NGN ATI RN MATERNAL NEWBORN EXAM / ATI RN MATERNAL NEWBORN
PROCTORED EXAM 2026 WITH NGN COMPLETE ACCURATE EXAM ACTUAL
QUESTIONS AND CORRECT DETAILED SOLUTIONS WITH RATIONALES (100%
EXPERT VERIFIED ANSWERS) LATEST UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |FULL REVISED RN ATI MATERNAL NEWBORN
PROCTORED EXAM
1. A nurse is assessing a client who is at 34 weeks of gestation and reports a headache and blurred
vision. The client’s blood pressure is 160/110 mm Hg; urine dipstick shows 3+ protein. Which of the
following actions should the nurse take first?
A. Administer labetalol as prescribed.
B. Place the client in a left lateral position.
C. Obtain a baseline fetal heart rate.
D. Prepare for magnesium sulfate infusion.
**B. Place the client in a left lateral position. CORRECT ANSWER**
Rationale: The client is exhibiting signs of severe preeclampsia. The priority action is to improve
uteroplacental perfusion and reduce blood pressure by placing the client in a left lateral position. This
position enhances venous return and cardiac output. After positioning, the nurse can then administer
antihypertensive, assess fetal status, and prepare magnesium sulfate.
2. A nurse is teaching a new mother about breastfeeding. Which of the following statements by the
mother indicates an understanding of the teaching?
A. "I should feed my baby every 4 hours around the clock."
B. "I will avoid feeding if my breasts feel engorged."
C. "My baby will feed about 8 to 12 times in 24 hours."
D. "I need to supplement with water between feedings."
**C. "My baby will feed about 8 to 12 times in 24 hours." CORRECT ANSWER**
Rationale: Newborns typically breastfeed 8 to 12 times per 24 hours, which supports adequate nutrition,
hydration, and milk supply. Feeding every 4 hours is too infrequent. Engorgement indicates a need to
feed more often. Supplementation with water is unnecessary and can interfere with breastfeeding.
3. A nurse is caring for a client who is in active labor and has an external fetal monitor. The nurse notes
late decelerations. Which of the following actions should the nurse take?
,A. Increase the rate of oxytocin infusion.
B. Position the client on her left side.
C. Administer an opioid analgesic.
D. Prepare for an immediate amnioinfusion.
**B. Position the client on her left side. CORRECT ANSWER**
Rationale: Late decelerations indicate uteroplacental insufficiency. The first action is to increase
placental perfusion by turning the client onto her left side. The nurse should also discontinue oxytocin if
infusing, administer oxygen, and increase IV fluids. Opioids are not indicated and may worsen fetal
depression.
4. A nurse is assessing a newborn who was born 2 hours ago. The newborn’s respiratory rate is 68/min,
with nasal flaring and grunting. Which of the following actions should the nurse take first?
A. Place the newborn under a radiant warmer.
B. Suction the newborn’s airway.
C. Notify the provider.
D. Administer oxygen via nasal cannula.
**C. Notify the provider. CORRECT ANSWER**
Rationale: A respiratory rate of 68/min with nasal flaring and grunting indicates respiratory distress. The
nurse should first notify the provider for further evaluation and interventions. While warmth and
suctioning may be needed, the priority is to alert the provider due to the severity of symptoms.
5. A nurse is providing discharge teaching to a client who is postpartum following a cesarean birth.
Which of the following instructions should the nurse include?
A. "Avoid climbing stairs for 6 weeks."
B. "You can resume sexual intercourse in 2 weeks."
C. "Do not lift anything heavier than your baby for 2 weeks."
D. "Expect your incision to drain small amounts of yellow fluid."
**C. "Do not lift anything heavier than your baby for 2 weeks." CORRECT ANSWER**
Rationale: After cesarean birth, clients should avoid lifting more than the weight of the baby (about 10
pounds) for 2 weeks to prevent strain on the incision. Stair climbing is usually allowed with caution.
