2026 UPDATED QUESTIONS DOWNLOAD
[PASS GUARANTEED] ATI RN MATERNAL NEWBORN
PROCTORED EXAM | 250+ NGN QUESTIONS
COVERING PRENATAL, LABOR, POSTPARTUM &
NEWBORN CARE
This elite-level study resource is specifically engineered for nursing students preparing for
the ATI RN Maternal Newborn Content Mastery Series (CMS) Proctored Exam. It
bridges the gap between basic textbook knowledge and the complex clinical judgment
required to achieve a Level 3 proficiency score.
1. A nurse is assessing a client who is at 34 weeks gestation and has a prescription
for Magnesium Sulfate to treat preeclampsia. Which of the following findings is
the priority to report to the provider?
A. Deep tendon reflexes of 2+
B. Respiratory rate of 10/min
C. Urinary output of 40 mL/hr
D. Increased lethargy
Rationale: Magnesium toxicity causes CNS depression. A respiratory rate below
12/min is a primary sign of toxicity and requires immediate cessation of the
infusion and administration of calcium gluconate.
2. A nurse is caring for a client who is in the transition phase of labor (8 cm
dilated). Which of the following clinical manifestations should the nurse expect?
A. The client is calm and following directions easily.
B. The client is irritable and expresses a desire to push.
,2026 UPDATED QUESTIONS DOWNLOAD
C. The client reports a decrease in the intensity of contractions.
D. The client is experiencing "bloody show" for the first time.
Rationale: The transition phase is the most intense part of the first stage of labor;
clients often become irritable, lose control, and feel significant rectal pressure.
3. A nurse is providing teaching to a client who is at 12 weeks gestation
about Nutrition. Which of the following instructions should the nurse include?
A. "Decrease your protein intake until the third trimester."
B. "Limit your fluid intake to 1 liter per day."
C. "Increase your folic acid intake to 600 mcg daily."
D. "You should gain 15 pounds in the first trimester."
Rationale: Folic acid is essential to prevent neural tube defects. The
recommended intake for pregnant women is 600 mcg per day.
4. A nurse is assessing a newborn 1 hour after birth. Which of the following
respiratory rates is within the expected reference range?
A. 20/min
B. 48/min
C. 72/min
D. 100/min
Rationale: The normal respiratory rate for a newborn is 30 to 60/min. 72/min
would indicate tachypnea.
5. A nurse is caring for a client who is at 32 weeks gestation and has a Placenta
Previa. Which of the following findings should the nurse expect?
A. Rigid, board-like abdomen
B. Painless, bright red vaginal bleeding
C. Severe abdominal pain
D. Intermittent uterine contractions
Rationale: Painless bright red bleeding is the hallmark of placenta previa. Painful
dark red bleeding and a rigid abdomen are signs of Abruptio Placentae.
6. A nurse is performing a physical assessment of a newborn. Which of the
following findings should the nurse report to the provider?
A. Nasal flaring and chest retractions
B. Acrocyanosis of the hands and feet
C. Vernix caseosa in the skin folds
D. Mongolian spots on the sacrum
,2026 UPDATED QUESTIONS DOWNLOAD
Rationale: Nasal flaring and retractions are signs of respiratory distress in a
newborn and require immediate intervention.
7. A nurse is providing teaching to a postpartum client about Breastfeeding. Which
of the following indicates a "good latch"?
A. The newborn's nose is pressed firmly against the breast.
B. The client feels a sharp, pinching sensation.
C. The newborn's lips are flanged outward and the chin touches the breast.
D. The newborn makes a clicking sound while sucking.
Rationale: Flanged lips and an wide-open mouth ensure a deep latch, preventing
nipple trauma and ensuring adequate milk transfer.
8. A nurse is monitoring a fetal heart rate (FHR) tracing and notes Late
Decelerations. Which of the following is the priority nursing action?
A. Assist the client into a side-lying position.
B. Perform a vaginal exam to check for cord prolapse.
C. Increase the rate of the oxytocin infusion.
D. Document the finding as normal.
Rationale: Late decelerations indicate uteroplacental insufficiency. The first
action is to improve blood flow by turning the client to their side (LION: Left side,
IV fluids, Oxygen, Notify).
9. A nurse is caring for a client who is 2 hours postpartum. The nurse notes
the fundus is boggy and displaced to the right. Which of the following actions
should the nurse take?
