ATI RN Maternal Newborn Proctored 2026

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Sample questions from ATI RN Maternal Newborn Proctored 2026

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

1. 1.A 29-year-old client at 34 weeks of gestation arrives at the obstetric triage unit reporting a severe headache and blurred vision. Blood pressure is 168/112 mm Hg on repeat measurement, and urine protein is 3+. Which action should the nurse take first?

   • A.Initiate seizure precautions and notify the provider immediately
   • B.Encourage the client to ambulate to reduce blood pressure
   • C.Reassess the blood pressure in 4 hours
   • D.Place the client supine and elevate both legs

   Rationale: Severe-range blood pressure with neurologic symptoms suggests preeclampsia with severe features and risk of seizure or stroke, so immediate safety measures and escalation are appropriate. Ambulation increases fall risk, and waiting 4 hours delays urgent treatment. Supine positioning can worsen vena cava compression; use a lateral position while arranging care.

2. 2.A 24-year-old client at 30 weeks of gestation is admitted to the antepartum unit with preeclampsia and a blood pressure of 156/100 mm Hg. The client is receiving magnesium sulfate and reports feeling warm and nauseated; respirations are 10/min, deep tendon reflexes are absent, and urine output is 20 mL/hr. What is the nurse's priority action?

   • A.Stop the magnesium sulfate infusion
   • B.Increase the infusion rate to prevent seizures
   • C.Place the client in high-Fowler position and reassess in 30 minutes
   • D.Administer the prescribed antihypertensive medication

   Rationale: Respiratory depression, absent reflexes, and low urine output indicate magnesium toxicity; stop the infusion and notify the provider, with calcium gluconate available as the antidote. Increasing magnesium worsens toxicity. Positioning and antihypertensive therapy do not address the immediate threat of respiratory compromise.

3. 3.A 32-year-old client at 28 weeks of gestation arrives at the emergency department with painless, bright-red vaginal bleeding. Blood pressure is 118/74 mm Hg, pulse is 92/min, and the abdomen is soft and nontender. Which action should the nurse take?

   • A.Perform a digital vaginal examination to assess cervical dilation
   • B.Place the client on a fetal monitor and avoid vaginal examination
   • C.Encourage the client to walk to determine whether bleeding increases
   • D.Apply fundal pressure to assess uterine tone

   Rationale: Painless bright-red bleeding suggests placenta previa, and fetal monitoring is indicated while a digital vaginal examination is avoided until placental location is known. A vaginal examination can provoke severe hemorrhage. Walking and fundal pressure are unnecessary and may worsen risk without providing safe diagnostic information.

4. 4.A 27-year-old client at 35 weeks of gestation is admitted after sudden abdominal pain and dark vaginal bleeding. The uterus is firm and tender, and the fetal heart rate is 90/min. The client's blood pressure is 96/60 mm Hg and pulse is 122/min. Which nursing action is the priority?

   • A.Prepare for emergency birth while supporting maternal circulation
   • B.Perform a vaginal examination to determine labor progress
   • C.Reassure the client that dark bleeding is expected near term
   • D.Apply an external abdominal binder

   Answer and rationale are in the full material.

5. 5.A 31-year-old client at 32 weeks of gestation is receiving care on the antepartum unit for preterm contractions. The cervix is unchanged, membranes are intact, and the provider prescribes betamethasone. Which explanation should the nurse give?

   • A.It helps mature the fetal lungs if birth occurs early
   • B.It stops contractions immediately and prevents all preterm birth
   • C.It treats a maternal urinary infection that can trigger labor
   • D.It prevents neonatal hypoglycemia after birth

   Answer and rationale are in the full material.