ATI RN MATERNAL NEWBORN PROCTORED EXAM (NEXT GENERATION NCLEX®
STYLE) COMPLETE PRACTICE EXAM QUESTIONS AND ANSWERS | VERIFIED
SOLUTIONS | UPDATED 2026/2027 STUDY GUIDE
Examiner/Administrator: Assessment Technologies Institute (ATI)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
ATI RN MATERNAL NEWBORN PROCTORED EXAM
2026/2027 EDITION
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
COMPLETE PRACTICE EXAM
70 MULTIPLE-CHOICE QUESTIONS
PASSING SCORE: 70%
TESTING TIME: 120 MINUTES
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
TABLE OF CONTENTS
Maternal Physiological Adaptations
Antepartum Nursing Care
Fetal Assessment & Monitoring
Labor and Delivery Management
Pain Management During Childbirth
Postpartum Nursing Care
Newborn Assessment
Newborn Complications & High-Risk Conditions
Maternal Complications
Patient Education & Family-Centered Care
ASSESSMENT TECHNOLOGIES INSTITUTE (ATI) || ALIGNED WITH CURRENT NCLEX-RN
TEST PLANS || MATERNAL-NEWBORN NURSING COMPETENCIES || PROFESSIONAL
STUDY GUIDE || 100% VERIFIED EDUCATIONAL CONTENT || COMPREHENSIVE EXAM
,PREPARATION || PREPARED FOR RN PROGRAM SUCCESS || PROFESSIONAL
EXAMINATION USE
Maternal Physiological Adaptations & Antepartum Nursing Care
Q1. A nurse is caring for a client at 10 weeks of gestation who reports fatigue, breast
tenderness, and urinary frequency. Which nursing response is most appropriate?
A. These findings suggest placental insufficiency.
B. These symptoms are expected during early pregnancy.
C. These findings indicate gestational hypertension.
D. These symptoms require immediate evaluation.
Correct Answer: 🔴 B. These symptoms are expected during early pregnancy.
Explanation: 🔹 Fatigue, urinary frequency, and breast tenderness commonly occur
during the first trimester due to hormonal changes and increased blood flow. These
findings are considered normal physiological adaptations. Placental insufficiency
and gestational hypertension are not indicated by these symptoms. Immediate
evaluation is unnecessary unless additional concerning signs are present.
Q2. A pregnant client at 30 weeks' gestation reports lying flat causes dizziness and
nausea. Which condition should the nurse suspect?
A. Hyperemesis gravidarum
B. Supine hypotensive syndrome
C. Placenta previa
D. Preeclampsia
Correct Answer: 🔴 B. Supine hypotensive syndrome
Explanation: 🔹 Supine hypotensive syndrome occurs when the gravid uterus
compresses the inferior vena cava while the client lies flat, reducing venous return
and cardiac output. Symptoms include dizziness, pallor, hypotension, and nausea.
,Turning the client to a lateral position relieves symptoms. The other conditions do
not specifically result from the supine position.
Q3. A nurse is teaching a pregnant client about folic acid. Which statement indicates
understanding?
A. Folic acid prevents postpartum hemorrhage.
B. Folic acid reduces neural tube defects.
C. Folic acid prevents gestational diabetes.
D. Folic acid increases fetal lung maturity.
Correct Answer: 🔴 B. Folic acid reduces neural tube defects.
Explanation: 🔹 Adequate folic acid intake before conception and during early
pregnancy significantly reduces neural tube defects such as spina bifida. It does not
prevent gestational diabetes, postpartum hemorrhage, or directly improve fetal
lung maturity.
Q4. A client at 34 weeks' gestation reports regular uterine contractions that stop
after resting and drinking fluids. The nurse should identify this as:
A. Active labor
B. Braxton Hicks contractions
C. Placental abruption
D. Preterm labor
Correct Answer: 🔴 B. Braxton Hicks contractions
Explanation: 🔹 Braxton Hicks contractions are irregular contractions that decrease
with hydration, rest, or position changes. True labor contractions become stronger,
more regular, and continue despite interventions. Placental abruption presents with
pain and bleeding.
, Q5. A nurse is reviewing laboratory findings for a pregnant client. Which value
requires further evaluation?
A. Hemoglobin 11.5 g/dL
B. Hematocrit 34%
C. Platelets 210,000/mm³
D. Blood pressure 150/96 mm Hg
Correct Answer: 🔴 D. Blood pressure 150/96 mm Hg
Explanation: 🔹 Hypertension during pregnancy may indicate gestational
hypertension or preeclampsia and requires prompt evaluation. Mild decreases in
hemoglobin and hematocrit are expected due to physiologic hemodilution. Platelet
count is normal.
Q6. A nurse is assessing a pregnant client who reports vaginal bleeding without pain
during the third trimester. Which condition is most likely?
A. Placenta previa
B. Uterine rupture
C. Placental abruption
D. Chorioamnionitis
Correct Answer: 🔴 A. Placenta previa
Explanation: 🔹 Placenta previa classically presents with painless bright-red
vaginal bleeding. Placental abruption typically causes painful bleeding with uterine
tenderness. Uterine rupture is a catastrophic emergency associated with severe pain
and fetal distress.
Q7. A nurse should identify which client as having the greatest risk for developing
gestational diabetes?
