenatal screening timelines (quad screen, NIPT, GDM testing at 24–28 weeks) Complications: hyperemesis, gestational hypertension vs. preeclampsia with severe features, placenta previa vs. abruption Fetal assessment: daily kick counts, biophysical profile scoring, contraction stress testing Sample Question: “A client at 32 weeks gestation reports sudden bright-red vaginal bleeding without pain. Which action should the nurse take first?” Answer: Place the client on bedrest and prepare for ultrasound (suspected placenta previa – no vaginal exam until placenta location confirmed per ACOG). Section 2: Intrapartum Nursing (80 questions – 32%) Labor stages and phases (latent vs. active, transition signs) Fetal heart rate tracing interpretation (Category I, II, III with exact interventions) Obstetric emergencies: prolapse cord, shoulder dystocia (HELPERR mnemonic), uterine rupture, amniotic fluid embolism Pain management & pharmacology: epidural contraindications, stadol vs. fentanyl timing, pitocin titration rules Sample Question: “The nurse notes a fetal heart rate of 90 bpm lasting 90 seconds after rupture of membranes. What is the priority action?” Answer: Turn client to left side, apply oxygen at 10 L/min, discontinue pitocin, and notify provider immediately (late deceleration pattern → uteroplacental insufficiency). Section 3: Postpartum Nursing (55 questions – 22%) Physiological changes (involution schedule, lochia patterns, REEDA assessment) Postpartum hemorrhage (boggy fundus massage, estimated blood loss quantification, carboprost vs. misoprostol vs. methergine) Mental health: postpartum blues vs. depression vs. psychosis screening (Edinburgh scale) Breastfeeding: latch scoring, engorgement vs. plugged duct vs. mastitis management Sample Question: “On postpartum day 2, a client reports unilateral breast pain, erythema, and temperature 101.8°F. What is the priority nursing intervention?” Answer: Encourage frequent breastfeeding or pumping on affected side + start antibiotics (mastitis – continue nursing, not contraindicated). Section 4: Newborn Nursing (45 questions – 18%) Immediate transition (Apgar scoring at 1 and 5 minutes, thermoregulation, vitamin K, erythromycin) Newborn assessment (Ballard scoring, caput vs. cephalohematoma, physiologic jaundice timeline) Complications: hypoglycemia protocol (<45 mg/dL → early feeding vs. D10W), polycythemia, neonatal abstinence syndrome scoring (Finnegan) Circumcision care, hearing screen timing, metabolic screen (PKU) timing Sample Question: “A 4-hour-old newborn has jitteriness, irritability, and blood glucose of 38 mg/dL. What is the first action?” Answer: Attempt early feeding with formula or breast milk (transient hypoglycemia of newborn – feed first, recheck in 30 min). Section 5: Comprehensive Proctored-Style Practice Tests Two full-length 125-question timed practice exams that replicate the exact ATI testing interface Instant scoring with national percentile ranking and remediation links Alternate-format questions included: Select-all-that-apply (SATA), hot-spot, ordered response, chart/exhibit Student- and Faculty-Friendly Features Clean, printable PDF with large font and highlighted key phrases Rationales average 120–180 words each – long enough to teach, short enough to reread quickly “ATI Loves This” flags on 47 recurring question stems seen on >70% of 2024–2025 exams One-page quick-reference tables (Bishop score, VEAL CHOP, REEDA, postpartum vital sign norms, newborn reflexes) Pharmacology cheat sheets (magnesium toxicity levels, terbutaline side effects, betamethasone timing) Mobile-optimized – works perfectly on phones for clinical/postpartum rotation review Perfect Alignment with ATI 2025 Content Mastery Series Every topic is weighted exactly as ATI tests: Safety & Infection Control: 18% Health Promotion & Maintenance: 12% Psychosocial Integrity: 8% Basic Care & Comfort: 9% Pharmacological Therapies: 20% Reduction of Risk Potential: 22% Physiological Adaptation: 31% Early Reviewer Praise (Real Student Testimonials) “Scored 98.7% Level 3 on first try – 187 of the 250 questions felt familiar. Worth 10× the price.” – Jessica R., BSN Senior, Chamberlain University “I was terrified of ATI OB. Did these 250 questions twice and got every postpartum hemorrhage question right on the real exam.” – Marcus T., Accelerated BSN “My entire cohort bought this after three of us hit Level 3. Best $ we ever spent in nursing school.” – Taylor M., Traditional BSN “My professor said my rationales on clinical paperwork improved dramatically after studying these explanations.” – Samantha L., RN-to-BSN Ideal For Pre-licensure ADN and BSN students taking ATI Maternal-Newborn Proctored Accelerated and direct-entry programs with compressed OB content Students who previously scored Level 1 or 2 and need targeted remediation Clinical instructors building custom quizzes NCLEX prep (these are harder than Saunders or UWorld maternity questions) Don’t leave your ATI Maternal-Newborn grade to chance. In 2025, ATI has increased the difficulty of alternate-format questions and added more pathophysiology-based rationales. This bank is already updated for those changes. Secure your Level 3 today with the only resource that contains 250 actual and predictive ATI RN Maternal Newborn Proctored questions with full rationales. Download instantly and start practicing like the real exam begins tomorrow – because for many of you, it almost does.