ATI Maternal Newborn OB Proctored Exam
2025–2026 | 200 Verified Questions + SATA +
NGN Case Study Format | Graded A+
1. A nurse is assessing a postpartum client who is 12 hours post-
delivery. Which of the following findings requires immediate
intervention?
A. Fundus firm and at the level of the umbilicus
B. Moderate lochia rubra with a few clots
C. Saturating a perineal pad every 15 minutes
D. Temperature of 100.4°F (38°C)
✅ Correct Answer: C
🧠 Rationale: Excessive lochia requiring frequent pad changes may
indicate postpartum hemorrhage — this is a priority.
2. A nurse is caring for a newborn who is small for gestational age
(SGA). Which of the following is a common complication?
,A. Hyperthermia
B. Hypoglycemia
C. Polycythemia
D. Hyperbilirubinemia
✅ Correct Answer: B
🧠 Rationale: SGA infants are at risk for hypoglycemia due to
decreased glycogen stores and impaired thermoregulation.
3. A nurse is reinforcing teaching to a client about breastfeeding. Which
of the following statements indicates understanding?
A. “I should feed my baby every 6 hours.”
B. “I will let my baby nurse at least 15 minutes on each breast.”
C. “I should avoid feeding during the night.”
D. “I will supplement with formula after each feeding.”
✅ Correct Answer: B
🧠 Rationale: Breastfeeding should be on demand, and 15 minutes per
breast helps establish supply.
4. A client at 38 weeks gestation is admitted in active labor. The nurse
notes late decelerations on the fetal monitor. What is the priority
,intervention?
A. Increase IV fluids
B. Administer oxytocin
C. Reposition the client to the left side
D. Document findings
✅ Correct Answer: C
🧠 Rationale: Late decelerations indicate uteroplacental insufficiency.
Repositioning improves blood flow to the fetus.
5. A nurse is caring for a newborn immediately after delivery. What is
the priority action?
A. Weigh the newborn
B. Administer Vitamin K
C. Dry the newborn and provide warmth
D. Apply identification bands
✅ Correct Answer: C
🧠 Rationale: Preventing heat loss is a priority during the immediate
transition after birth (Airway, Breathing, Circulation, and Warmth).
6. SATA: A nurse is educating a client about signs of complications
, during pregnancy. Which of the following should be reported
immediately?
✅ A. Vaginal bleeding
B. Mild nausea
✅ C. Severe headache
✅ D. Blurred vision
E. Occasional leg cramping
✅ Correct Answers: A, C, D
🧠 Rationale: These are signs of potential complications such as
preeclampsia or threatened miscarriage.
7. A newborn has a respiratory rate of 68 breaths/min, nasal flaring, and
intercostal retractions. What is the nurse’s priority?
A. Notify the provider
B. Suction the newborn’s airway
C. Monitor for another 15 minutes
D. Administer oxygen via mask
✅ Correct Answer: B
🧠 Rationale: Clearing the airway is the first step if respiratory distress
is observed.
2025–2026 | 200 Verified Questions + SATA +
NGN Case Study Format | Graded A+
1. A nurse is assessing a postpartum client who is 12 hours post-
delivery. Which of the following findings requires immediate
intervention?
A. Fundus firm and at the level of the umbilicus
B. Moderate lochia rubra with a few clots
C. Saturating a perineal pad every 15 minutes
D. Temperature of 100.4°F (38°C)
✅ Correct Answer: C
🧠 Rationale: Excessive lochia requiring frequent pad changes may
indicate postpartum hemorrhage — this is a priority.
2. A nurse is caring for a newborn who is small for gestational age
(SGA). Which of the following is a common complication?
,A. Hyperthermia
B. Hypoglycemia
C. Polycythemia
D. Hyperbilirubinemia
✅ Correct Answer: B
🧠 Rationale: SGA infants are at risk for hypoglycemia due to
decreased glycogen stores and impaired thermoregulation.
3. A nurse is reinforcing teaching to a client about breastfeeding. Which
of the following statements indicates understanding?
A. “I should feed my baby every 6 hours.”
B. “I will let my baby nurse at least 15 minutes on each breast.”
C. “I should avoid feeding during the night.”
D. “I will supplement with formula after each feeding.”
✅ Correct Answer: B
🧠 Rationale: Breastfeeding should be on demand, and 15 minutes per
breast helps establish supply.
4. A client at 38 weeks gestation is admitted in active labor. The nurse
notes late decelerations on the fetal monitor. What is the priority
,intervention?
A. Increase IV fluids
B. Administer oxytocin
C. Reposition the client to the left side
D. Document findings
✅ Correct Answer: C
🧠 Rationale: Late decelerations indicate uteroplacental insufficiency.
Repositioning improves blood flow to the fetus.
5. A nurse is caring for a newborn immediately after delivery. What is
the priority action?
A. Weigh the newborn
B. Administer Vitamin K
C. Dry the newborn and provide warmth
D. Apply identification bands
✅ Correct Answer: C
🧠 Rationale: Preventing heat loss is a priority during the immediate
transition after birth (Airway, Breathing, Circulation, and Warmth).
6. SATA: A nurse is educating a client about signs of complications
, during pregnancy. Which of the following should be reported
immediately?
✅ A. Vaginal bleeding
B. Mild nausea
✅ C. Severe headache
✅ D. Blurred vision
E. Occasional leg cramping
✅ Correct Answers: A, C, D
🧠 Rationale: These are signs of potential complications such as
preeclampsia or threatened miscarriage.
7. A newborn has a respiratory rate of 68 breaths/min, nasal flaring, and
intercostal retractions. What is the nurse’s priority?
A. Notify the provider
B. Suction the newborn’s airway
C. Monitor for another 15 minutes
D. Administer oxygen via mask
✅ Correct Answer: B
🧠 Rationale: Clearing the airway is the first step if respiratory distress
is observed.