A. Age 20 with normal BMI
B. Multipara with previous macrosomic infant
STYLE) COMPLETE PRACTICE EXAM QUESTIONS AND ANSWERS | VERIFIED
SOLUTIONS | UPDATED 2026/2027 STUDY GUIDE
Examiner/Administrator: Assessment Technologies Institute (ATI)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
ATI RN MATERNAL NEWBORN PROCTORED EXAM
2026/2027 EDITION
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
COMPLETE PRACTICE EXAM
70 MULTIPLE-CHOICE QUESTIONS
PASSING SCORE: 70%
TESTING TIME: 120 MINUTES
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
TABLE OF CONTENTS
Maternal Physiological Adaptations
Antepartum Nursing Care
Fetal Assessment & Monitoring
Labor and Delivery Management
Pain Management During Childbirth
Postpartum Nursing Care
Newborn Assessment
Newborn Complications & High-Risk Conditions
Maternal Complications
Patient Education & Family-Centered Care
ASSESSMENT TECHNOLOGIES INSTITUTE (ATI) || ALIGNED WITH CURRENT NCLEX-RN
TEST PLANS || MATERNAL-NEWBORN NURSING COMPETENCIES || PROFESSIONAL
STUDY GUIDE || 100% VERIFIED EDUCATIONAL CONTENT || COMPREHENSIVE EXAM
,PREPARATION || PREPARED FOR RN PROGRAM SUCCESS || PROFESSIONAL
EXAMINATION USE
Maternal Physiological Adaptations & Antepartum Nursing Care
Q1. A nurse is caring for a client at 10 weeks of gestation who reports fatigue, breast
tenderness, and urinary frequency. Which nursing response is most appropriate?
A. These findings suggest placental insufficiency.
B. These symptoms are expected during early pregnancy.
C. These findings indicate gestational hypertension.
D. These symptoms require immediate evaluation.
Correct Answer: 🔴 B. These symptoms are expected during early pregnancy.
Explanation: 🔹 Fatigue, urinary frequency, and breast tenderness commonly occur
during the first trimester due to hormonal changes and increased blood flow. These
findings are considered normal physiological adaptations. Placental insufficiency
and gestational hypertension are not indicated by these symptoms. Immediate
evaluation is unnecessary unless additional concerning signs are present.
Q2. A pregnant client at 30 weeks' gestation reports lying flat causes dizziness and
nausea. Which condition should the nurse suspect?
A. Hyperemesis gravidarum
B. Supine hypotensive syndrome
C. Placenta previa
D. Preeclampsia
Correct Answer: 🔴 B. Supine hypotensive syndrome
Explanation: 🔹 Supine hypotensive syndrome occurs when the gravid uterus
compresses the inferior vena cava while the client lies flat, reducing venous return
and cardiac output. Symptoms include dizziness, pallor, hypotension, and nausea.
,Turning the client to a lateral position relieves symptoms. The other conditions do
not specifically result from the supine position.
Q3. A nurse is teaching a pregnant client about folic acid. Which statement indicates
understanding?
A. Folic acid prevents postpartum hemorrhage.
B. Folic acid reduces neural tube defects.
C. Folic acid prevents gestational diabetes.
D. Folic acid increases fetal lung maturity.
Correct Answer: 🔴 B. Folic acid reduces neural tube defects.
Explanation: 🔹 Adequate folic acid intake before conception and during early
pregnancy significantly reduces neural tube defects such as spina bifida. It does not
prevent gestational diabetes, postpartum hemorrhage, or directly improve fetal
lung maturity.
Q4. A client at 34 weeks' gestation reports regular uterine contractions that stop
after resting and drinking fluids. The nurse should identify this as:
A. Active labor
B. Braxton Hicks contractions
C. Placental abruption
D. Preterm labor
Correct Answer: 🔴 B. Braxton Hicks contractions
Explanation: 🔹 Braxton Hicks contractions are irregular contractions that decrease
with hydration, rest, or position changes. True labor contractions become stronger,
more regular, and continue despite interventions. Placental abruption presents with
pain and bleeding.
, Q5. A nurse is reviewing laboratory findings for a pregnant client. Which value
requires further evaluation?
A. Hemoglobin 11.5 g/dL
B. Hematocrit 34%
C. Platelets 210,000/mm³
D. Blood pressure 150/96 mm Hg
Correct Answer: 🔴 D. Blood pressure 150/96 mm Hg
Explanation: 🔹 Hypertension during pregnancy may indicate gestational
hypertension or preeclampsia and requires prompt evaluation. Mild decreases in
hemoglobin and hematocrit are expected due to physiologic hemodilution. Platelet
count is normal.
Q6. A nurse is assessing a pregnant client who reports vaginal bleeding without pain
during the third trimester. Which condition is most likely?
A. Placenta previa
B. Uterine rupture
C. Placental abruption
D. Chorioamnionitis
Correct Answer: 🔴 A. Placenta previa
Explanation: 🔹 Placenta previa classically presents with painless bright-red
vaginal bleeding. Placental abruption typically causes painful bleeding with uterine
tenderness. Uterine rupture is a catastrophic emergency associated with severe pain
and fetal distress.
Q7. A nurse should identify which client as having the greatest risk for developing
gestational diabetes?
A. Age 20 with normal BMI
B. Multipara with previous macrosomic infant
