ATI Maternal Newborn Proctored Exam NGN [2026/2027]
Latest Update | Verified Questions, Correct Answers &
Detailed Rationales 130+Questions.
Section 1: Antepartum Care
1. A nurse is assessing a client at 12 weeks gestation. Which of the following findings
should the nurse report to the provider?
• A. Heartburn after meals
• B. Brownish vaginal discharge
• C. Frequent urination
• D. Breast tenderness
Correct Answer: B
Rationale: Brownish discharge may indicate old blood, possibly from subchorionic
hematoma or impending miscarriage. Heartburn, frequent urination, and breast tenderness
are common first-trimester discomforts.
2. A client at 36 weeks gestation reports a sudden gush of fluid from the vagina. The nurse
notes the fluid is clear and has a fern-like pattern under microscopy. Which of the
following actions should the nurse take first?
• A. Assess fetal heart rate
• B. Perform a sterile speculum exam
• C. Administer corticosteroids
• D. Check cervical dilation
Correct Answer: A
Rationale: The fern test confirms rupture of membranes (ROM). The priority is fetal
,assessment to detect cord compression or prolapse. After assessing FHR, then notify
provider and consider gestational age for steroids.
3. A nurse is teaching a primigravida about signs of preterm labor. Which of the following
should be included? (Select all that apply)
• A. Menstrual-like cramps
• B. Low, dull backache
• C. Increased fetal movement
• D. Pelvic pressure
• E. Diarrhea
Correct Answers: A, B, D, E
Rationale: Preterm labor signs include menstrual-like cramps, backache, pelvic pressure, and
GI changes like diarrhea. Increased fetal movement is not a sign; decreased movement may
indicate distress.
4. A client with gestational diabetes mellitus (GDM) asks why she needs a nonstress test
(NST) at 32 weeks. Which response is correct?
• A. "To measure your baby's lung maturity"
• B. "To check for fetal anemia"
• C. "To evaluate fetal well-being and oxygenation"
• D. "To determine the baby's position"
Correct Answer: C
Rationale: NST assesses fetal heart rate reactivity to movement, indicating adequate
oxygenation and autonomic nervous system function. GDM increases risk of placental
insufficiency.
, 5. A nurse is reviewing laboratory results for a client at 24 weeks gestation. Which finding
requires immediate intervention?
• A. Hemoglobin 11 g/dL
• B. Platelets 140,000/mm³
• C. Urine dipstick: 3+ protein
• D. Blood glucose 95 mg/dL
Correct Answer: C
Rationale: 3+ protein may indicate preeclampsia, especially at 24 weeks (early onset).
Platelets are slightly low but not critical; hemoglobin is normal for pregnancy; glucose is
normal.
6. A nurse is providing education about Rho(D) immune globulin. At which time is it
indicated?
• A. After amniocentesis
• B. At 28 weeks for Rh-negative mothers
• C. Within 72 hours of delivery of an Rh-positive infant
• D. All of the above
Correct Answer: D
Rationale: RhoGAM is given at 28 weeks, after any potential sensitizing event
(amniocentesis, abortion, trauma), and within 72 hours of delivery if infant is Rh-positive.
7. A client with hyperemesis gravidarum has a urine ketone level of 3+. Which
complication is the priority?
• A. Metabolic alkalosis
• B. Dehydration and electrolyte imbalance
Latest Update | Verified Questions, Correct Answers &
Detailed Rationales 130+Questions.
Section 1: Antepartum Care
1. A nurse is assessing a client at 12 weeks gestation. Which of the following findings
should the nurse report to the provider?
• A. Heartburn after meals
• B. Brownish vaginal discharge
• C. Frequent urination
• D. Breast tenderness
Correct Answer: B
Rationale: Brownish discharge may indicate old blood, possibly from subchorionic
hematoma or impending miscarriage. Heartburn, frequent urination, and breast tenderness
are common first-trimester discomforts.
2. A client at 36 weeks gestation reports a sudden gush of fluid from the vagina. The nurse
notes the fluid is clear and has a fern-like pattern under microscopy. Which of the
following actions should the nurse take first?
• A. Assess fetal heart rate
• B. Perform a sterile speculum exam
• C. Administer corticosteroids
• D. Check cervical dilation
Correct Answer: A
Rationale: The fern test confirms rupture of membranes (ROM). The priority is fetal
,assessment to detect cord compression or prolapse. After assessing FHR, then notify
provider and consider gestational age for steroids.
3. A nurse is teaching a primigravida about signs of preterm labor. Which of the following
should be included? (Select all that apply)
• A. Menstrual-like cramps
• B. Low, dull backache
• C. Increased fetal movement
• D. Pelvic pressure
• E. Diarrhea
Correct Answers: A, B, D, E
Rationale: Preterm labor signs include menstrual-like cramps, backache, pelvic pressure, and
GI changes like diarrhea. Increased fetal movement is not a sign; decreased movement may
indicate distress.
4. A client with gestational diabetes mellitus (GDM) asks why she needs a nonstress test
(NST) at 32 weeks. Which response is correct?
• A. "To measure your baby's lung maturity"
• B. "To check for fetal anemia"
• C. "To evaluate fetal well-being and oxygenation"
• D. "To determine the baby's position"
Correct Answer: C
Rationale: NST assesses fetal heart rate reactivity to movement, indicating adequate
oxygenation and autonomic nervous system function. GDM increases risk of placental
insufficiency.
, 5. A nurse is reviewing laboratory results for a client at 24 weeks gestation. Which finding
requires immediate intervention?
• A. Hemoglobin 11 g/dL
• B. Platelets 140,000/mm³
• C. Urine dipstick: 3+ protein
• D. Blood glucose 95 mg/dL
Correct Answer: C
Rationale: 3+ protein may indicate preeclampsia, especially at 24 weeks (early onset).
Platelets are slightly low but not critical; hemoglobin is normal for pregnancy; glucose is
normal.
6. A nurse is providing education about Rho(D) immune globulin. At which time is it
indicated?
• A. After amniocentesis
• B. At 28 weeks for Rh-negative mothers
• C. Within 72 hours of delivery of an Rh-positive infant
• D. All of the above
Correct Answer: D
Rationale: RhoGAM is given at 28 weeks, after any potential sensitizing event
(amniocentesis, abortion, trauma), and within 72 hours of delivery if infant is Rh-positive.
7. A client with hyperemesis gravidarum has a urine ketone level of 3+. Which
complication is the priority?
• A. Metabolic alkalosis
• B. Dehydration and electrolyte imbalance
