ATI MATERNITY PROCTORED EXAM — STUDY
GUIDE | LATEST UPDATE 2026/2027 | ACTUAL
EXAM | PRACTICE QUESTIONS AND ANSWERS |
EXAM REVIEW | 100% CORRECT ANSWERS |
VERIFIED SOLUTIONS | ALREADY GRADED A+ .
1.
A client at 28 weeks gestation reports decreased fetal
movement over the past 24 hours. What is the priority nursing
action?
A) Reassure the client that this is normal
B) Apply an external fetal monitor for a nonstress test
C) Instruct the client to count kicks for another week
D) Schedule an ultrasound for the next week
Correct Answer: B
Decreased fetal movement in the third trimester requires
immediate evaluation with a nonstress test or biophysical
profile to assess fetal well-being. Reassuring or delaying could
miss fetal compromise.
2.
Which laboratory result should the nurse report to the provider
for a client at 36 weeks gestation?
A) Hemoglobin 11 g/dL
,B) Platelet count 90,000/mm³
C) White blood cell count 12,000/mm³
D) Hematocrit 34%
Correct Answer: B
A platelet count of 90,000/mm³ is thrombocytopenia and may
indicate HELLP syndrome, preeclampsia, or ITP, requiring further
evaluation. Hemoglobin 11, WBC 12,000, and hematocrit 34%
are within acceptable pregnancy ranges.
3.
A client at 12 weeks gestation reports nausea and vomiting
every morning. What is the best initial recommendation?
A) Take an antiemetic immediately
B) Eat dry crackers before getting out of bed and eat small,
frequent meals
C) Avoid all fluids until nausea subsides
D) Increase intake of spicy foods
Correct Answer: B
Mild morning sickness is managed with dietary measures such
as dry crackers before rising and small frequent meals.
Medication is considered if conservative measures fail; avoiding
fluids may cause dehydration; spicy foods worsen nausea.
4.
,Which of the following is a presumptive sign of pregnancy?
A) Positive fetal heartbeat on ultrasound
B) Chadwick's sign
C) Nausea and breast tenderness
D) Ballottement
Correct Answer: C
Presumptive signs are subjective and reported by the client,
such as nausea, breast tenderness, and amenorrhea. Positive
fetal heartbeat is a positive sign; Chadwick's sign and
ballottement are probable signs.
5.
A client at 32 weeks gestation has a blood pressure of 150/95
mm Hg, proteinuria, and facial edema. What is the priority
nursing diagnosis?
A) Risk for imbalanced nutrition
B) Risk for injury related to seizures
C) Deficient knowledge
D) Disturbed body image
Correct Answer: B
The client has signs of preeclampsia, which increases seizure
risk. Safety and seizure precautions are priority. Nutrition,
knowledge, and body image are secondary.
6.
, What is the expected weight gain during the first trimester for a
client with a normal pre-pregnancy BMI?
A) 1–4 pounds
B) 5–10 pounds
C) 11–15 pounds
D) 16–20 pounds
Correct Answer: A
Weight gain in the first trimester is typically 1–4 pounds total.
Most weight gain occurs in the second and third trimesters.
Options B, C, and D are excessive for first trimester.
7.
A pregnant client at 16 weeks has a quadruple screen showing
an elevated alpha-fetoprotein. What does this finding suggest?
A) Down syndrome
B) Neural tube defect
C) Trisomy 18
D) Normal pregnancy
Correct Answer: B
Elevated alpha-fetoprotein is associated with neural tube
defects such as spina bifida. Down syndrome and Trisomy 18
typically have low AFP. Normal pregnancy has normal levels.
8.
GUIDE | LATEST UPDATE 2026/2027 | ACTUAL
EXAM | PRACTICE QUESTIONS AND ANSWERS |
EXAM REVIEW | 100% CORRECT ANSWERS |
VERIFIED SOLUTIONS | ALREADY GRADED A+ .
1.
A client at 28 weeks gestation reports decreased fetal
movement over the past 24 hours. What is the priority nursing
action?
A) Reassure the client that this is normal
B) Apply an external fetal monitor for a nonstress test
C) Instruct the client to count kicks for another week
D) Schedule an ultrasound for the next week
Correct Answer: B
Decreased fetal movement in the third trimester requires
immediate evaluation with a nonstress test or biophysical
profile to assess fetal well-being. Reassuring or delaying could
miss fetal compromise.
2.
Which laboratory result should the nurse report to the provider
for a client at 36 weeks gestation?
A) Hemoglobin 11 g/dL
,B) Platelet count 90,000/mm³
C) White blood cell count 12,000/mm³
D) Hematocrit 34%
Correct Answer: B
A platelet count of 90,000/mm³ is thrombocytopenia and may
indicate HELLP syndrome, preeclampsia, or ITP, requiring further
evaluation. Hemoglobin 11, WBC 12,000, and hematocrit 34%
are within acceptable pregnancy ranges.
3.
A client at 12 weeks gestation reports nausea and vomiting
every morning. What is the best initial recommendation?
A) Take an antiemetic immediately
B) Eat dry crackers before getting out of bed and eat small,
frequent meals
C) Avoid all fluids until nausea subsides
D) Increase intake of spicy foods
Correct Answer: B
Mild morning sickness is managed with dietary measures such
as dry crackers before rising and small frequent meals.
Medication is considered if conservative measures fail; avoiding
fluids may cause dehydration; spicy foods worsen nausea.
4.
,Which of the following is a presumptive sign of pregnancy?
A) Positive fetal heartbeat on ultrasound
B) Chadwick's sign
C) Nausea and breast tenderness
D) Ballottement
Correct Answer: C
Presumptive signs are subjective and reported by the client,
such as nausea, breast tenderness, and amenorrhea. Positive
fetal heartbeat is a positive sign; Chadwick's sign and
ballottement are probable signs.
5.
A client at 32 weeks gestation has a blood pressure of 150/95
mm Hg, proteinuria, and facial edema. What is the priority
nursing diagnosis?
A) Risk for imbalanced nutrition
B) Risk for injury related to seizures
C) Deficient knowledge
D) Disturbed body image
Correct Answer: B
The client has signs of preeclampsia, which increases seizure
risk. Safety and seizure precautions are priority. Nutrition,
knowledge, and body image are secondary.
6.
, What is the expected weight gain during the first trimester for a
client with a normal pre-pregnancy BMI?
A) 1–4 pounds
B) 5–10 pounds
C) 11–15 pounds
D) 16–20 pounds
Correct Answer: A
Weight gain in the first trimester is typically 1–4 pounds total.
Most weight gain occurs in the second and third trimesters.
Options B, C, and D are excessive for first trimester.
7.
A pregnant client at 16 weeks has a quadruple screen showing
an elevated alpha-fetoprotein. What does this finding suggest?
A) Down syndrome
B) Neural tube defect
C) Trisomy 18
D) Normal pregnancy
Correct Answer: B
Elevated alpha-fetoprotein is associated with neural tube
defects such as spina bifida. Down syndrome and Trisomy 18
typically have low AFP. Normal pregnancy has normal levels.
8.
