1
RN Maternal Newborn ATI Proctored Exam
2026/2027 Actual Exam | 70 Questions with
Verified Rationalized Answers | Pass
Guaranteed - A+ Graded
Section 1: Antepartum (Questions 1-20)
Q1: A pregnant patient at 28 weeks gestation calls the clinic with concerns about fetal movement.
Which of the following instructions is MOST appropriate regarding fetal movement counting?
A. "You should feel at least 10 movements within 2 hours each day." [CORRECT]
B. "Fetal movements decrease significantly in the third trimester, so don't worry."
C. "Only count movements after meals when blood sugar is elevated."
D. "If you don't feel movement for 24 hours, come to the hospital immediately."
Correct Answer: A
Rationale: The standard kick count recommendation is at least 10 fetal movements within a 2-
hour period. Option B is incorrect—fetal movements should not decrease significantly;
decreased movement requires evaluation. Option C is not required—any time of day is
acceptable. Option D delays evaluation too long.
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Q2: A patient at 16 weeks gestation has a positive maternal serum alpha-fetoprotein (MSAFP)
screening result. The nurse understands that this finding is associated with which condition?
A. Down syndrome (trisomy 21)
B. Neural tube defects [CORRECT]
C. Trisomy 18
D. Gestational diabetes
Correct Answer: B
Rationale: Elevated MSAFP is associated with open neural tube defects (spina bifida,
anencephaly). Options A and C are associated with decreased MSAFP. Option D is not detected
by MSAFP.
,2
Client Need: Reduction of Risk Potential
Cognitive Level: Recall
Q3: A patient with gestational diabetes is scheduled for a non-stress test (NST) at 32 weeks.
Which result indicates a REACTIVE (reassuring) NST?
A. Two or more fetal heart rate accelerations of at least 15 beats/minute lasting 15 seconds within
20 minutes [CORRECT]
B. Late decelerations with two contractions
C. Variable decelerations lasting 30 seconds
D. Fetal heart rate baseline of 100 bpm
Correct Answer: A
Rationale: A reactive NST requires at least two accelerations of 15 beats/minute above baseline
lasting 15 seconds within a 20-minute period. Option B (late decelerations) indicates
uteroplacental insufficiency. Option C (variable decelerations) indicates cord compression.
Option D (baseline 100) is bradycardia.
Client Need: Reduction of Risk Potential
Cognitive Level: Analysis
Q4: A patient at 34 weeks gestation presents with a blood pressure of 158/96 mmHg and 2+
proteinuria. She reports a headache and blurred vision. Which is the priority nursing
intervention?
A. Administer labetalol as ordered
B. Place the patient in a quiet, darkened room
C. Assess deep tendon reflexes and prepare for magnesium sulfate administration [CORRECT]
D. Obtain a 24-hour urine collection
Correct Answer: C
Rationale: This patient has severe preeclampsia. Magnesium sulfate is administered to prevent
seizures. Assessing reflexes (hyperreflexia indicates increased seizure risk) is priority. Option A
may be ordered but not before magnesium. Option B is supportive. Option D is diagnostic but
not immediate priority.
Client Need: Physiological Adaptation
Cognitive Level: Analysis
, 3
Q5: [SATA] A patient at 10 weeks gestation asks about expected physiological changes during
pregnancy. Which of the following are normal cardiovascular adaptations? [Select all that apply]
[X] A. Increased cardiac output by 30-50% [CORRECT]
[ ] B. Decreased blood volume
[X] C. Decreased systemic vascular resistance [CORRECT]
[X] D. Increased heart rate by 10-20 bpm [CORRECT]
[X] E. Systolic murmurs may be normal [CORRECT]
Correct Answers: A, C, D, E
Rationale: Normal cardiovascular changes include increased cardiac output (A), decreased SVR
(C), increased heart rate (D), and functional systolic murmurs (E). Blood volume increases by
40-50% (B is incorrect).
Client Need: Physiological Adaptation
Cognitive Level: Recall
Q6: A patient is diagnosed with placenta previa at 28 weeks gestation. Which instruction is
MOST important?
A. "You may continue moderate exercise."
B. "Avoid vaginal intercourse and report any bleeding immediately." [CORRECT]
C. "You will need a cesarean delivery at 37 weeks regardless of placental position."
D. "Bed rest is not necessary with partial previa."
Correct Answer: B
Rationale: Placenta previa requires pelvic rest (no intercourse, tampons, or douching) and
immediate reporting of bleeding. Option A is contraindicated. Option C may not be necessary if
previa resolves. Option D is incorrect—activity restriction may be needed.
Client Need: Reduction of Risk Potential
Cognitive Level: Application
Q7: A patient at 24 weeks gestation has a glucose challenge test result of 155 mg/dL. What is the
next step in management?
