ATI Proctored RN Maternal Newborn (2026 Version Exact Exam)

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Sample questions from ATI Proctored RN Maternal Newborn (2026 Version Exact Exam)

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

1. 1.At change of shift on a postpartum unit, a nurse receives report on four clients. Which client should the nurse assess first?

   • A.A client 1 day after birth who has not yet voided but has no bladder distention
   • B.A client 2 days after birth asking when a newborn can be bathed
   • C.A client 12 hours after birth reporting perineal pain rated 5 on a 0-to-10 scale
   • D.A client 2 hours after birth with heavy lochia and a boggy uterus

   Rationale: Heavy lochia with a boggy uterus indicates uterine atony and possible postpartum hemorrhage, which requires immediate assessment and intervention. The other clients need care, but their findings do not indicate the same immediate threat to life. Prioritize active bleeding over routine teaching or discomfort.

2. 2.In the labor unit, a nurse is assigning care for a client with an uncomplicated induction at 39 weeks. Which tasks may the nurse delegate to an experienced assistive personnel? Select all that apply.

   • A.Measure and document oral intake and urine output
   • B.Assist the client with ambulation after the nurse confirms fetal monitoring can be maintained
   • C.Assess the client's cervical dilation
   • D.Interpret the fetal heart rate tracing
   • E.Teach the client how to use paced breathing during contractions
   • F.Obtain and document the client's temperature, pulse, and blood pressure

   Rationale: Obtaining routine vital signs, assisting with ambulation after the nurse determines it is safe, and measuring intake and output are appropriate delegated tasks. Fetal tracing interpretation, teaching, and cervical assessment require nursing judgment or specialized assessment. The nurse remains responsible for evaluating findings and responding to changes.

3. 3.A charge nurse in a newborn nursery is making assignments. Which client is appropriate to assign to a licensed practical nurse (LPN)?

   • A.A newly admitted newborn whose initial transition assessment is due
   • B.A stable newborn requiring a routine heel-stick glucose check and prescribed feeding
   • C.A newborn whose parent needs initial teaching about safe sleep
   • D.A newborn with grunting and an oxygen saturation of 88% who needs initial assessment

   Rationale: An LPN can perform routine care and prescribed procedures for a stable newborn, such as a glucose check and feeding. The newborn with respiratory distress needs immediate RN assessment, and the new admission requires an initial assessment. Initial teaching is also an RN responsibility.

4. 4.A 30-year-old client at 34 weeks of pregnancy is hospitalized for preterm labor. The client has contractions every 3 minutes and a cervical change from 1 to 3 cm in 2 hours. Which action should the nurse take first?

   • A.Notify the provider of the cervical change and contraction pattern
   • B.Delay assessment until the next scheduled fetal monitoring
   • C.Teach the client about newborn feeding choices
   • D.Ask the client to walk in the hallway

   Answer and rationale are in the full material.

5. 5.During a home visit, a nurse reviews care coordination with a 67-year-old client who has gestational diabetes history and now has type 2 diabetes and hypertension. Which actions support effective coordination of care? Select all that apply.

   • A.Tell the client to stop antihypertensive medication before every appointment
   • B.Ask the client to identify the clinician responsible for follow-up of abnormal results
   • C.Reconcile the medication list with the client's prescription bottles
   • D.Send relevant visit findings to the primary care provider with the client's consent
   • E.Arrange a referral for diabetes nutrition counseling based on the client's needs

   Answer and rationale are in the full material.