ATI PROCTORED EXAM 2023 MATERNITY SCREENSHOTS Of
exam with ANSWERS and page numbers
Exam
Antepartum (Prenatal Care & Complications) – Questions 1-20
1. A nurse is teaching a client about expected gestational changes. Which
finding should the nurse include as presumptive (subjective) sign of pregnancy?
• A. Positive pregnancy test
• B. Fetal heart tone detected by Doppler
• C. Amenorrhea
• D. Ballottement
• Correct Answer: C. Amenorrhea (missed period) is a presumptive sign
because it is subjective and can be caused by other factors. (ATI p. 27)
2. A client at 36 weeks gestation reports a sudden gush of fluid from the vagina.
What is the priority nursing action?
• A. Check fetal heart rate
• B. Test the fluid with nitrazine paper
• C. Assess for umbilical cord prolapse
• D. Administer IV antibiotics
• Correct Answer: C. Assess for cord prolapse immediately. Rupture of
membranes can allow the cord to slip past the presenting part. (ATI p. 109)
3. A nurse is providing dietary teaching to a client with iron deficiency anemia.
Which food selection indicates understanding?
• A. 1 cup yogurt
• B. 3 oz chicken liver
• C. 1 slice whole wheat bread
, • D. 1 cup orange juice
• Correct Answer: B. Chicken liver is high in heme iron, the most absorbable
form. (ATI p. 62)
4. A nurse administers Rho(D) immune globulin (RhoGAM) to a client who is Rh-
negative after an amniocentesis. What is the purpose?
• A. Prevent fetal hemolysis
• B. Destroy maternal Rh antibodies
• C. Suppress the immune response to Rh-positive fetal cells
• D. Treat neonatal hyperbilirubinemia
• Correct Answer: C. RhoGAM prevents maternal sensitization by coating any
Rh-positive fetal cells that entered the maternal circulation. (ATI p. 88)
5. A nurse is assessing a client with gestational hypertension. Which finding
indicates progression to severe pre-eclampsia?
• A. Blood pressure 148/92 mm Hg
• B. 1+ proteinuria
• C. Right upper quadrant pain
• D. Mild facial edema
• Correct Answer: C. RUQ pain or epigastric pain indicates liver involvement
(HELLP syndrome) and is a severe feature. (ATI p. 104)
6. A nurse is caring for a client with hyperemesis gravidarum. Which lab finding
suggests a complication requiring intervention?
• A. Serum potassium 3.1 mEq/L
• B. Urine specific gravity 1.015
• C. Serum sodium 138 mEq/L
• D. Blood glucose 95 mg/dL
, • Correct Answer: A. Hypokalemia (<3.5) indicates significant electrolyte loss
from vomiting, risking cardiac arrhythmias. (ATI p. 66)
7. A nurse is teaching a class about gestational diabetes screening. When should
the 1-hour glucose challenge test be performed?
• A. 8-12 weeks
• B. 16-20 weeks
• C. 24-28 weeks
• D. 32-36 weeks
• Correct Answer: C. 24-28 weeks is when placental hormones cause peak
insulin resistance. (ATI p. 98)
8. A client with placenta previa is on bed rest. Which finding requires immediate
notification of the provider?
• A. Painless bright red bleeding
• B. Braxton Hicks contractions
• C. Fetal heart rate of 150/min
• D. Blood pressure 118/76 mm Hg
• Correct Answer: A. Any new bleeding with previa is an emergency. (ATI p.
114)
9. A nurse auscultates fetal heart tones and finds the rate is 180/min between
contractions. The correct action is to:
• A. Document as a normal finding
• B. Place the mother in Trendelenburg position
• C. Administer oxygen via face mask
• D. Notify the provider of possible fetal tachycardia
• Correct Answer: D. Tachycardia (>160) can indicate maternal fever,
infection, or fetal hypoxia. (ATI p. 133)
, 10. A nurse is assessing a client at 39 weeks. Leopold maneuvers identify the
fetal head in the fundus. The nurse interprets this as:
• A. Cephalic presentation
• B. Breech presentation
• C. Transverse lie
• D. Military position
• Correct Answer: B. Head in the fundus means the buttocks/presenting part
is in the pelvis (breech). (ATI p. 75)
11. A client asks why she needs a second-trimester ultrasound. What is the
primary purpose?
• A. Confirm viability
• B. Determine gestational age
• C. Evaluate fetal anatomy
• D. Estimate fetal weight
• Correct Answer: C. The 18-20 week anatomy scan screens for structural
anomalies. (ATI p. 70)
12. A nurse is teaching a client about signs of preterm labor. Which symptom
should the client report immediately?
• A. Low backache that comes and goes
• B. Increased vaginal discharge without odor
• C. Pelvic pressure that is constant
• D. Fetal movement that decreases slightly
• Correct Answer: C. Constant pelvic pressure, menstrual-like cramps, or low
dull backache are signs of preterm labor. (ATI p. 120)
13. A nurse administers betamethasone to a client at 32 weeks with preterm
labor. What is the expected outcome?
exam with ANSWERS and page numbers
Exam
Antepartum (Prenatal Care & Complications) – Questions 1-20
1. A nurse is teaching a client about expected gestational changes. Which
finding should the nurse include as presumptive (subjective) sign of pregnancy?
