Page 1 of 68
ATI RN MATERNAL-NEWBORN
PROCTORED EXAM – NGN TEST
BANK
2026/2027 EDITION | 100% VERIFIED
QUESTIONS & ANSWERS | GRADE A+
WITH RATIONALES
1. A nurse is caring for a client who is at 38 weeks
of gestation and reports fluid leaking from the
vagina. Which of the following actions should the
nurse take first?
Answer: Check the amniotic fluid with nitrazine
paper.
Rationale: Nitrazine paper turns blue if the fluid is
amniotic fluid (pH > 6.5). This confirms rupture of
membranes.
, Page 2 of 68
2. A nurse is assessing a client who is 12 hours
postpartum and has a boggy uterus. Which of the
following actions should the nurse take?
Answer: Massage the fundus.
Rationale: A boggy uterus indicates uterine atony;
massage helps stimulate contraction to prevent
hemorrhage.
3. A nurse is teaching a client about
nonpharmacological pain management during labor.
Which of the following statements indicates
understanding?
Answer: "I will use slow, deep breathing during
contractions."
Rationale: Slow breathing promotes relaxation and
increases oxygen to the fetus.
4. A nurse is assessing a newborn who is 5 minutes
old. Which of the following findings requires
immediate intervention?
Answer: Grunting respirations.
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Rationale: Grunting indicates respiratory distress;
may be a sign of transient tachypnea or other
pathology.
5. A nurse is administering betamethasone to a client
at 32 weeks of gestation. What is the purpose of this
medication?
Answer: Accelerate fetal lung maturity.
Rationale: Betamethasone is a corticosteroid that
stimulates surfactant production.
6. A nurse is caring for a client who has a
prescription for oxytocin for labor augmentation.
Which of the following findings should prompt the
nurse to stop the infusion?
Answer: Contractions every 1.5 minutes lasting 100
seconds.
Rationale: This indicates uterine tachysystole, which
can lead to fetal distress.
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7. A nurse is teaching a postpartum client about
signs of infection. Which of the following should the
client report to the provider?
Answer: Foul-smelling lochia.
Rationale: Foul odor suggests endometritis or
retained placental fragments.
8. A nurse is assessing a client with preeclampsia
who is receiving magnesium sulfate. Which finding
indicates toxicity?
Answer: Respiratory rate of 10/min.
Rationale: Magnesium toxicity depresses the CNS
and respiratory drive.
9. A nurse is providing discharge teaching to a client
who had a cesarean birth. Which of the following
statements by the client indicates a need for further
teaching?
Answer: "I will lift my toddler into the crib as long
as I don't feel pain."
ATI RN MATERNAL-NEWBORN
PROCTORED EXAM – NGN TEST
BANK
2026/2027 EDITION | 100% VERIFIED
QUESTIONS & ANSWERS | GRADE A+
WITH RATIONALES
1. A nurse is caring for a client who is at 38 weeks
of gestation and reports fluid leaking from the
vagina. Which of the following actions should the
nurse take first?
Answer: Check the amniotic fluid with nitrazine
paper.
Rationale: Nitrazine paper turns blue if the fluid is
amniotic fluid (pH > 6.5). This confirms rupture of
membranes.
, Page 2 of 68
2. A nurse is assessing a client who is 12 hours
postpartum and has a boggy uterus. Which of the
following actions should the nurse take?
Answer: Massage the fundus.
Rationale: A boggy uterus indicates uterine atony;
massage helps stimulate contraction to prevent
hemorrhage.
3. A nurse is teaching a client about
nonpharmacological pain management during labor.
Which of the following statements indicates
understanding?
Answer: "I will use slow, deep breathing during
contractions."
Rationale: Slow breathing promotes relaxation and
increases oxygen to the fetus.
4. A nurse is assessing a newborn who is 5 minutes
old. Which of the following findings requires
immediate intervention?
Answer: Grunting respirations.
, Page 3 of 68
Rationale: Grunting indicates respiratory distress;
may be a sign of transient tachypnea or other
pathology.
5. A nurse is administering betamethasone to a client
at 32 weeks of gestation. What is the purpose of this
medication?
Answer: Accelerate fetal lung maturity.
Rationale: Betamethasone is a corticosteroid that
stimulates surfactant production.
6. A nurse is caring for a client who has a
prescription for oxytocin for labor augmentation.
Which of the following findings should prompt the
nurse to stop the infusion?
Answer: Contractions every 1.5 minutes lasting 100
seconds.
Rationale: This indicates uterine tachysystole, which
can lead to fetal distress.
, Page 4 of 68
7. A nurse is teaching a postpartum client about
signs of infection. Which of the following should the
client report to the provider?
Answer: Foul-smelling lochia.
Rationale: Foul odor suggests endometritis or
retained placental fragments.
8. A nurse is assessing a client with preeclampsia
who is receiving magnesium sulfate. Which finding
indicates toxicity?
Answer: Respiratory rate of 10/min.
Rationale: Magnesium toxicity depresses the CNS
and respiratory drive.
9. A nurse is providing discharge teaching to a client
who had a cesarean birth. Which of the following
statements by the client indicates a need for further
teaching?
Answer: "I will lift my toddler into the crib as long
as I don't feel pain."