Sexual intercourse is typically delayed until 6 weeks postpartum. Incisional drainage is abnormal and
should be reported.
, 6. A nurse is reviewing laboratory results for a client who is at 38 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse report to the provider?
A. Platelet count 100,000/mm³
B. Hemoglobin 12 g/ld.
C. White blood cell count 12,000/mm³
D. Fibrinogen 400 mg/ld.
**A. Platelet count 100,000/mm³ CORRECT ANSWER**
Rationale: In preeclampsia, a platelet count below 100,000/mm³ suggests HELLP syndrome (hemolysis,
elevated liver enzymes, low platelets). This is a severe complication requiring immediate intervention.
Hemoglobin of 12 g/ld. is normal in third trimester. WBC 12,000/mm³ is slightly elevated but common in
pregnancy. Fibrinogen normally increases in pregnancy.
7. A nurse is assessing a client who is receiving magnesium sulfate for severe preeclampsia. Which of the
following findings indicates magnesium toxicity?
A. Respiratory rate 16/min
B. Urinary output 40 mL/hr.
C. Deep tendon reflexes 2+
D. Absent patellar reflex
**D. Absent patellar reflex CORRECT ANSWER**
Rationale: Magnesium toxicity causes loss of deep tendon reflexes (areflexia), followed by respiratory
depression and cardiac arrest. Respiratory rate of 16/min is normal. Urinary output of 40 mL/hr. is
acceptable. Reflexes 2+ are normal. The nurse should monitor reflexes hourly and have calcium
gluconate available as an antidote.
8. A nurse is teaching a client who is at 12 weeks of gestation about expected physical changes. Which of
the following statements by the client indicates an understanding?
A. "I can expect my heartburn to get better as I get further along."
B. "I will probably notice a decrease in vaginal discharge."
C. "I might develop dark spots on my skin."
D. "I should be concerned if my feet swell."
**C. "I might develop dark spots on my skin." CORRECT ANSWER**
PROCTORED EXAM 2026 WITH NGN COMPLETE ACCURATE EXAM ACTUAL
QUESTIONS AND CORRECT DETAILED SOLUTIONS WITH RATIONALES (100%
EXPERT VERIFIED ANSWERS) LATEST UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |FULL REVISED RN ATI MATERNAL NEWBORN
PROCTORED EXAM
1. A nurse is assessing a client who is at 34 weeks of gestation and reports a headache and blurred
vision. The client’s blood pressure is 160/110 mm Hg; urine dipstick shows 3+ protein. Which of the
following actions should the nurse take first?
A. Administer labetalol as prescribed.
B. Place the client in a left lateral position.
C. Obtain a baseline fetal heart rate.
D. Prepare for magnesium sulfate infusion.
**B. Place the client in a left lateral position. CORRECT ANSWER**
Rationale: The client is exhibiting signs of severe preeclampsia. The priority action is to improve
uteroplacental perfusion and reduce blood pressure by placing the client in a left lateral position. This
position enhances venous return and cardiac output. After positioning, the nurse can then administer
antihypertensive, assess fetal status, and prepare magnesium sulfate.
2. A nurse is teaching a new mother about breastfeeding. Which of the following statements by the
mother indicates an understanding of the teaching?
A. "I should feed my baby every 4 hours around the clock."
B. "I will avoid feeding if my breasts feel engorged."
C. "My baby will feed about 8 to 12 times in 24 hours."
D. "I need to supplement with water between feedings."
**C. "My baby will feed about 8 to 12 times in 24 hours." CORRECT ANSWER**
Rationale: Newborns typically breastfeed 8 to 12 times per 24 hours, which supports adequate nutrition,
hydration, and milk supply. Feeding every 4 hours is too infrequent. Engorgement indicates a need to
feed more often. Supplementation with water is unnecessary and can interfere with breastfeeding.