A. Massage the fundus immediately.
B. Assist the client to the bathroom to void.
C. Administer oxytocin IV bolus.
D. Increase the client's fluid intake.
Rationale: A fundus displaced to the right usually indicates a distended bladder,
which prevents the uterus from contracting and increases the risk of hemorrhage.
10. A nurse is calculating a client's due date using Naegele's Rule. The client's last
menstrual period (LMP) began on May 10th. What is the estimated date of birth
(EDB)?
A. February 10th
B. February 17th
C. August 17th
, 2026 UPDATED QUESTIONS DOWNLOAD
D. January 17th
Rationale: Naegele’s Rule: Subtract 3 months from LMP (May -> Feb), add 7
days (10 + 7 = 17), and add 1 year.
11. A nurse is providing discharge teaching to the parents of a newborn
regarding Car Seat Safety. Which of the following instructions should the nurse
include?
A. "Place the car seat in the front passenger seat if there is an airbag."
B. "Position the car seat at a 90-degree angle."
C. "Place the car seat in a rear-facing position until age 2."
D. "Secure the chest clip at the level of the newborn's abdomen."
Rationale: Rear-facing is the safest position for infants and toddlers; the chest
clip should be at the level of the armpits (axilla).
12. A nurse is assessing a newborn and notes a Moro Reflex. How should the nurse
elicit this reflex?
A. Stroke the sole of the newborn's foot.
B. Allow the newborn's head and trunk to fall backward slightly.
C. Touch the newborn's cheek with a finger.
D. Place an object in the newborn's palm.
Rationale: The Moro (startle) reflex is elicited by a sudden change in position; the
newborn should extend and then abduct the arms.
13. A nurse is caring for a client who is at 38 weeks gestation and has a Prolapsed
Umbilical Cord. Which of the following is the priority action?
A. Cover the cord with dry sterile gauze.
B. Position the client in a knee-chest or Trendelenburg position.
C. Attempt to push the cord back into the uterus.
D. Start a primary IV infusion.
Rationale: The priority is to relieve pressure on the cord to maintain fetal
oxygenation. Gravity helps move the fetus off the cord in these positions.
14. A nurse is teaching a client about Postpartum Lochia. Which of the following
findings should the client report to the provider?
A. Lochia rubra for the first 3 days.
B. Foul-smelling vaginal discharge.
C. Lochia serosa on day 5 postpartum.
D. Small clots (less than 1 cm) in the discharge.
[PASS GUARANTEED] ATI RN MATERNAL NEWBORN
PROCTORED EXAM | 250+ NGN QUESTIONS
COVERING PRENATAL, LABOR, POSTPARTUM &
NEWBORN CARE
This elite-level study resource is specifically engineered for nursing students preparing for
the ATI RN Maternal Newborn Content Mastery Series (CMS) Proctored Exam. It
bridges the gap between basic textbook knowledge and the complex clinical judgment
required to achieve a Level 3 proficiency score.
1. A nurse is assessing a client who is at 34 weeks gestation and has a prescription
for Magnesium Sulfate to treat preeclampsia. Which of the following findings is
the priority to report to the provider?
A. Deep tendon reflexes of 2+
B. Respiratory rate of 10/min
C. Urinary output of 40 mL/hr
D. Increased lethargy
Rationale: Magnesium toxicity causes CNS depression. A respiratory rate below
12/min is a primary sign of toxicity and requires immediate cessation of the
infusion and administration of calcium gluconate.
2. A nurse is caring for a client who is in the transition phase of labor (8 cm
dilated). Which of the following clinical manifestations should the nurse expect?
A. The client is calm and following directions easily.
B. The client is irritable and expresses a desire to push.
,2026 UPDATED QUESTIONS DOWNLOAD
C. The client reports a decrease in the intensity of contractions.
D. The client is experiencing "bloody show" for the first time.
Rationale: The transition phase is the most intense part of the first stage of labor;
clients often become irritable, lose control, and feel significant rectal pressure.
3. A nurse is providing teaching to a client who is at 12 weeks gestation
about Nutrition. Which of the following instructions should the nurse include?
A. "Decrease your protein intake until the third trimester."
B. "Limit your fluid intake to 1 liter per day."
C. "Increase your folic acid intake to 600 mcg daily."
D. "You should gain 15 pounds in the first trimester."
Rationale: Folic acid is essential to prevent neural tube defects. The
recommended intake for pregnant women is 600 mcg per day.
4. A nurse is assessing a newborn 1 hour after birth. Which of the following
respiratory rates is within the expected reference range?
A. 20/min
B. 48/min
C. 72/min
D. 100/min
Rationale: The normal respiratory rate for a newborn is 30 to 60/min. 72/min
would indicate tachypnea.
