This is the ATI RN Maternal Newborn
Proctored Exam 2023/2026 with NGN,
featuring 70 real exam screenshot
questions with 100% verified correct
answers.
EXAM
1. Multiple Choice
A nurse is assessing a client who is 12 hours postpartum following a vaginal
delivery. The client’s fundus is firm, at the umbilicus, and deviated to the right.
The client reports moderate perineal pain. Which of the following actions should
the nurse take first?
A) Administer prescribed analgesic
B) Assist the client to empty her bladder
C) Massage the fundus
D) Apply ice packs to the perineum
Answer: B) Assist the client to empty her bladder
Rationale: A fundus deviated to the right often indicates a full bladder displacing the
uterus. Bladder distention can lead to uterine atony and hemorrhage. The nurse should
first have the client void, then reassess fundal position and tone.
2. Multiple Choice
,A nurse is teaching a client about expected breast changes during pregnancy.
Which of the following should the nurse include?
A) Colostrum is usually present by the third trimester
B) Breast tenderness is most common after 30 weeks
C) Montgomery glands decrease in number
D) Nipples become softer and less erectile
Answer: A) Colostrum is usually present by the third trimester
Rationale: Colostrum, a precursor to breast milk, is often present by the third trimester.
Breast tenderness is most common in the first trimester. Montgomery glands
(sebaceous glands on the areola) increase. Nipples typically become more erectile and
pigmented.
3. NGN Case Study – Part 1
A nurse is caring for a 28-year-old client, G2P1, at 38 weeks gestation who
presents with contractions every 3–5 minutes, lasting 60 seconds, for the past 4
hours. She reports a sudden gush of fluid 30 minutes ago, which was clear. FHR is
140–150 with moderate variability. Cervix is 5 cm, 90% effaced, vertex at –1
station.
Question 3a: Which of the following findings require immediate follow-up? Select
all that apply.
A) Contractions every 3–5 minutes
B) Sudden gush of fluid
C) FHR variability moderate
D) Cervix 5 cm, 90% effaced
E) Vertex at –1 station
,Answer: B) Sudden gush of fluid
Rationale: Rupture of membranes requires immediate confirmation and assessment for
cord prolapse or infection. The other findings are expected in active labor. (Only B is a
new event requiring priority reassessment.)
4. NGN Case Study – Part 1 (continued)
Question 3b: The nurse performs a sterile speculum exam and confirms rupture of
membranes with clear fluid. Which of the following should the nurse do next?
A) Prepare for immediate cesarean section
B) Assess fetal heart rate for 1 full minute after a contraction
C) Administer oxytocin to augment labor
D) Encourage ambulation to progress labor
Answer: B) Assess fetal heart rate for 1 full minute after a contraction
Rationale: After rupture of membranes, the priority is to assess for cord compression or
prolapse by evaluating FHR, especially during and after a contraction. Ambulation may
be restricted if membranes are ruptured depending on facility policy and fetal status.
5. Multiple Choice
A nurse is administering betamethasone to a client at 32 weeks gestation. Which
of the following best describes the purpose of this medication?
A) Prevent preterm labor
B) Accelerate fetal lung maturity
, C) Treat maternal hypertension
D) Reduce risk of group B streptococcus infection
Answer: B) Accelerate fetal lung maturity
Rationale: Betamethasone is a corticosteroid given to women at risk for preterm
delivery (24–34 weeks) to enhance fetal lung surfactant production, reducing the risk of
respiratory distress syndrome.
6. Multiple Choice
A nurse is assessing a newborn who is 2 hours old. Which of the following findings
should the nurse report to the provider?
A) Apical heart rate of 160/min while sleeping
B) Respiratory rate of 70/min with nasal flaring
C) Axillary temperature of 36.5°C (97.7°F)
D) Blood glucose of 55 mg/dL
Answer: B) Respiratory rate of 70/min with nasal flaring
Rationale: Normal newborn respiratory rate is 30–60/min. Tachypnea with nasal flaring
indicates respiratory distress. Heart rate 120–160 is normal. Temp 36.5°C is slightly low
but can be managed with warming. Glucose above 45 mg/dL is generally acceptable in a
term newborn.