• A. Positive pregnancy test
• B. Fetal heart tone detected by Doppler
• C. Amenorrhea
• D. Ballottement
• Correct Answer: C. Amenorrhea (missed period) is a presumptive sign
because it is subjective and can be caused by other factors. (ATI p. 27)
2. A client at 36 weeks gestation reports a sudden gush of fluid from the vagina.
What is the priority nursing action?
• A. Check fetal heart rate
• B. Test the fluid with nitrazine paper
• C. Assess for umbilical cord prolapse
• D. Administer IV antibiotics
• Correct Answer: C. Assess for cord prolapse immediately. Rupture of
membranes can allow the cord to slip past the presenting part. (ATI p. 109)
3. A nurse is providing dietary teaching to a client with iron deficiency anemia.
Which food selection indicates understanding?
• A. 1 cup yogurt
• B. 3 oz chicken liver
• C. 1 slice whole wheat bread
, • D. 1 cup orange juice
• Correct Answer: B. Chicken liver is high in heme iron, the most absorbable
form. (ATI p. 62)
4. A nurse administers Rho(D) immune globulin (RhoGAM) to a client who is Rh-
negative after an amniocentesis. What is the purpose?
• A. Prevent fetal hemolysis
• B. Destroy maternal Rh antibodies
• C. Suppress the immune response to Rh-positive fetal cells
• D. Treat neonatal hyperbilirubinemia
• Correct Answer: C. RhoGAM prevents maternal sensitization by coating any
Rh-positive fetal cells that entered the maternal circulation. (ATI p. 88)
5. A nurse is assessing a client with gestational hypertension. Which finding
indicates progression to severe pre-eclampsia?
• A. Blood pressure 148/92 mm Hg
• B. 1+ proteinuria
• C. Right upper quadrant pain
• D. Mild facial edema
• Correct Answer: C. RUQ pain or epigastric pain indicates liver involvement
(HELLP syndrome) and is a severe feature. (ATI p. 104)
6. A nurse is caring for a client with hyperemesis gravidarum. Which lab finding
suggests a complication requiring intervention?
• A. Serum potassium 3.1 mEq/L
• B. Urine specific gravity 1.015
• C. Serum sodium 138 mEq/L
• D. Blood glucose 95 mg/dL
, • Correct Answer: A. Hypokalemia (<3.5) indicates significant electrolyte loss
from vomiting, risking cardiac arrhythmias. (ATI p. 66)
7. A nurse is teaching a class about gestational diabetes screening. When should
the 1-hour glucose challenge test be performed?
• A. 8-12 weeks
• B. 16-20 weeks
• C. 24-28 weeks
• D. 32-36 weeks
• Correct Answer: C. 24-28 weeks is when placental hormones cause peak
insulin resistance. (ATI p. 98)
8. A client with placenta previa is on bed rest. Which finding requires immediate
notification of the provider?
• A. Painless bright red bleeding
• B. Braxton Hicks contractions
• C. Fetal heart rate of 150/min
• D. Blood pressure 118/76 mm Hg
• Correct Answer: A. Any new bleeding with previa is an emergency. (ATI p.
114)
9. A nurse auscultates fetal heart tones and finds the rate is 180/min between
contractions. The correct action is to:
• A. Document as a normal finding
• B. Place the mother in Trendelenburg position
• C. Administer oxygen via face mask
• D. Notify the provider of possible fetal tachycardia
• Correct Answer: D. Tachycardia (>160) can indicate maternal fever,
infection, or fetal hypoxia. (ATI p. 133)
, 10. A nurse is assessing a client at 39 weeks. Leopold maneuvers identify the
fetal head in the fundus. The nurse interprets this as:
• A. Cephalic presentation
• B. Breech presentation
• C. Transverse lie
• D. Military position
• Correct Answer: B. Head in the fundus means the buttocks/presenting part
is in the pelvis (breech). (ATI p. 75)
11. A client asks why she needs a second-trimester ultrasound. What is the
primary purpose?
• A. Confirm viability
• B. Determine gestational age
• C. Evaluate fetal anatomy
• D. Estimate fetal weight
• Correct Answer: C. The 18-20 week anatomy scan screens for structural
anomalies. (ATI p. 70)
12. A nurse is teaching a client about signs of preterm labor. Which symptom
should the client report immediately?
• A. Low backache that comes and goes
• B. Increased vaginal discharge without odor
• C. Pelvic pressure that is constant
• D. Fetal movement that decreases slightly
• Correct Answer: C. Constant pelvic pressure, menstrual-like cramps, or low
dull backache are signs of preterm labor. (ATI p. 120)
13. A nurse administers betamethasone to a client at 32 weeks with preterm
labor. What is the expected outcome?