A. Diagnose gestational diabetes and begin treatment
B. Perform a 3-hour oral glucose tolerance test (OGTT) [CORRECT]
RN Maternal Newborn ATI Proctored Exam
2026/2027 Actual Exam | 70 Questions with
Verified Rationalized Answers | Pass
Guaranteed - A+ Graded
Section 1: Antepartum (Questions 1-20)
Q1: A pregnant patient at 28 weeks gestation calls the clinic with concerns about fetal movement.
Which of the following instructions is MOST appropriate regarding fetal movement counting?
A. "You should feel at least 10 movements within 2 hours each day." [CORRECT]
B. "Fetal movements decrease significantly in the third trimester, so don't worry."
C. "Only count movements after meals when blood sugar is elevated."
D. "If you don't feel movement for 24 hours, come to the hospital immediately."
Correct Answer: A
Rationale: The standard kick count recommendation is at least 10 fetal movements within a 2-
hour period. Option B is incorrect—fetal movements should not decrease significantly;
decreased movement requires evaluation. Option C is not required—any time of day is
acceptable. Option D delays evaluation too long.
Client Need: Health Promotion and Maintenance
Cognitive Level: Application
Q2: A patient at 16 weeks gestation has a positive maternal serum alpha-fetoprotein (MSAFP)
screening result. The nurse understands that this finding is associated with which condition?
A. Down syndrome (trisomy 21)
B. Neural tube defects [CORRECT]
C. Trisomy 18
D. Gestational diabetes
Correct Answer: B
Rationale: Elevated MSAFP is associated with open neural tube defects (spina bifida,
anencephaly). Options A and C are associated with decreased MSAFP. Option D is not detected
by MSAFP.
,2
Client Need: Reduction of Risk Potential
Cognitive Level: Recall
Q3: A patient with gestational diabetes is scheduled for a non-stress test (NST) at 32 weeks.
Which result indicates a REACTIVE (reassuring) NST?
A. Two or more fetal heart rate accelerations of at least 15 beats/minute lasting 15 seconds within
20 minutes [CORRECT]
B. Late decelerations with two contractions
C. Variable decelerations lasting 30 seconds
D. Fetal heart rate baseline of 100 bpm
Correct Answer: A
Rationale: A reactive NST requires at least two accelerations of 15 beats/minute above baseline
lasting 15 seconds within a 20-minute period. Option B (late decelerations) indicates
uteroplacental insufficiency. Option C (variable decelerations) indicates cord compression.
Option D (baseline 100) is bradycardia.
Client Need: Reduction of Risk Potential
Cognitive Level: Analysis
Q4: A patient at 34 weeks gestation presents with a blood pressure of 158/96 mmHg and 2+
proteinuria. She reports a headache and blurred vision. Which is the priority nursing
intervention?
A. Administer labetalol as ordered
B. Place the patient in a quiet, darkened room
C. Assess deep tendon reflexes and prepare for magnesium sulfate administration [CORRECT]
D. Obtain a 24-hour urine collection
Correct Answer: C
Rationale: This patient has severe preeclampsia. Magnesium sulfate is administered to prevent
seizures. Assessing reflexes (hyperreflexia indicates increased seizure risk) is priority. Option A
may be ordered but not before magnesium. Option B is supportive. Option D is diagnostic but
not immediate priority.
Client Need: Physiological Adaptation
Cognitive Level: Analysis
, 3
Q5: [SATA] A patient at 10 weeks gestation asks about expected physiological changes during
pregnancy. Which of the following are normal cardiovascular adaptations? [Select all that apply]
[X] A. Increased cardiac output by 30-50% [CORRECT]
[ ] B. Decreased blood volume
[X] C. Decreased systemic vascular resistance [CORRECT]
[X] D. Increased heart rate by 10-20 bpm [CORRECT]
[X] E. Systolic murmurs may be normal [CORRECT]
Correct Answers: A, C, D, E
Rationale: Normal cardiovascular changes include increased cardiac output (A), decreased SVR
(C), increased heart rate (D), and functional systolic murmurs (E). Blood volume increases by
40-50% (B is incorrect).
Client Need: Physiological Adaptation
Cognitive Level: Recall
Q6: A patient is diagnosed with placenta previa at 28 weeks gestation. Which instruction is
MOST important?
A. "You may continue moderate exercise."
B. "Avoid vaginal intercourse and report any bleeding immediately." [CORRECT]
C. "You will need a cesarean delivery at 37 weeks regardless of placental position."
D. "Bed rest is not necessary with partial previa."
Correct Answer: B
Rationale: Placenta previa requires pelvic rest (no intercourse, tampons, or douching) and
immediate reporting of bleeding. Option A is contraindicated. Option C may not be necessary if
previa resolves. Option D is incorrect—activity restriction may be needed.
Client Need: Reduction of Risk Potential
Cognitive Level: Application
Q7: A patient at 24 weeks gestation has a glucose challenge test result of 155 mg/dL. What is the
next step in management?
A. Diagnose gestational diabetes and begin treatment
B. Perform a 3-hour oral glucose tolerance test (OGTT) [CORRECT]
