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ATI MATERNAL NEWBORN PROCTORED EXAM
2026 – RECENTLY UPDATED STUDY GUIDE
RATED A+ | HIGH-YIELD CONTENT | 100+
PRACTICE QUESTIONS & RATIONALES
TABLE OF CONTENTS
| Section | Topic | Pages |
|---------|-------|-------|
| 1 | Antepartum (Prenatal Care) | 4 |
| 2 | Intrapartum (Labor & Delivery) | 5 |
| 3 | Postpartum (Maternal Recovery) | 4 |
| 4 | Newborn Care (First 24 hours – discharge) | 5 |
| 5 | High-Risk Pregnancy Complications | 4 |
| 6 | Newborn Complications | 4 |
| 7 | Pharmacology in Maternal-Newborn Nursing | 3 |
| 8 | 100+ Practice Questions with Rationales | 10 |
| 9 | Test-Taking Strategies & Tips | 2 |
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## SECTION 1 – ANTEPARTUM (PRENATAL CARE)
### Key Terms & Concepts
| Term | Definition |
|------|-------------|
| **Gravida** | Number of pregnancies (including current) |
| **Para** | Number of pregnancies that reached 20 weeks (regardless of
outcome) |
| **TPAL** | Term (≥37 weeks), Preterm (20–36.6 weeks), Abortions
(<20 weeks), Living children |
| **EDD (Nägele’s rule)** | LMP – 3 months + 7 days |
| **Fundal height (cm)** | ≈ weeks gestation (18–32 weeks) |
### Prenatal Visits Schedule
| Gestation | Frequency |
|-----------|-----------|
| 4–28 weeks | Every 4 weeks |
| 28–36 weeks | Every 2 weeks |
| 36–birth | Every week |
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### Routine Prenatal Labs
| Test | Timing | Purpose |
|------|--------|---------|
| Blood type & Rh | First visit | Identify Rh-negative (need RhoGAM) |
| CBC | First visit, 24–28 weeks | Anemia, platelets |
| Urine culture | First visit | Asymptomatic bacteriuria |
| HIV, HBsAg, RPR | First visit | Screen for infections |
| Glucose tolerance test (GTT) | 24–28 weeks | Gestational diabetes |
| GBS culture | 35–37 weeks | Group B strep (prophylaxis in labor) |
### Signs of Pregnancy
| Type | Examples |
|------|----------|
| **Presumptive** (subjective) | Amenorrhea, nausea, breast tenderness,
fatigue, urinary frequency |
| **Probable** (objective) | Goodell’s sign (cervical softening),
Chadwick’s sign (bluish cervix), Hegar’s sign (uterine softening),
positive pregnancy test |
| **Positive** (definitive) | Fetal heartbeat (Doppler at 10–12 weeks),
fetal movement felt by examiner, ultrasound visualization |
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### Discomforts of Pregnancy & Interventions
| Discomfort | Intervention |
|------------|--------------|
| Nausea/vomiting | Small, frequent meals; dry crackers before rising;
avoid triggers |
| Heartburn | Avoid lying down after meals; small meals; antacids (avoid
NaHCO3) |
| Constipation | Increase fluids, fiber; exercise; stool softeners (docusate)