7. Multiple Choice
Proctored Exam 2023/2026 with NGN,
featuring 70 real exam screenshot
questions with 100% verified correct
answers.
EXAM
1. Multiple Choice
A nurse is assessing a client who is 12 hours postpartum following a vaginal
delivery. The client’s fundus is firm, at the umbilicus, and deviated to the right.
The client reports moderate perineal pain. Which of the following actions should
the nurse take first?
A) Administer prescribed analgesic
B) Assist the client to empty her bladder
C) Massage the fundus
D) Apply ice packs to the perineum
Answer: B) Assist the client to empty her bladder
Rationale: A fundus deviated to the right often indicates a full bladder displacing the
uterus. Bladder distention can lead to uterine atony and hemorrhage. The nurse should
first have the client void, then reassess fundal position and tone.
2. Multiple Choice
,A nurse is teaching a client about expected breast changes during pregnancy.
Which of the following should the nurse include?
A) Colostrum is usually present by the third trimester
B) Breast tenderness is most common after 30 weeks
C) Montgomery glands decrease in number
D) Nipples become softer and less erectile
Answer: A) Colostrum is usually present by the third trimester
Rationale: Colostrum, a precursor to breast milk, is often present by the third trimester.
Breast tenderness is most common in the first trimester. Montgomery glands
(sebaceous glands on the areola) increase. Nipples typically become more erectile and
pigmented.
3. NGN Case Study – Part 1
A nurse is caring for a 28-year-old client, G2P1, at 38 weeks gestation who
presents with contractions every 3–5 minutes, lasting 60 seconds, for the past 4
hours. She reports a sudden gush of fluid 30 minutes ago, which was clear. FHR is
140–150 with moderate variability. Cervix is 5 cm, 90% effaced, vertex at –1
station.
Question 3a: Which of the following findings require immediate follow-up? Select
all that apply.
A) Contractions every 3–5 minutes
B) Sudden gush of fluid
C) FHR variability moderate
D) Cervix 5 cm, 90% effaced
E) Vertex at –1 station
,Answer: B) Sudden gush of fluid
Rationale: Rupture of membranes requires immediate confirmation and assessment for
cord prolapse or infection. The other findings are expected in active labor. (Only B is a
new event requiring priority reassessment.)
4. NGN Case Study – Part 1 (continued)
Question 3b: The nurse performs a sterile speculum exam and confirms rupture of
membranes with clear fluid. Which of the following should the nurse do next?
A) Prepare for immediate cesarean section
B) Assess fetal heart rate for 1 full minute after a contraction
C) Administer oxytocin to augment labor
D) Encourage ambulation to progress labor
Answer: B) Assess fetal heart rate for 1 full minute after a contraction
Rationale: After rupture of membranes, the priority is to assess for cord compression or
prolapse by evaluating FHR, especially during and after a contraction. Ambulation may
be restricted if membranes are ruptured depending on facility policy and fetal status.
5. Multiple Choice
A nurse is administering betamethasone to a client at 32 weeks gestation. Which
of the following best describes the purpose of this medication?
A) Prevent preterm labor
B) Accelerate fetal lung maturity
, C) Treat maternal hypertension
D) Reduce risk of group B streptococcus infection
Answer: B) Accelerate fetal lung maturity
Rationale: Betamethasone is a corticosteroid given to women at risk for preterm
delivery (24–34 weeks) to enhance fetal lung surfactant production, reducing the risk of
respiratory distress syndrome.
6. Multiple Choice
A nurse is assessing a newborn who is 2 hours old. Which of the following findings
should the nurse report to the provider?
A) Apical heart rate of 160/min while sleeping
B) Respiratory rate of 70/min with nasal flaring
C) Axillary temperature of 36.5°C (97.7°F)
D) Blood glucose of 55 mg/dL
Answer: B) Respiratory rate of 70/min with nasal flaring
Rationale: Normal newborn respiratory rate is 30–60/min. Tachypnea with nasal flaring
indicates respiratory distress. Heart rate 120–160 is normal. Temp 36.5°C is slightly low
but can be managed with warming. Glucose above 45 mg/dL is generally acceptable in a
term newborn.
7. Multiple Choice
