ATI RN Maternal Newborn Proctored Exam 2026 | NGN 90 Questions and answers with Detailed Rationale s

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ATI RN Maternal Newborn Proctored Exam 2026 | NGN

90 Questions and answers with Detailed Rationale s




Question k,1

A k,nurse k,is k,caring k,for k,a k,client k,in k,active k,labor k,who k,is k,receiving k,oxytocin k,to k,augment

contractions. k,The k,fetal k,heart k,monitor k,reveals k,late k,decelerations k,with k,each k,contraction.
k,




k, What k,is k,the k,nurse’s k,priority k,action?


A. Stop k,the k,oxytocin k,infusion

B. Reposition k,the k,client k,to k,left k,lateral k,position

C. Administer k,oxygen k,via k,face k,mask k,at k,10 k,L/min

D. Increase k,IV k,fluids

E. Notify k,the k,healthcare k,provider


Correct k,Answer: k,A. k,Stop k,the k,oxytocin k,infusion

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Rationale k,: k,Late k,decelerations k,indicate k,uteroplacental k,insufficiency, k,and k,oxytocin k,may

be k,causing k,excessive k,uterine k,contractions k,that k,compromise k,fetal k,oxygenation. k,The
k,




k, priority k,is k,to k,stop k,the k,oxytocin k,to k,reduce k,contraction k,frequency k,and k,allow k,for k,fetal

k, recovery. k,While k,other k,interventions k,are k,also k,important k,(repositioning, k,oxygen,

k, fluids), k,stopping k,oxytocin k,directly k,addresses k,the k,underlying k,cause k,first. k,Once

k, contractions k,decrease, k,secondary k,interventions k,and k,provider k,notification k,can k,follow.

k, (ATI k,Maternal k,Newborn k,Review, k,2025)




Question k,2

A k,postpartum k,nurse k,is k,assessing k,a k,client k,1 k,hour k,after k,vaginal k,delivery. k,The k,fundus

k, is k,firm k,and k,midline, k,but k,the k,perineal k,pad k,is k,saturated k,within k,15 k,minutes. k,What k,is k,the

k, nurse’s k,next k,action?


A. Document k,findings k,and k,continue k,to k,monitor

B. Massage k,the k,fundus k,to k,stimulate k,contractions

C. Apply k,an k,ice k,pack k,to k,the k,perineum

D. Notify k,the k,provider k,immediately

E. Assess k,for k,a k,vaginal k,or k,perineal k,laceration


Correct k,Answer: k,E. k,Assess k,for k,a k,vaginal k,or k,perineal k,laceration


Rationale k,: k,A k,firm k,and k,midline k,uterus k,suggests k,that k,uterine k,atony k,is k,not k,the k,cause

k, of k,bleeding. k,Continued k,heavy k,bleeding k,despite k,a k,firm k,fundus k,points k,to k,a k,laceration k,of

the k,birth k,canal k,as k,the k,source. k,The k,nurse k,should k,assess k,for k,signs k,of k,a k,vaginal k,or
k,




k, perineal

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laceration. k,Massaging k,the k,fundus k,would k,not k,address k,this k,issue, k,and k,provider

notification k,comes k,after k,identifying k,the k,cause. k,(ATI k,Maternal k,Newborn,
k,




k, Hemorrhage, k,2025)




Question k,3

A k,nurse k,is k,caring k,for k,a k,newborn k,immediately k,after k,delivery. k,Which k,of k,the k,following

k, findings k,requires k,immediate k,intervention?


A. Respiratory k,rate k,of k,60/min

B. Acrocyanosis

C. Grunting k,and k,nasal k,flaring

D. Positive k,Babinski k,reflex

E. Heart k,rate k,of k,140 k,bpm


Correct k,Answer: k,C. k,Grunting k,and k,nasal k,flaring


Rationale k,: k,Grunting k,and k,nasal k,flaring k,are k,signs k,of k,respiratory k,distress k,and k,may

k, indicate k,underlying k,conditions k,like k,transient k,tachypnea k,of k,the k,newborn k,(TTN) k,or

k, meconium k,aspiration. k,These k,symptoms k,require k,prompt k,evaluation k,and k,possible

k, respiratory k,support. k,Acrocyanosis k,is k,normal k,in k,the k,first k,24–48 k,hours. k,A k,heart k,rate k,of

140 k,and k,positive k,Babinski k,are k,expected. k,(ATI k,Newborn k,Complications, k,2025)
k,




Question k,4

A k,nurse k,is k,reviewing k,discharge k,teaching k,with k,a k,client k,who k,had k,a k,cesarean k,birth. k,Which

k, statement k,indicates k,a k,need k,for k,further k,teaching?

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A. "I k,will k,avoid k,lifting k,anything k,heavier k,than k,my k,baby."

B. "I k,can k,take k,ibuprofen k,as k,needed k,for k,pain."

C. "I k,will k,take k,showers k,instead k,of k,baths k,until k,my k,incision k,heals."

D. "I k,will k,resume k,sexual k,activity k,as k,soon k,as k,the k,bleeding k,stops."

E. "I k,will k,notify k,the k,provider k,if k,my k,incision k,becomes k,red k,or k,swollen."


Correct k,Answer: k,D. k,"I k,will k,resume k,sexual k,activity k,as k,soon k,as k,the k,bleeding k,stops."


Rationale k,: k,Resuming k,sexual k,activity k,is k,not k,recommended k,until k,at k,least k,4–6 k,weeks

k, postpartum, k,or k,when k,cleared k,by k,the k,provider, k,even k,if k,bleeding k,has k,stopped.

k, Engaging k,in k,intercourse k,too k,early k,increases k,the k,risk k,of k,infection k,and k,poor k,healing.

k, The k,other k,statements k,demonstrate k,appropriate k,understanding k,of k,postpartum k,recovery

and k,cesarean k,wound k,care. k,(ATI k,Postpartum k,Complications, k,2025)
k,




Question k,5

A k,nurse k,is k,caring k,for k,a k,client k,at k,30 k,weeks’ k,gestation k,who k,reports k,headache k,and

k, blurred k,vision. k,BP k,is k,158/98 k,mmHg. k,Which k,medication k,should k,the k,nurse k,expect k,to

administer?
k,




A. Nifedipine

B. Oxytocin

C. Terbutaline

D. Misoprostol

E. Magnesium k,sulfate


Correct k,Answer: k,E. k,Magnesium k,sulfate