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ATI Maternity Proctored Exam 2026 Obstetric and Newborn Nursing Practice Questions with Rationales for ATI and NCLEX Preparation

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This document contains ATI Maternity Proctored Exam practice questions with detailed rationales covering prenatal care, labor and delivery, postpartum nursing, fetal monitoring, newborn assessment, obstetric complications, maternal medications, and family-centered care. The material reviews key maternity nursing concepts including preeclampsia, gestational diabetes, labor progression, postpartum hemorrhage, fetal heart rate interpretation, newborn safety, breastfeeding, contraception, and neonatal complications. It also includes NCLEX-style clinical judgment questions, medication calculations, patient education, and evidence-based nursing interventions commonly tested on ATI examinations.

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Institution
ATI Maternity
Course
ATI maternity

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ATI MATERNITY PROCTORED EXAM
2026

1) a nurse in a woman's health clinic is providing teaching about nutritional
intake to a client who is at 8 weeks of gestation. The nurse should
instruct the client to increase her daily intake of which of the following
nutrients?
Calcium

The recommendation for calcium intake during pregnancy is the same as that for
women who are not pregnant: 1,300 mg/day for women younger than 19 years old
and 1,000 mg/day for women between the ages of 19 and 50 years old. Vitamin e

the recommendation for vitamin e intake during pregnancy is 15 mg/day, the same
as that for women who are not pregnant. Iron

The recommendation for iron intake during pregnancy is higher than that for women
who are not pregnant. For women who are pregnant, it is 27 mg/day. For women
who are not pregnant, it is 15 mg/day for women younger than 19 years old and 18
mg/day for women between the ages of 19 and 50 years old. Vitamin d

The recommendation for vitamin d intake during pregnancy is 600 iu/day, the same
as

2) a nurse is caring for a client who has uterine hypotonicity and is
experiencing postpartum hemorrhage. Which of the following actions is
the nurse's priority?
Check the client's capillary refill.

It is important for the nurse to monitor capillary refill in order to track baseline data
for this client. However, another action is the nurse's priority. Massage the client's
fundus.

uterine hypotonicity and postpartum hemorrhage indicate that this client is at the
greatest risk for hypovolemic shock. This can compromise the perfusion to the
client's vital organs, causing death to occur. Therefore, the nurse's priority is to
massage the client's fundus in order to minimize blood loss. Insert an indwelling
urinary catheter for the client.




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, It is important for the nurse to insert an indwelling urinary catheter in order to assess
the client for hypovolemia. However, another action is the nurse's priority. Prepare
the client for a blood transfusion.

It is important for the nurse to prepare the client for a blood transfusion in order to
replace the amount of blood lost from postpartum hemorrhage. However, another
action is the nurse's priority.




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ATI Maternity Proctored Exam /LATEST 2023-2024 /(100%
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3) a nurse is providing discharge teaching to a parent whose newborn has
just had a circumcision. Which of the following instructions should the
nurse include?
apply slight pressure with a sterile gauze pad for mild bleeding.




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ATI Maternity Proctored Exam /LATEST 2023-2024 /(100%
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the nurse should instruct the client to attempt to stop mild bleeding by applying
pressure with sterile gauze. If bleeding continues, the client should notify the
provider.
Inspect the circumcision site every 6 to 8 hr.

The client should change the newborn's diaper and examine the circumcision site at
least every 4 hr.
Use baby wipes containing alcohol to cleanse the penis with each diaper change.

Baby wipes containing alcohol can irritate the skin and should be avoided until the
circumcision has healed, which usually takes 5 to 6 days. During each diaper
change, the penis should be washed gently with warm water and have petroleum
jelly applied to the glans.
Remove yellow exudate daily using a warm, wet washcloth.

The client should not attempt to remove any yellow exudate from the circumcision
site because it is part of the healing process, which begins within 24 hr and
continues for 2 to 3 days. Disrupting it can cause pain and bleeding.


4) a nurse is teaching about effective breastfeeding to a client who is 3
days postpartum. Which of the following information should the nurse
include?
"your milk will replace colostrum in about 10 days."

The nurse should inform the client that milk production occurs 3 or 4 days
postpartum. The breasts will feel firm and heavy. The client should continue to
feed the newborn on demand during this period.
"your breasts should feel firm after breastfeeding."

The nurse should inform the client that her breasts should feel softer after feeding.
This change indicates that the newborn has emptied the breasts of milk.
"your newborn should urinate at least 10 times per day."

The nurse should inform the client that the newborn should void six to eight
times per day. The newborn should also have at least three stools per day. It is
not uncommon for breastfed newborns to have a stool with each feeding. "your
newborn should appear content after each feeding."




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Institution
ATI maternity
Course
ATI maternity

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Uploaded on
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Number of pages
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Written in
2025/2026
Type
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