ATI Maternal Newborn Proctored Exam
2025/2026 (Download to Pass with A-Grade)
Section 1: Antepartum (Prenatal Care)
Question 1: A nurse is caring for a client who is at 10 weeks gestation and has a
body mass index (BMI) of 26. The client asks how much weight she should gain
during her pregnancy. What is the nurse's best response?
A. "You should gain about 11 to 20 pounds."
B. "You should gain about 15 to 25 pounds."
C. "You should gain about 25 to 35 pounds."
D. "You should gain about 28 to 40 pounds."
Answer: A. "You should gain about 11 to 20 pounds."
• Rationale: According to the Institute of Medicine (IOM) guidelines, a
woman with a pre-pregnancy BMI in the normal range (18.5-24.9) should
gain 25-35 lbs. A BMI of 26 falls into the overweight category (25-29.9), for
which the recommended weight gain is 11-20 lbs.
Question 2: A pregnant client at 28 weeks gestation is diagnosed with gestational
diabetes. Which of the following findings during a client teaching session indicates
a need for further education?
A. The client states she will perform glucose monitoring four times daily.
B. The client plans to go for a 30-minute walk after each meal.
C. The client states she will include a bedtime snack containing a protein and
carbohydrate.
D. The client reports she will double her insulin dose if she has a high fasting
glucose reading.
Answer: D. The client reports she will double her insulin dose if she has a high
fasting glucose reading.
, • Rationale: A client should never adjust their insulin dose without specific
instructions from their provider. This is a dangerous practice that can lead
to severe hypoglycemia. All other options demonstrate correct
understanding of GDM management.
Section 2: Intrapartum (Labor & Delivery)
Question 3: A nurse is assessing a client in labor and notes the fetal heart rate
(FHR) pattern shown on the monitor: a baseline of 150 with repetitive, visually
apparent, gradual decreases in FHR after each contraction, with the nadir of the
deceleration occurring after the peak of the contraction. The FHR returns to
baseline by the end of the contraction. Which action should the nurse take first?
A. Assist the client to a lateral position.
B. Prepare for an amnioinfusion.
C. Administer oxygen via face mask at 10 L/min.
D. Document this as a reassuring finding.
Answer: D. Document this as a reassuring finding.
• Rationale: This scenario describes early decelerations, which are caused by
head compression and are considered a reassuring pattern. They do not
require intervention. The nurse's primary action is to continue monitoring
and document the findings.
Question 4: A client in active labor is receiving oxytocin (Pitocin) for augmentation
of labor. The nurse notes a contraction pattern of 8 contractions in a 10-minute
period, each lasting 90-100 seconds, with minimal uterine relaxation between
contractions. The FHR baseline is 160 with minimal variability and no
decelerations. What is the nurse's priority action?
A. Increase the rate of the maintenance IV fluid.
B. Turn off the oxytocin infusion.
C. Administer an analgesic.
D. Prepare for an emergency cesarean section.
2025/2026 (Download to Pass with A-Grade)
Section 1: Antepartum (Prenatal Care)
Question 1: A nurse is caring for a client who is at 10 weeks gestation and has a
body mass index (BMI) of 26. The client asks how much weight she should gain
during her pregnancy. What is the nurse's best response?
A. "You should gain about 11 to 20 pounds."
B. "You should gain about 15 to 25 pounds."
C. "You should gain about 25 to 35 pounds."
D. "You should gain about 28 to 40 pounds."
Answer: A. "You should gain about 11 to 20 pounds."
• Rationale: According to the Institute of Medicine (IOM) guidelines, a
woman with a pre-pregnancy BMI in the normal range (18.5-24.9) should
gain 25-35 lbs. A BMI of 26 falls into the overweight category (25-29.9), for
which the recommended weight gain is 11-20 lbs.
Question 2: A pregnant client at 28 weeks gestation is diagnosed with gestational
diabetes. Which of the following findings during a client teaching session indicates
a need for further education?
A. The client states she will perform glucose monitoring four times daily.
B. The client plans to go for a 30-minute walk after each meal.
C. The client states she will include a bedtime snack containing a protein and
carbohydrate.
D. The client reports she will double her insulin dose if she has a high fasting
glucose reading.
Answer: D. The client reports she will double her insulin dose if she has a high
fasting glucose reading.
, • Rationale: A client should never adjust their insulin dose without specific
instructions from their provider. This is a dangerous practice that can lead
to severe hypoglycemia. All other options demonstrate correct
understanding of GDM management.
Section 2: Intrapartum (Labor & Delivery)
Question 3: A nurse is assessing a client in labor and notes the fetal heart rate
(FHR) pattern shown on the monitor: a baseline of 150 with repetitive, visually
apparent, gradual decreases in FHR after each contraction, with the nadir of the
deceleration occurring after the peak of the contraction. The FHR returns to
baseline by the end of the contraction. Which action should the nurse take first?
A. Assist the client to a lateral position.
B. Prepare for an amnioinfusion.
C. Administer oxygen via face mask at 10 L/min.
D. Document this as a reassuring finding.
Answer: D. Document this as a reassuring finding.
• Rationale: This scenario describes early decelerations, which are caused by
head compression and are considered a reassuring pattern. They do not
require intervention. The nurse's primary action is to continue monitoring
and document the findings.
Question 4: A client in active labor is receiving oxytocin (Pitocin) for augmentation
of labor. The nurse notes a contraction pattern of 8 contractions in a 10-minute
period, each lasting 90-100 seconds, with minimal uterine relaxation between
contractions. The FHR baseline is 160 with minimal variability and no
decelerations. What is the nurse's priority action?
A. Increase the rate of the maintenance IV fluid.
B. Turn off the oxytocin infusion.
C. Administer an analgesic.
D. Prepare for an emergency cesarean section.
