ATI RN Maternal Newborn Proctored Exam with NGN: 70 Questions with Answers & Rationales
ATI RN Maternal Newborn Proctored Exam Package with ATI RN Maternal Newborn Exam,
ATI RN Maternal Newborn Online Practice Exam and ATI RN Maternal Newborn Dosage
Calculation
ATI RN MATERNAL NEWBORN
PROCTORED EXAM WITH NGN
70 Questions with Answers & Rationales
✓ 70 NGN-Style Questions ✓ Updated 2025/2026
✓ Complete Answers ✓ Pass Guaranteed
✓ Detailed Rationales ✓ RN Maternal Newborn 2023
Adjusted Individual Score: 98.0% | Total Points: 141 | Time Spent: 59:20
© 2025 | ATI RN Maternal Newborn Proctored Exam | Updated 2025–2026 | Pass Guaranteed
,ATI RN Maternal Newborn Proctored Exam with NGN: 70 Questions with Answers & Rationales
ATI RN Maternal Newborn Proctored Exam with NGN 70 Questions and
Answers
RN Maternal Newborn 2023 | Proctored Assessment
Question: 1 of 70
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for
misoprostol. The nurse is assessing the client 30 min later. How should the nurse interpret the findings? For each
finding, click to specify whether the finding is unrelated to the diagnosis, an indication of potential improvement,
or an indication of worsening condition.
Exhibit 2 – Medical History
Preeclampsia
Cesarean birth of viable twin male newborns
Findings Unrelated to Indication of potential Indication of worsening
diagnosis improvement condition
Fundus at level of umbilicus ✓
Cloudy urine ✓
Blood pressure 80/50 mm Hg ✓
Moderate lochia rubra ✓
Thready pulse ✓
Rationale: Fundus at the umbilicus and moderate lochia rubra indicate improvement in
hemorrhage control. Blood pressure 80/50 is an indication of improvement from severe
CORRECT
hemorrhage (the uterus is contracting). Cloudy urine and a thready pulse indicate
Answer: See
worsening: cloudy urine suggests possible infection or renal compromise, and a thready
matrix
pulse indicates ongoing hemodynamic instability. Misoprostol (a prostaglandin) causes
uterine contractions to control postpartum hemorrhage.
Question: 2 of 70
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old. Which of the following
findings should the nurse report to the provider? Select all that apply.
Exhibit 2 – Physical Examination
Fontanels soft and flat
Head molded with caput succedaneum
Eyes symmetric, no discharge, sclera yellow
Mucous membranes dry
© 2025 | ATI RN Maternal Newborn Proctored Exam | Updated 2025–2026 | Pass Guaranteed
,ATI RN Maternal Newborn Proctored Exam with NGN: 70 Questions with Answers & Rationales
Abdomen soft and rounded, bowel sounds present x 4 quadrants
○ Coombs test result
✓ Mucous membrane assessment
✓ Intake and output
○ Respiratory rate
○ Head assessment finding
○ Heart rate
○ Sclera color
○ Glucose level
Rationale: Dry mucous membranes at 36 hours indicate inadequate hydration and
feeding, requiring provider notification. Intake and output must be reported — a
CORRECT newborn should have wet diapers by 24 hours and adequate feeding. Sclera yellow at 36
Answer: B, C hr is concerning for pathologic jaundice but was not marked correct per the screenshot.
Caput succedaneum is a normal newborn finding. Coombs test is a routine blood type
screen — result alone without context does not require urgent reporting.
Question: 3 of 70
A nurse is assessing a postpartum client who delivered vaginally 8 hr ago. Select the 3 findings that require
immediate follow-up.
Exhibit 1 – Nurses' Notes
0700: Breasts soft, nipples intact. Uterus palpated firm, midline, at level of umbilicus. Moderate amount of
lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 2 on a
scale of 0 to 10. Able to void spontaneously; no bladder distention. Deep tendon reflexes 1+. Peripheral edema
2+ in bilateral lower extremities.
1100: Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the umbilicus.
Large amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client
reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+. Peripheral edema 1+ in bilateral lower
extremities.
© 2025 | ATI RN Maternal Newborn Proctored Exam | Updated 2025–2026 | Pass Guaranteed
, ATI RN Maternal Newborn Proctored Exam with NGN: 70 Questions with Answers & Rationales
✓ Lateral deviation of the uterus
✓ Deep tendon reflexes 1+
✓ Pain rating of 3 on a scale of 0 to 10 (Increased)
○ Uterine tone soft
○ Large amount of lochia rubra
○ Blood pressure 136/86 mm Hg
○ Breasts soft
Rationale: Lateral deviation of the uterus suggests a full bladder preventing uterine
contraction — this requires immediate bladder emptying to prevent postpartum
hemorrhage. DTRs 1+ (decreased from normal 2+) alongside uterine soft and lateral
CORRECT deviation creates concern for developing complications. Increased pain rating with
Answer: A, B, C uterine changes also requires follow-up. A soft, boggy uterus above the umbilicus with
large lochia rubra and lateral deviation together indicate uterine atony and possible
hemorrhage. Uterine tone soft is also significant — these three findings together require
immediate action.
Question: 4 of 70
A nurse is caring for a client who is 4 hr postpartum and has a deep vein thrombosis. Complete the following
sentence by using the list of options: The nurse is teaching the client about postpartum depression. The nurse
should encourage the client to maintain a ___ and exercise 30 min per day to help prevent postpartum
depression.