3. A nurse is caring for a client who is in active labor and has an external fetal monitor. The nurse notes
late decelerations. Which of the following actions should the nurse take?
,A. Increase the rate of oxytocin infusion.
B. Position the client on her left side.
C. Administer an opioid analgesic.
D. Prepare for an immediate amnioinfusion.
**B. Position the client on her left side. CORRECT ANSWER**
Rationale: Late decelerations indicate uteroplacental insufficiency. The first action is to increase
placental perfusion by turning the client onto her left side. The nurse should also discontinue oxytocin if
infusing, administer oxygen, and increase IV fluids. Opioids are not indicated and may worsen fetal
depression.
4. A nurse is assessing a newborn who was born 2 hours ago. The newborn’s respiratory rate is 68/min,
with nasal flaring and grunting. Which of the following actions should the nurse take first?
A. Place the newborn under a radiant warmer.
B. Suction the newborn’s airway.
C. Notify the provider.
D. Administer oxygen via nasal cannula.
**C. Notify the provider. CORRECT ANSWER**
Rationale: A respiratory rate of 68/min with nasal flaring and grunting indicates respiratory distress. The
nurse should first notify the provider for further evaluation and interventions. While warmth and
suctioning may be needed, the priority is to alert the provider due to the severity of symptoms.
5. A nurse is providing discharge teaching to a client who is postpartum following a cesarean birth.
Which of the following instructions should the nurse include?
A. "Avoid climbing stairs for 6 weeks."
B. "You can resume sexual intercourse in 2 weeks."
C. "Do not lift anything heavier than your baby for 2 weeks."
D. "Expect your incision to drain small amounts of yellow fluid."
**C. "Do not lift anything heavier than your baby for 2 weeks." CORRECT ANSWER**
Rationale: After cesarean birth, clients should avoid lifting more than the weight of the baby (about 10
pounds) for 2 weeks to prevent strain on the incision. Stair climbing is usually allowed with caution.
Sexual intercourse is typically delayed until 6 weeks postpartum. Incisional drainage is abnormal and
should be reported.
, 6. A nurse is reviewing laboratory results for a client who is at 38 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse report to the provider?
A. Platelet count 100,000/mm³
B. Hemoglobin 12 g/ld.
C. White blood cell count 12,000/mm³
D. Fibrinogen 400 mg/ld.
**A. Platelet count 100,000/mm³ CORRECT ANSWER**
Rationale: In preeclampsia, a platelet count below 100,000/mm³ suggests HELLP syndrome (hemolysis,
elevated liver enzymes, low platelets). This is a severe complication requiring immediate intervention.
Hemoglobin of 12 g/ld. is normal in third trimester. WBC 12,000/mm³ is slightly elevated but common in
pregnancy. Fibrinogen normally increases in pregnancy.
7. A nurse is assessing a client who is receiving magnesium sulfate for severe preeclampsia. Which of the
following findings indicates magnesium toxicity?
A. Respiratory rate 16/min
B. Urinary output 40 mL/hr.
C. Deep tendon reflexes 2+
D. Absent patellar reflex
**D. Absent patellar reflex CORRECT ANSWER**
Rationale: Magnesium toxicity causes loss of deep tendon reflexes (areflexia), followed by respiratory
depression and cardiac arrest. Respiratory rate of 16/min is normal. Urinary output of 40 mL/hr. is
acceptable. Reflexes 2+ are normal. The nurse should monitor reflexes hourly and have calcium
gluconate available as an antidote.
8. A nurse is teaching a client who is at 12 weeks of gestation about expected physical changes. Which of
the following statements by the client indicates an understanding?
A. "I can expect my heartburn to get better as I get further along."
B. "I will probably notice a decrease in vaginal discharge."
C. "I might develop dark spots on my skin."
D. "I should be concerned if my feet swell."
**C. "I might develop dark spots on my skin." CORRECT ANSWER**
