ATI Maternal Newborn Proctored Exam 2025–2026 | 200 Real NGN Practice Questions + SATA, Prioritization & Rationales | HealthStudyPro

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ATI Maternal Newborn Proctored Exam 2025–2026: 150
Real Practice Questions with Detailed Rationales | NGN,
SATA, Prioritization, and Clinical Case Scenarios



Question 1 – Postpartum Hemorrhage
A nurse is caring for a postpartum client who has saturated a perineal
pad within 15 minutes. Which of the following actions should the nurse
take first?
A. Notify the provider
B. Massage the fundus
C. Insert an indwelling catheter
D. Administer oxytocin IV
Correct Answer: B. Massage the fundus
Rationale: The priority is to control bleeding. A boggy (soft) uterus is a
sign of uterine atony — the most common cause of postpartum
hemorrhage. Massaging the fundus stimulates uterine contractions and
helps control bleeding. Other actions are important but not the priority.


Question 2 – Magnesium Sulfate Toxicity

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A nurse is caring for a client receiving magnesium sulfate for
preeclampsia. Which finding should the nurse report immediately?
A. Deep tendon reflexes of +2
B. Urine output of 35 mL/hr
C. Respiratory rate of 10/min
D. Fetal heart rate of 140 bpm
Correct Answer: C. Respiratory rate of 10/min
Rationale: Magnesium sulfate toxicity depresses the CNS. A respiratory
rate <12/min is a critical sign of toxicity. Immediate action is needed to
stop the infusion and administer calcium gluconate if ordered. +2 DTRs
and urine output above 30 mL/hr are expected.


Question 3 – Lochia Types
Which type of lochia is expected on day 3 postpartum?
A. Lochia rubra
B. Lochia serosa
C. Lochia alba
D. No vaginal discharge
Correct Answer: A. Lochia rubra
Rationale: Lochia rubra is red, bloody discharge present during the first
1–3 days postpartum. It should gradually transition to serosa
(pink/brown) by days 4–10. Alba is white/yellow and occurs later.

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Question 4 – APGAR Score
A newborn has the following at 1 minute: heart rate 120 bpm, strong cry,
flaccid extremities, pink body with blue hands/feet, and sneezing with
stimulation. What is the APGAR score?
A. 9
B. 7
C. 8
D. 10
Correct Answer: C. 8
Rationale: Scoring: HR (2), Respiration (2), Muscle tone (0), Reflex
(2), Color (2). Total = 8. Blue extremities are common and normal
initially.


Question 5 – Fundal Assessment
Where should the nurse expect to palpate the fundus 12 hours after
birth?
A. 1 cm above the umbilicus
B. 2 cm below the umbilicus
C. At the level of the symphysis pubis
D. Not palpable
Correct Answer: A. 1 cm above the umbilicus
Rationale: The fundus rises to about 1 cm above the umbilicus within
the first 12 hours postpartum, then descends by 1 cm/day.

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Question 6 – Fetal Heart Tracings
A nurse observes late decelerations on a fetal monitor. What is the
appropriate nursing action?
A. Increase oxytocin infusion
B. Turn the client to a side-lying position
C. Apply a fetal scalp electrode
D. Prepare for vaginal delivery
Correct Answer: B. Turn the client to a side-lying position
Rationale: Late decels indicate uteroplacental insufficiency.
Repositioning improves uterine perfusion. Stop oxytocin if it's running,
give O2, and increase IV fluids. Notify the provider.


Question 7 – Breastfeeding Education
Which statement by a breastfeeding client indicates understanding of
newborn feeding cues?
A. “Crying is the best sign that my baby is hungry.”
B. “I should wait until my baby is fully awake.”
C. “I should feed my baby when they start sucking on their hands.”
D. “I’ll feed my baby every 6 hours.”
Correct Answer: C. “I should feed my baby when they start sucking on
their hands.”