ATI RN Maternal / Newborn Proctored Exam 2026
What's inside
- 70 original practice questions aligned to the 2026 Maternal / Newborn content outline and NGN-style item formats.
- A full rationale for every answer, in a separate answer key so you can self-test first.
- Coverage of all five Maternal / Newborn domains: antepartum care, intrapartum care & labor/delivery, postpartum care, newborn assessment, and medication safety in pregnancy & lactation.
- Printable PDF — keep it forever, study offline.
Who it's for
RN students whose program has assigned the 2026 version of the ATI Maternal / Newborn content mastery exam, or anyone who wants a timed, exam-length practice run before test day. Taking the 2023 version instead? Use the 2023 exam from the RN Maternal / Newborn overview.
Content note
Trademark disclaimer. This site operates independently and is not affiliated with, endorsed by, or sponsored by Assessment Technologies Institute, LLC (ATI). Any reference to ATI or ATI proctored exams is used only to identify the subject matter our original study guides are intended to help students review — these are not reproductions of ATI's proprietary exam content.
What the 2026 ATI RN Maternal / Newborn proctored exam covers
ATI organizes Maternal / Newborn around five content domains. Our 70-question practice exam distributes questions across them in a similar proportion to what you'll see on test day. The 2026 series leans harder on Next Generation NCLEX (NGN) item types — extended multiple response, drag-and-drop ordering, and clinical-judgment case studies — so our 2026 exam includes those formats alongside classic multiple choice.
Antepartum Care & High-Risk Pregnancy
Covers routine prenatal care plus high-risk conditions: preeclampsia/eclampsia, gestational diabetes, placenta previa, and abruptio placentae. Know the hallmark differentiators ATI loves to test — painless bright-red bleeding points to placenta previa, while painful dark bleeding points to abruptio placentae — and the priority intervention for each (magnesium sulfate prevents seizures in preeclampsia; it does not lower blood pressure).
Intrapartum Care & Labor/Delivery
Focuses on fetal heart rate monitoring, stages of labor, and pain-management options. The VEAL CHOP mnemonic (Variable = Cord compression, Early = Head compression, Accelerations = Okay, Late = Placental insufficiency) is the single most tested framework in this domain — expect a strip-interpretation question that hinges on matching a deceleration pattern to its cause and nursing response.
Postpartum Care & Complications
Fundal assessment and hemorrhage prevention dominate this domain. A boggy or displaced fundus is the classic scenario — before assuming uterine atony, rule out a full bladder, since a distended bladder is a common and easily-corrected cause of fundal displacement. Also expect questions on lochia progression, breastfeeding physiology, and postpartum mood disorders versus baby blues.
Newborn Assessment & Care
Apgar scoring at 1 and 5 minutes is guaranteed to appear — know the five components (heart rate, respiratory effort, muscle tone, reflex irritability, color) and their 0–2 point scale cold. Beyond Apgar, expect thermoregulation, gestational-age assessment, and priority monitoring for at-risk newborns, including infants of diabetic mothers who are watched closely for hypoglycemia.
Medication Safety in Pregnancy & Lactation
Covers which medications are safe, contraindicated, or require monitoring during pregnancy and breastfeeding, plus core OB pharmacology: Rho(D) immune globulin (RhoGAM) for Rh-negative mothers, magnesium sulfate for preeclampsia, betamethasone for fetal lung maturity, and oxytocin for labor induction or postpartum hemorrhage control.
Sample questions from the 2026 Maternal / Newborn exam
Rationale: Magnesium Sulfate is used primarily as a central nervous system depressant to prevent eclamptic seizures, not as an antihypertensive.
Rationale: Variable decelerations are associated with cord compression. Use the mnemonic VEAL CHOP (Variable = Cord).
Rationale: A displaced fundus usually indicates a full bladder, which prevents the uterus from contracting effectively; emptying the bladder is the first step.
ATI RN Maternal / Newborn 2026 exam FAQ
How is the 2026 exam different from the 2023 exam?
The 2026 content mastery series updates the Maternal / Newborn blueprint and adds more Next Generation NCLEX (NGN) item types — case studies, extended multiple response, and ordering items. Our 2026 exam mirrors that format. If your program still uses the 2023 series, choose the 2023 exam instead.
How many questions are on the ATI Maternal / Newborn 2026 proctored exam?
ATI's official exam typically runs 60–70 scored items plus a small number of unscored pretest items, so a 70-question practice exam gives you a realistic full-length run. Your program sets the exact count and time limit — check your syllabus.
Which version does my school use?
Ask your instructor or check the assessment name inside your ATI account — the series year is shown on the assessment card. Not sure yet? The RN Maternal / Newborn overview lists all three Maternal / Newborn products so you can compare.
Is this the actual ATI 2026 exam?
No. This is an independent, original practice exam written to cover the same content areas and question style as ATI's 2026 Maternal / Newborn content-mastery exam. It is not affiliated with, endorsed by, or a reproduction of Assessment Technologies Institute's proprietary exam content.
Should I also get the 42-question Study Guide?
The ATI RN Maternal / Newborn Proctored Exam Study Guide (42 questions with rationales) is the broad content review; this 70-question exam is the timed dress rehearsal. Most students do the study guide first, then sit the exam for their version a few days before test day.
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