ATI PN Maternity Proctored Exam Test Bank Questions and Answers
|Fall 2025/2026 Update | 100% Correct Latest
QUESTION 1:
A nurse is caring for a client who is in active labor. The fetal heart rate shows variable
decelerations. Which of the following nursing actions should the nurse take first?
A. Apply oxygen by nonrebreather mask
B. Reposition the client
C. Notify the provider
D. Increase IV fluids
CORRECT ANSWER: B. Reposition the client
RATIONALE: Variable decelerations are typically caused by umbilical cord compression.
Repositioning the client can relieve the pressure. Oxygen and IV fluids may follow if
decelerations persist.
QUESTION 2:
A postpartum client reports increased perineal pain on day two after a vaginal birth. Upon
inspection, the nurse notes a firm, tender hematoma. Which action should the nurse take?
A. Apply warm compresses
B. Notify the provider immediately
C. Encourage ambulation
D. Administer oxytocin
CORRECT ANSWER: B. Notify the provider immediately
RATIONALE: A hematoma indicates a collection of blood often requiring surgical evacuation.
Prompt notification of the provider is crucial.
QUESTION 3:
A nurse provides teaching to a postpartum client about preventing mastitis. Which of the
following should be included?
A. Breastfeed every 6 hours
B. Ensure breasts completely empty with each feeding
,C. Apply tight-fitting brassiere
D. Avoid expressing milk
CORRECT ANSWER: B. Ensure breasts completely empty with each feeding
RATIONALE: Incomplete emptying of the breasts can lead to milk stasis, which increases the risk
of mastitis. Frequent and complete feeding prevents infection.
QUESTION 4:
A nurse is instructing a client about using an internal fetal monitor. Which finding should prompt
the nurse to stop the insertion?
A. Membranes intact
B. Cervix dilated to 4 cm
C. Vertex presentation
D. Station -1
CORRECT ANSWER: A. Membranes intact
RATIONALE: Internal fetal monitoring requires ruptured membranes for electrode placement. It
cannot be done with intact membranes.
QUESTION 5:
Which hormone is primarily responsible for milk production during lactation?
A. Estrogen
B. Prolactin
C. Oxytocin
D. Relaxin
CORRECT ANSWER: B. Prolactin
RATIONALE: Prolactin stimulates milk production, while oxytocin facilitates milk ejection.
QUESTION 6:
A nurse is assisting in the care of a client experiencing postpartum hemorrhage. Which
medication should the nurse anticipate administering?
A. Terbutaline
,B. Methylergometrine
C. Magnesium sulfate
D. Nifedipine
CORRECT ANSWER: B. Methylergometrine
RATIONALE: Methylergometrine causes uterine contraction and reduces hemorrhage. It is
contraindicated in clients with hypertension.
QUESTION 7:
During a prenatal visit, the nurse notes that the client’s fundal height measures 28 cm at 30
weeks’ gestation. The client reports no unusual symptoms. Which is the best nursing action?
A. Schedule an ultrasound for growth assessment
B. Notify the provider of oligohydramnios
C. Document as normal finding
D. Instruct the client to increase fluid intake
CORRECT ANSWER: C. Document as normal finding
RATIONALE: Fundal height in centimeters typically correlates with gestational weeks ±2 cm; this
is within the expected range.
QUESTION 8:
A nurse is reviewing laboratory results for a client in the third trimester. Which finding should be
reported to the provider?
A. Hemoglobin 11.2 g/dL
B. Platelet count 200,000/mm³
C. White blood cell count 7,000/mm³
D. Fasting glucose 140 mg/dL
CORRECT ANSWER: D. Fasting glucose 140 mg/dL
RATIONALE: A fasting glucose of 140 mg/dL indicates possible gestational diabetes and requires
further evaluation.
QUESTION 9:
, A client reports feeling lightheaded during a prenatal exam while lying supine. What is the
appropriate nurse intervention?
A. Elevate the client’s legs
B. Have the client turn onto her left side
C. Apply oxygen
D. Call the provider
CORRECT ANSWER: B. Have the client turn onto her left side
RATIONALE: Supine hypotensive syndrome occurs when the uterus compresses the vena cava;
left lateral positioning relieves pressure and restores blood flow.
QUESTION 10:
A nurse teaches a client about signs of preeclampsia. Which symptom should the client report
immediately?
A. Nausea in the morning
B. Swelling of feet at the end of day
C. Blurred vision
D. Increased appetite
CORRECT ANSWER: C. Blurred vision
RATIONALE: Visual disturbances indicate central nervous system involvement, a warning sign of
worsening preeclampsia.
QUESTION 11:
A nurse reinforces teaching with a postpartum client about the use of Rho(D) immune globulin
(RhoGAM). The client is Rh-negative and her newborn is Rh-positive. When should this
medication be given?
A. Within 12 hours after delivery
B. Within 72 hours after delivery
C. On the fifth postpartum day
D. During the client’s 2-week follow-up visit
CORRECT ANSWER: B. Within 72 hours after delivery
RATIONALE: RhoGAM prevents maternal sensitization to Rh-positive blood. It must be
administered within 72 hours of birth for maximum effectiveness.
|Fall 2025/2026 Update | 100% Correct Latest
QUESTION 1:
A nurse is caring for a client who is in active labor. The fetal heart rate shows variable
decelerations. Which of the following nursing actions should the nurse take first?
