ATI PN Maternal Proctored Exam 2026 |
ACTUAL EXAM | Complete Maternal–Newborn
& NGN OB Questions with Verified Answers |
Latest Update
1.
A primigravida at 39 weeks is admitted in active labor. Her cervix is 6 cm dilated, 90%
effaced, and the fetus is at +1 station. Contractions are every 3 min, lasting 60 s. Which
assessment finding requires immediate intervention?
A. Maternal temperature 37.2 °C
B. Fetal heart rate (FHR) 148 bpm with moderate variability
C. Late decelerations noted on the last three contractions
D. Maternal BP 118/76 mmHg
Correct Answer: C
Rationale: Late decels indicate uteroplacental insufficiency and require prompt
intervention (position change, O₂, IV fluids, notify provider). Moderate variability (B) is
reassuring. Temperature (A) and BP (D) are within normal limits.
2.
,A client at 28 weeks gestation reports severe, sudden abdominal pain and vaginal
bleeding after a motor-vehicle collision. Her uterus is board-like. Which complication
should the nurse suspect first?
A. Placenta previa
B. Placental abruption
C. Preterm labor
D. Uterine rupture
Correct Answer: B
Rationale: Sudden onset, severe pain, vaginal bleeding, and a rigid uterus are classic for
abruption. Prev ia (A) is typically painless bleeding. Preterm (C) lacks rigidity. Rupture
(D) often presents with hypotonic uterus and fetal distress.
3.
The nurse is preparing to administer betamethasone 12 mg IM to a client in preterm
labor at 32 weeks. The vial contains 6 mg/mL. How many mL should the nurse
withdraw?
A. 1 mL
B. 1.5 mL
C. 2 mL
D. 2.5 mL
Correct Answer: C
Rationale: Desired dose 12 mg ÷ 6 mg/mL = 2 mL. Other volumes under- or over-dose.
, 4.
Which finding in a 4-hour-postpartum client is most suggestive of early postpartum
hemorrhage?
A. Lochia rubra with small clots
B. Fundus firm at the umbilicus
C. Saturating a perineal pad in 15 min
D. Pulse 88 bpm
Correct Answer: C
Rationale: Saturating a pad in ≤15 min indicates excessive bleeding (>500 mL is PPH).
Firm fundus (B) and normal lochia (A) are expected. Pulse 88 (D) is within normal range.
5.
A newborn’s axillary temperature is 36.0 °C (96.8 °F). Which intervention should the
nurse implement first?
A. Bathe the infant to stimulate circulation
B. Place the newborn skin-to-skin on the mother’s chest and cover both
C. Increase room temperature to 28 °C
D. Apply a cool washcloth to the forehead
Correct Answer: B
, Rationale: Skin-to-skin is the most effective, evidence-based method to thermoregulate
and promote bonding. Bathing (A) and cool cloths (D) would worsen hypothermia.
Room temp (C) is secondary and less effective.
6.
A client receiving magnesium sulfate for preeclampsia has a respiratory rate of 10/min
and absent deep-tendon reflexes. Which medication should the nurse prepare to
administer?
A. Calcium gluconate
B. Hydralazine
C. Labetalol
D. Naloxone
Correct Answer: A
Rationale: Calcium gluconate reverses magnesium sulfate toxicity (respiratory
depression, loss of DTRs). Hydralazine/labetalol (B/C) treat hypertension. Naloxone (D)
reverses opioids.
7.
Which fetal heart rate pattern indicates fetal well-being?
A. Absent variability with recurrent late decelerations
B. Moderate variability and accelerations present
C. Sinusoidal pattern
D. Prolonged deceleration lasting 4 min
ACTUAL EXAM | Complete Maternal–Newborn
& NGN OB Questions with Verified Answers |
Latest Update
1.
A primigravida at 39 weeks is admitted in active labor. Her cervix is 6 cm dilated, 90%
effaced, and the fetus is at +1 station. Contractions are every 3 min, lasting 60 s. Which
assessment finding requires immediate intervention?
A. Maternal temperature 37.2 °C
B. Fetal heart rate (FHR) 148 bpm with moderate variability
C. Late decelerations noted on the last three contractions
D. Maternal BP 118/76 mmHg
Correct Answer: C
Rationale: Late decels indicate uteroplacental insufficiency and require prompt
intervention (position change, O₂, IV fluids, notify provider). Moderate variability (B) is
reassuring. Temperature (A) and BP (D) are within normal limits.
2.
,A client at 28 weeks gestation reports severe, sudden abdominal pain and vaginal
bleeding after a motor-vehicle collision. Her uterus is board-like. Which complication
should the nurse suspect first?
A. Placenta previa
B. Placental abruption
C. Preterm labor
D. Uterine rupture
Correct Answer: B
Rationale: Sudden onset, severe pain, vaginal bleeding, and a rigid uterus are classic for
abruption. Prev ia (A) is typically painless bleeding. Preterm (C) lacks rigidity. Rupture
(D) often presents with hypotonic uterus and fetal distress.
3.
The nurse is preparing to administer betamethasone 12 mg IM to a client in preterm
labor at 32 weeks. The vial contains 6 mg/mL. How many mL should the nurse
withdraw?
A. 1 mL
B. 1.5 mL
C. 2 mL
D. 2.5 mL
Correct Answer: C
Rationale: Desired dose 12 mg ÷ 6 mg/mL = 2 mL. Other volumes under- or over-dose.
, 4.
Which finding in a 4-hour-postpartum client is most suggestive of early postpartum
hemorrhage?
A. Lochia rubra with small clots
B. Fundus firm at the umbilicus
C. Saturating a perineal pad in 15 min
D. Pulse 88 bpm
Correct Answer: C
Rationale: Saturating a pad in ≤15 min indicates excessive bleeding (>500 mL is PPH).
Firm fundus (B) and normal lochia (A) are expected. Pulse 88 (D) is within normal range.
5.
A newborn’s axillary temperature is 36.0 °C (96.8 °F). Which intervention should the
nurse implement first?
A. Bathe the infant to stimulate circulation
B. Place the newborn skin-to-skin on the mother’s chest and cover both
C. Increase room temperature to 28 °C
D. Apply a cool washcloth to the forehead
Correct Answer: B
, Rationale: Skin-to-skin is the most effective, evidence-based method to thermoregulate
and promote bonding. Bathing (A) and cool cloths (D) would worsen hypothermia.
Room temp (C) is secondary and less effective.
6.
A client receiving magnesium sulfate for preeclampsia has a respiratory rate of 10/min
and absent deep-tendon reflexes. Which medication should the nurse prepare to
administer?
A. Calcium gluconate
B. Hydralazine
C. Labetalol
D. Naloxone
Correct Answer: A
Rationale: Calcium gluconate reverses magnesium sulfate toxicity (respiratory
depression, loss of DTRs). Hydralazine/labetalol (B/C) treat hypertension. Naloxone (D)
reverses opioids.
7.
Which fetal heart rate pattern indicates fetal well-being?
A. Absent variability with recurrent late decelerations
B. Moderate variability and accelerations present
C. Sinusoidal pattern
D. Prolonged deceleration lasting 4 min