|
| Hemorrhoids | Warm sitz baths; stool softeners; avoid straining |
| Backache | Pelvic tilt exercises; supportive shoes; proper lifting |
| Leg cramps | Dorsiflex foot; calcium/magnesium; avoid pointing toes |
| Varicose veins | Elevate legs; compression stockings; avoid prolonged
standing |
| Supine hypotension | Avoid supine position; turn to left side (increases
venous return) |
### Danger Signs in Pregnancy (Bleeding, headache, etc.)
**Remember: “P – A – R – T – B”**
- **P**ain (abdominal or chest)
- **A**bsence of fetal movement (after 28 weeks, <10 kicks/2 hours)
ATI MATERNAL NEWBORN PROCTORED EXAM
2026 – RECENTLY UPDATED STUDY GUIDE
RATED A+ | HIGH-YIELD CONTENT | 100+
PRACTICE QUESTIONS & RATIONALES
TABLE OF CONTENTS
| Section | Topic | Pages |
|---------|-------|-------|
| 1 | Antepartum (Prenatal Care) | 4 |
| 2 | Intrapartum (Labor & Delivery) | 5 |
| 3 | Postpartum (Maternal Recovery) | 4 |
| 4 | Newborn Care (First 24 hours – discharge) | 5 |
| 5 | High-Risk Pregnancy Complications | 4 |
| 6 | Newborn Complications | 4 |
| 7 | Pharmacology in Maternal-Newborn Nursing | 3 |
| 8 | 100+ Practice Questions with Rationales | 10 |
| 9 | Test-Taking Strategies & Tips | 2 |
,2|Page
## SECTION 1 – ANTEPARTUM (PRENATAL CARE)
### Key Terms & Concepts
| Term | Definition |
|------|-------------|
| **Gravida** | Number of pregnancies (including current) |
| **Para** | Number of pregnancies that reached 20 weeks (regardless of
outcome) |
| **TPAL** | Term (≥37 weeks), Preterm (20–36.6 weeks), Abortions
(<20 weeks), Living children |
| **EDD (Nägele’s rule)** | LMP – 3 months + 7 days |
| **Fundal height (cm)** | ≈ weeks gestation (18–32 weeks) |
### Prenatal Visits Schedule
| Gestation | Frequency |
|-----------|-----------|
| 4–28 weeks | Every 4 weeks |
| 28–36 weeks | Every 2 weeks |
| 36–birth | Every week |
,3|Page
### Routine Prenatal Labs
| Test | Timing | Purpose |
|------|--------|---------|
| Blood type & Rh | First visit | Identify Rh-negative (need RhoGAM) |
| CBC | First visit, 24–28 weeks | Anemia, platelets |
| Urine culture | First visit | Asymptomatic bacteriuria |
| HIV, HBsAg, RPR | First visit | Screen for infections |
| Glucose tolerance test (GTT) | 24–28 weeks | Gestational diabetes |
| GBS culture | 35–37 weeks | Group B strep (prophylaxis in labor) |
### Signs of Pregnancy
| Type | Examples |
|------|----------|
| **Presumptive** (subjective) | Amenorrhea, nausea, breast tenderness,
fatigue, urinary frequency |
| **Probable** (objective) | Goodell’s sign (cervical softening),
Chadwick’s sign (bluish cervix), Hegar’s sign (uterine softening),
positive pregnancy test |
| **Positive** (definitive) | Fetal heartbeat (Doppler at 10–12 weeks),
fetal movement felt by examiner, ultrasound visualization |
, 4|Page
### Discomforts of Pregnancy & Interventions
| Discomfort | Intervention |
|------------|--------------|
| Nausea/vomiting | Small, frequent meals; dry crackers before rising;
avoid triggers |
| Heartburn | Avoid lying down after meals; small meals; antacids (avoid
NaHCO3) |
| Constipation | Increase fluids, fiber; exercise; stool softeners (docusate)
|
| Hemorrhoids | Warm sitz baths; stool softeners; avoid straining |
| Backache | Pelvic tilt exercises; supportive shoes; proper lifting |
| Leg cramps | Dorsiflex foot; calcium/magnesium; avoid pointing toes |
| Varicose veins | Elevate legs; compression stockings; avoid prolonged
standing |
| Supine hypotension | Avoid supine position; turn to left side (increases
venous return) |
### Danger Signs in Pregnancy (Bleeding, headache, etc.)
**Remember: “P – A – R – T – B”**
- **P**ain (abdominal or chest)
- **A**bsence of fetal movement (after 28 weeks, <10 kicks/2 hours)