A. Apply oxygen by nonrebreather mask
B. Reposition the client
C. Notify the provider
D. Increase IV fluids
CORRECT ANSWER: B. Reposition the client
RATIONALE: Variable decelerations are typically caused by umbilical cord compression.
Repositioning the client can relieve the pressure. Oxygen and IV fluids may follow if
decelerations persist.
QUESTION 2:
A postpartum client reports increased perineal pain on day two after a vaginal birth. Upon
inspection, the nurse notes a firm, tender hematoma. Which action should the nurse take?
A. Apply warm compresses
B. Notify the provider immediately
C. Encourage ambulation
D. Administer oxytocin
CORRECT ANSWER: B. Notify the provider immediately
RATIONALE: A hematoma indicates a collection of blood often requiring surgical evacuation.
Prompt notification of the provider is crucial.
QUESTION 3:
A nurse provides teaching to a postpartum client about preventing mastitis. Which of the
following should be included?
A. Breastfeed every 6 hours
B. Ensure breasts completely empty with each feeding
,C. Apply tight-fitting brassiere
D. Avoid expressing milk
CORRECT ANSWER: B. Ensure breasts completely empty with each feeding
RATIONALE: Incomplete emptying of the breasts can lead to milk stasis, which increases the risk
of mastitis. Frequent and complete feeding prevents infection.
QUESTION 4:
A nurse is instructing a client about using an internal fetal monitor. Which finding should prompt
the nurse to stop the insertion?
A. Membranes intact
B. Cervix dilated to 4 cm
C. Vertex presentation
D. Station -1
CORRECT ANSWER: A. Membranes intact
RATIONALE: Internal fetal monitoring requires ruptured membranes for electrode placement. It
cannot be done with intact membranes.
QUESTION 5:
Which hormone is primarily responsible for milk production during lactation?
A. Estrogen
B. Prolactin
C. Oxytocin
D. Relaxin
CORRECT ANSWER: B. Prolactin
RATIONALE: Prolactin stimulates milk production, while oxytocin facilitates milk ejection.
QUESTION 6:
A nurse is assisting in the care of a client experiencing postpartum hemorrhage. Which
medication should the nurse anticipate administering?
A. Terbutaline
,B. Methylergometrine
C. Magnesium sulfate
D. Nifedipine
CORRECT ANSWER: B. Methylergometrine
RATIONALE: Methylergometrine causes uterine contraction and reduces hemorrhage. It is
contraindicated in clients with hypertension.
QUESTION 7:
During a prenatal visit, the nurse notes that the client’s fundal height measures 28 cm at 30
weeks’ gestation. The client reports no unusual symptoms. Which is the best nursing action?
A. Schedule an ultrasound for growth assessment
B. Notify the provider of oligohydramnios
C. Document as normal finding
D. Instruct the client to increase fluid intake
CORRECT ANSWER: C. Document as normal finding
RATIONALE: Fundal height in centimeters typically correlates with gestational weeks ±2 cm; this
is within the expected range.
QUESTION 8:
A nurse is reviewing laboratory results for a client in the third trimester. Which finding should be
reported to the provider?
A. Hemoglobin 11.2 g/dL
B. Platelet count 200,000/mm³
C. White blood cell count 7,000/mm³
D. Fasting glucose 140 mg/dL
CORRECT ANSWER: D. Fasting glucose 140 mg/dL
RATIONALE: A fasting glucose of 140 mg/dL indicates possible gestational diabetes and requires
further evaluation.
QUESTION 9:
, A client reports feeling lightheaded during a prenatal exam while lying supine. What is the
appropriate nurse intervention?
A. Elevate the client’s legs
B. Have the client turn onto her left side
C. Apply oxygen
D. Call the provider
CORRECT ANSWER: B. Have the client turn onto her left side
RATIONALE: Supine hypotensive syndrome occurs when the uterus compresses the vena cava;
left lateral positioning relieves pressure and restores blood flow.
QUESTION 10:
A nurse teaches a client about signs of preeclampsia. Which symptom should the client report
immediately?
A. Nausea in the morning
B. Swelling of feet at the end of day
C. Blurred vision
D. Increased appetite
CORRECT ANSWER: C. Blurred vision
RATIONALE: Visual disturbances indicate central nervous system involvement, a warning sign of
worsening preeclampsia.
QUESTION 11:
A nurse reinforces teaching with a postpartum client about the use of Rho(D) immune globulin
(RhoGAM). The client is Rh-negative and her newborn is Rh-positive. When should this
medication be given?
A. Within 12 hours after delivery
B. Within 72 hours after delivery
C. On the fifth postpartum day
D. During the client’s 2-week follow-up visit
CORRECT ANSWER: B. Within 72 hours after delivery
RATIONALE: RhoGAM prevents maternal sensitization to Rh-positive blood. It must be
administered within 72 hours of birth for maximum effectiveness.