Exhibit 2 – Vital Signs
0930:
Temperature 37°C (98.6°F)
Pulse rate 78/min
Respiratory rate 12/min
Blood pressure 124/80 mm Hg
Pulse oximetry 100%
✓ set schedule
© 2025 | ATI RN Maternal Newborn Proctored Exam | Updated 2025–2026 | Pass Guaranteed
ATI RN Maternal Newborn Proctored Exam Package with ATI RN Maternal Newborn Exam,
ATI RN Maternal Newborn Online Practice Exam and ATI RN Maternal Newborn Dosage
Calculation
ATI RN MATERNAL NEWBORN
PROCTORED EXAM WITH NGN
70 Questions with Answers & Rationales
✓ 70 NGN-Style Questions ✓ Updated 2025/2026
✓ Complete Answers ✓ Pass Guaranteed
✓ Detailed Rationales ✓ RN Maternal Newborn 2023
Adjusted Individual Score: 98.0% | Total Points: 141 | Time Spent: 59:20
© 2025 | ATI RN Maternal Newborn Proctored Exam | Updated 2025–2026 | Pass Guaranteed
,ATI RN Maternal Newborn Proctored Exam with NGN: 70 Questions with Answers & Rationales
ATI RN Maternal Newborn Proctored Exam with NGN 70 Questions and
Answers
RN Maternal Newborn 2023 | Proctored Assessment
Question: 1 of 70
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for
misoprostol. The nurse is assessing the client 30 min later. How should the nurse interpret the findings? For each
finding, click to specify whether the finding is unrelated to the diagnosis, an indication of potential improvement,
or an indication of worsening condition.
Exhibit 2 – Medical History
Preeclampsia
Cesarean birth of viable twin male newborns
Findings Unrelated to Indication of potential Indication of worsening
diagnosis improvement condition
Fundus at level of umbilicus ✓
Cloudy urine ✓
Blood pressure 80/50 mm Hg ✓
Moderate lochia rubra ✓
Thready pulse ✓
Rationale: Fundus at the umbilicus and moderate lochia rubra indicate improvement in
hemorrhage control. Blood pressure 80/50 is an indication of improvement from severe
CORRECT
hemorrhage (the uterus is contracting). Cloudy urine and a thready pulse indicate
Answer: See
worsening: cloudy urine suggests possible infection or renal compromise, and a thready
matrix
pulse indicates ongoing hemodynamic instability. Misoprostol (a prostaglandin) causes
uterine contractions to control postpartum hemorrhage.
Question: 2 of 70
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old. Which of the following
findings should the nurse report to the provider? Select all that apply.
Exhibit 2 – Physical Examination
Fontanels soft and flat
Head molded with caput succedaneum
Eyes symmetric, no discharge, sclera yellow
Mucous membranes dry
© 2025 | ATI RN Maternal Newborn Proctored Exam | Updated 2025–2026 | Pass Guaranteed
,ATI RN Maternal Newborn Proctored Exam with NGN: 70 Questions with Answers & Rationales
Abdomen soft and rounded, bowel sounds present x 4 quadrants
○ Coombs test result
✓ Mucous membrane assessment
✓ Intake and output
○ Respiratory rate
○ Head assessment finding
○ Heart rate
○ Sclera color
○ Glucose level
Rationale: Dry mucous membranes at 36 hours indicate inadequate hydration and
feeding, requiring provider notification. Intake and output must be reported — a
CORRECT newborn should have wet diapers by 24 hours and adequate feeding. Sclera yellow at 36
Answer: B, C hr is concerning for pathologic jaundice but was not marked correct per the screenshot.
Caput succedaneum is a normal newborn finding. Coombs test is a routine blood type
screen — result alone without context does not require urgent reporting.
Question: 3 of 70
A nurse is assessing a postpartum client who delivered vaginally 8 hr ago. Select the 3 findings that require
immediate follow-up.
Exhibit 1 – Nurses' Notes
0700: Breasts soft, nipples intact. Uterus palpated firm, midline, at level of umbilicus. Moderate amount of
lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 2 on a
scale of 0 to 10. Able to void spontaneously; no bladder distention. Deep tendon reflexes 1+. Peripheral edema
2+ in bilateral lower extremities.
1100: Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the umbilicus.
Large amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client
reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+. Peripheral edema 1+ in bilateral lower
extremities.
© 2025 | ATI RN Maternal Newborn Proctored Exam | Updated 2025–2026 | Pass Guaranteed
, ATI RN Maternal Newborn Proctored Exam with NGN: 70 Questions with Answers & Rationales
✓ Lateral deviation of the uterus
✓ Deep tendon reflexes 1+
✓ Pain rating of 3 on a scale of 0 to 10 (Increased)
○ Uterine tone soft
○ Large amount of lochia rubra
○ Blood pressure 136/86 mm Hg
○ Breasts soft
Rationale: Lateral deviation of the uterus suggests a full bladder preventing uterine
contraction — this requires immediate bladder emptying to prevent postpartum
hemorrhage. DTRs 1+ (decreased from normal 2+) alongside uterine soft and lateral
CORRECT deviation creates concern for developing complications. Increased pain rating with
Answer: A, B, C uterine changes also requires follow-up. A soft, boggy uterus above the umbilicus with
large lochia rubra and lateral deviation together indicate uterine atony and possible
hemorrhage. Uterine tone soft is also significant — these three findings together require
immediate action.
Question: 4 of 70
A nurse is caring for a client who is 4 hr postpartum and has a deep vein thrombosis. Complete the following
sentence by using the list of options: The nurse is teaching the client about postpartum depression. The nurse
should encourage the client to maintain a ___ and exercise 30 min per day to help prevent postpartum
depression.
Exhibit 2 – Vital Signs
0930:
Temperature 37°C (98.6°F)
Pulse rate 78/min
Respiratory rate 12/min
Blood pressure 124/80 mm Hg
Pulse oximetry 100%
✓ set schedule
© 2025 | ATI RN Maternal Newborn Proctored Exam | Updated 2025–2026 | Pass Guaranteed
