ATI MATERNITY PROCTORED EXAM TEST
BANK PREPARATION WITH QUESTIONS
AND CORRECT ANSWERS AND
RATIONALES
**1. A nurse is teaching a client who is at 8 weeks of gestation about
manifestations to report during pregnancy. Which information should
the nurse include?**
A) Nausea upon awakening
B) Blurred or double vision
C) Increase in white vaginal discharge
D) Leg cramps when sleeping
**Correct Answer: B) Blurred or double vision**
**Rationale:** Blurred or double vision can indicate preeclampsia, a
serious complication of pregnancy. The nurse should instruct the
client to report this immediately. Nausea upon awakening is a
common first-trimester discomfort, increased white vaginal discharge
(leukorrhea) is normal during pregnancy, and leg cramps are common
in later pregnancy .
---
,**2. A nurse is teaching a client at 12 weeks gestation who has HIV.
Which statement should the nurse include?**
A) "You will be in isolation after delivery."
B) "Abstain from sexual intercourse throughout pregnancy."
C) "Breastfeed your newborn to provide passive immunity."
D) "You should continue to take zidovudine throughout the
pregnancy."
**Correct Answer: D) "You should continue to take zidovudine
throughout the pregnancy."**
**Rationale:** Taking antiviral medication daily decreases the risk of
transmission of HIV to the newborn. Isolation is not required. Sexual
activity can continue with precautions. HIV can be transmitted
through breast milk, so breastfeeding is not recommended .
---
**3. A nurse is assessing a client at 36 weeks gestation. Which finding
should the nurse report to the provider?**
A) Blood pressure 110/70 mm Hg
B) 1+ protein in urine
C) Weight gain of 0.5 kg in one week
D) Mild ankle edema
,**Correct Answer: B) 1+ protein in urine**
**Rationale:** Proteinuria (≥1+) in the third trimester can indicate
preeclampsia and should be evaluated. Mild ankle edema and weight
gain of 0.5 kg/week are expected in the third trimester .
---
**4. A nurse is teaching a client at 28 weeks gestation about
nutrition. Which statement indicates understanding?**
A) "I should take 400 mcg of folic acid each day."
B) "I need to take extra iron to prevent anemia."
C) "I should stop taking prenatal vitamins after the first trimester."
D) "Prenatal vitamins are optional if I eat well."
**Correct Answer: B) "I need to take extra iron to prevent
anemia."**
**Rationale:** Prenatal vitamins contain iron to prevent anemia,
folic acid to prevent neural tube defects, and other essential
nutrients. They should be taken throughout pregnancy. The
recommended folic acid intake during pregnancy is 600 mcg daily .
---
, **5. A nurse is caring for a client with preeclampsia receiving IV
magnesium sulfate. Which action should the nurse take?**
A) Restrict hourly fluid intake to 150 mL/hr
B) Have calcium gluconate readily available
C) Assess deep tendon reflexes every 6 hours
D) Monitor intake and output every 4 hours
**Correct Answer: B) Have calcium gluconate readily available**
**Rationale:** Calcium gluconate is the antidote for magnesium
sulfate toxicity. The nurse should have it readily available to prevent
cardiac or respiratory arrest. Fluid intake should be restricted to no
more than 125 mL/hr. Deep tendon reflexes should be assessed every
1-4 hours during continuous infusion .
---
**6. A nurse is assessing a client at 30 weeks gestation during a
routine prenatal visit. Which finding should the nurse report to the
provider?**
A) Weight gain of 1 lb in one week
B) Swelling of the face
C) Mild ankle edema
BANK PREPARATION WITH QUESTIONS
AND CORRECT ANSWERS AND
RATIONALES
**1. A nurse is teaching a client who is at 8 weeks of gestation about
manifestations to report during pregnancy. Which information should
the nurse include?**
A) Nausea upon awakening
B) Blurred or double vision
C) Increase in white vaginal discharge
D) Leg cramps when sleeping
**Correct Answer: B) Blurred or double vision**
**Rationale:** Blurred or double vision can indicate preeclampsia, a
serious complication of pregnancy. The nurse should instruct the
client to report this immediately. Nausea upon awakening is a
common first-trimester discomfort, increased white vaginal discharge
(leukorrhea) is normal during pregnancy, and leg cramps are common
in later pregnancy .
---
,**2. A nurse is teaching a client at 12 weeks gestation who has HIV.
Which statement should the nurse include?**
A) "You will be in isolation after delivery."
B) "Abstain from sexual intercourse throughout pregnancy."
C) "Breastfeed your newborn to provide passive immunity."
D) "You should continue to take zidovudine throughout the
pregnancy."
**Correct Answer: D) "You should continue to take zidovudine
throughout the pregnancy."**
**Rationale:** Taking antiviral medication daily decreases the risk of
transmission of HIV to the newborn. Isolation is not required. Sexual
activity can continue with precautions. HIV can be transmitted
through breast milk, so breastfeeding is not recommended .
---
**3. A nurse is assessing a client at 36 weeks gestation. Which finding
should the nurse report to the provider?**
A) Blood pressure 110/70 mm Hg
B) 1+ protein in urine
C) Weight gain of 0.5 kg in one week
D) Mild ankle edema
,**Correct Answer: B) 1+ protein in urine**
**Rationale:** Proteinuria (≥1+) in the third trimester can indicate
preeclampsia and should be evaluated. Mild ankle edema and weight
gain of 0.5 kg/week are expected in the third trimester .
---
**4. A nurse is teaching a client at 28 weeks gestation about
nutrition. Which statement indicates understanding?**
A) "I should take 400 mcg of folic acid each day."
B) "I need to take extra iron to prevent anemia."
C) "I should stop taking prenatal vitamins after the first trimester."
D) "Prenatal vitamins are optional if I eat well."
**Correct Answer: B) "I need to take extra iron to prevent
anemia."**
**Rationale:** Prenatal vitamins contain iron to prevent anemia,
folic acid to prevent neural tube defects, and other essential
nutrients. They should be taken throughout pregnancy. The
recommended folic acid intake during pregnancy is 600 mcg daily .
---
, **5. A nurse is caring for a client with preeclampsia receiving IV
magnesium sulfate. Which action should the nurse take?**
A) Restrict hourly fluid intake to 150 mL/hr
B) Have calcium gluconate readily available
C) Assess deep tendon reflexes every 6 hours
D) Monitor intake and output every 4 hours
**Correct Answer: B) Have calcium gluconate readily available**
**Rationale:** Calcium gluconate is the antidote for magnesium
sulfate toxicity. The nurse should have it readily available to prevent
cardiac or respiratory arrest. Fluid intake should be restricted to no
more than 125 mL/hr. Deep tendon reflexes should be assessed every
1-4 hours during continuous infusion .
---
**6. A nurse is assessing a client at 30 weeks gestation during a
routine prenatal visit. Which finding should the nurse report to the
provider?**
A) Weight gain of 1 lb in one week
B) Swelling of the face
C) Mild ankle edema