5. A nurse is caring for a client who is at 32 weeks gestation and has a Placenta
Previa. Which of the following findings should the nurse expect?
A. Rigid, board-like abdomen
B. Painless, bright red vaginal bleeding
C. Severe abdominal pain
D. Intermittent uterine contractions
Rationale: Painless bright red bleeding is the hallmark of placenta previa. Painful
dark red bleeding and a rigid abdomen are signs of Abruptio Placentae.
6. A nurse is performing a physical assessment of a newborn. Which of the
following findings should the nurse report to the provider?
A. Nasal flaring and chest retractions
B. Acrocyanosis of the hands and feet
C. Vernix caseosa in the skin folds
D. Mongolian spots on the sacrum
,2026 UPDATED QUESTIONS DOWNLOAD
Rationale: Nasal flaring and retractions are signs of respiratory distress in a
newborn and require immediate intervention.
7. A nurse is providing teaching to a postpartum client about Breastfeeding. Which
of the following indicates a "good latch"?
A. The newborn's nose is pressed firmly against the breast.
B. The client feels a sharp, pinching sensation.
C. The newborn's lips are flanged outward and the chin touches the breast.
D. The newborn makes a clicking sound while sucking.
Rationale: Flanged lips and an wide-open mouth ensure a deep latch, preventing
nipple trauma and ensuring adequate milk transfer.
8. A nurse is monitoring a fetal heart rate (FHR) tracing and notes Late
Decelerations. Which of the following is the priority nursing action?
A. Assist the client into a side-lying position.
B. Perform a vaginal exam to check for cord prolapse.
C. Increase the rate of the oxytocin infusion.
D. Document the finding as normal.
Rationale: Late decelerations indicate uteroplacental insufficiency. The first
action is to improve blood flow by turning the client to their side (LION: Left side,
IV fluids, Oxygen, Notify).
9. A nurse is caring for a client who is 2 hours postpartum. The nurse notes
the fundus is boggy and displaced to the right. Which of the following actions
should the nurse take?
A. Massage the fundus immediately.
B. Assist the client to the bathroom to void.
C. Administer oxytocin IV bolus.
D. Increase the client's fluid intake.
Rationale: A fundus displaced to the right usually indicates a distended bladder,
which prevents the uterus from contracting and increases the risk of hemorrhage.
10. A nurse is calculating a client's due date using Naegele's Rule. The client's last
menstrual period (LMP) began on May 10th. What is the estimated date of birth
(EDB)?
A. February 10th
B. February 17th
C. August 17th
, 2026 UPDATED QUESTIONS DOWNLOAD
D. January 17th
Rationale: Naegele’s Rule: Subtract 3 months from LMP (May -> Feb), add 7
days (10 + 7 = 17), and add 1 year.
11. A nurse is providing discharge teaching to the parents of a newborn
regarding Car Seat Safety. Which of the following instructions should the nurse
include?
A. "Place the car seat in the front passenger seat if there is an airbag."
B. "Position the car seat at a 90-degree angle."
C. "Place the car seat in a rear-facing position until age 2."
D. "Secure the chest clip at the level of the newborn's abdomen."
Rationale: Rear-facing is the safest position for infants and toddlers; the chest
clip should be at the level of the armpits (axilla).
12. A nurse is assessing a newborn and notes a Moro Reflex. How should the nurse
elicit this reflex?
A. Stroke the sole of the newborn's foot.
B. Allow the newborn's head and trunk to fall backward slightly.
C. Touch the newborn's cheek with a finger.
D. Place an object in the newborn's palm.
Rationale: The Moro (startle) reflex is elicited by a sudden change in position; the
newborn should extend and then abduct the arms.
13. A nurse is caring for a client who is at 38 weeks gestation and has a Prolapsed
Umbilical Cord. Which of the following is the priority action?
A. Cover the cord with dry sterile gauze.
B. Position the client in a knee-chest or Trendelenburg position.
C. Attempt to push the cord back into the uterus.
D. Start a primary IV infusion.
Rationale: The priority is to relieve pressure on the cord to maintain fetal
oxygenation. Gravity helps move the fetus off the cord in these positions.
14. A nurse is teaching a client about Postpartum Lochia. Which of the following
findings should the client report to the provider?
A. Lochia rubra for the first 3 days.
B. Foul-smelling vaginal discharge.
C. Lochia serosa on day 5 postpartum.
D. Small clots (less than 1 cm) in the discharge.
