ATI Maternal Exam RN 2026 Retake

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Sample questions from ATI Maternal Exam RN 2026 Retake

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a labor and delivery unit, a 29-year-old at 39 weeks is receiving oxytocin. The fetal heart rate is 170/min with recurrent late decelerations, and contractions occur every 1.5 minutes and last 90 seconds. Which action should the nurse take first?

   • A.Stop the oxytocin infusion
   • B.Prepare the client for immediate pushing
   • C.Increase the oxytocin rate
   • D.Document the tracing and reassess in 30 minutes

   Rationale: Stopping oxytocin removes the stimulus for excessive uterine activity and is the first response to recurrent late decelerations. Increasing the rate or waiting risks worsening fetal hypoxia, and pushing is not an appropriate first action before intrauterine resuscitation.

2. 2.Refer to the client's chart. Which actions should the nurse take now for the 31-year-old client in labor? Select all that apply.

   • A.Administer the prescribed IV fluid bolus
   • B.Discontinue the oxytocin infusion
   • C.Increase oxytocin to establish a regular contraction pattern
   • D.Notify the obstetric provider of the tracing
   • E.Reposition the client to a lateral position

   Rationale: The recurrent late decelerations and contraction frequency in the chart require stopping oxytocin, lateral repositioning, an ordered fluid bolus, and prompt provider notification. Increasing oxytocin would worsen tachysystole and further compromise placental perfusion. The improving or worsening tracing should be reassessed continuously after interventions.

3. 3.A charge nurse on a maternal-newborn unit is assigning care. Which task is appropriate to delegate to an experienced unlicensed assistive personnel (UAP)?

   • A.Teach a parent how to administer vitamin D drops
   • B.Assess a newly reported severe headache in a client with preeclampsia
   • C.Evaluate uterine tone after a hemorrhage intervention
   • D.Obtain routine vital signs for a stable postpartum client

   Rationale: Routine vital signs for a stable client are within the role of trained UAP, with findings reported to the nurse. Assessment of a severe headache, teaching, and evaluation of uterine tone require nursing judgment. The RN retains responsibility for interpreting results and acting on changes.

4. 4.Refer to the client's chart. Which action is the priority for the 33-year-old client with preeclampsia?

   • A.Offer a high-sodium snack and recheck in 4 hours
   • B.Initiate seizure precautions and notify the provider of the worsening findings
   • C.Encourage ambulation to lower the blood pressure
   • D.Discontinue fetal monitoring because the client is stable

   Answer and rationale are in the full material.

5. 5.On a postpartum unit, a 32-year-old who is Rh-negative gives birth to an Rh-positive newborn. The maternal antibody screen is negative. Which intervention should the nurse anticipate?

   • A.Wait until the next pregnancy to address Rh incompatibility
   • B.Give Rho(D) immune globulin to the newborn
   • C.Administer Rho(D) immune globulin within 72 hours after birth
   • D.Withhold Rho(D) immune globulin because delivery has occurred

   Answer and rationale are in the full material.