ATI PN Maternity Proctored Actual Exam Newest Actual Exam With Complete
Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+
Question 1
A nurse is collecting data from a client who is at 12 weeks of gestation. Which of the following
findings is an expected physiological change during the first trimester?
A) Presence of colostrum
B) Quickening
C) Breast tenderness
D) Braxton Hicks contractions
E) Fundus at the level of the umbilicus
Correct Answer: C) Breast tenderness
Rationale: Breast tenderness is one of the earliest signs of pregnancy, occurring in the first
trimester due to increased levels of estrogen and progesterone. Colostrum typically appears
in the second or third trimester. Quickening (feeling the baby move) occurs around 16–20
weeks. Braxton Hicks contractions are usually noticed in the second or third trimester. The
fundus reaches the umbilicus at 20 weeks.
Question 2
A nurse is calculating a client's expected date of delivery (EDD) using Naegele's rule. The
client’s last menstrual period (LMP) began on May 8th. Which of the following is the correct
EDD?
A) February 1st
B) February 15th
C) January 15th
D) March 8th
E) February 8th
Correct Answer: B) February 15th
Rationale: According to Naegele's rule, the EDD is calculated by taking the first day of the
last menstrual period, subtracting 3 months, and adding 7 days and 1 year. May 8 minus 3
months is February 8. Adding 7 days results in February 15th.
, 2
Question 3
A nurse is reviewing the GTPAL of a client who is currently pregnant. The client has one child
born at 39 weeks, twins born at 34 weeks, and had one miscarriage at 10 weeks. Which of the
following represents the correct GTPAL?
A) G3 T1 P1 A1 L3
B) G4 T1 P1 A1 L3
C) G4 T1 P2 A1 L2
D) G3 T2 P1 A0 L3
E) G4 T2 P1 A1 L3
Correct Answer: B) G4 T1 P1 A1 L3
Rationale: G (Gravida): Total pregnancies (Current + 3 past = 4). T (Term): Pregnancies
delivered at 37 weeks or more (1 child = 1). P (Preterm): Pregnancies delivered from 20–36
weeks (Twins count as one pregnancy/event = 1). A (Abortions/Miscarriages): Before 20
weeks (1 miscarriage = 1). L (Living): Total children (1 term + 2 twins = 3).
Question 4
A nurse is reinforcing teaching with a client about a nonstress test (NST). Which of the following
statements should the nurse include?
A) "You will need to be NPO for 4 hours before the test."
B) "The test will take about 10 minutes."
C) "You will push a button when you feel the baby move."
D) "This test is used to determine the maturity of the baby’s lungs."
E) "We will stimulate the cervix during this procedure."
Correct Answer: C) "You will push a button when you feel the baby move."
Rationale: During an NST, the client is asked to press a button whenever she feels fetal
movement, which allows the provider to assess if the fetal heart rate accelerates
appropriately with movement. This is a non-invasive procedure that usually lasts 20–30
minutes. It does not require fasting or cervical stimulation.
Question 5
A nurse is assisting with the care of a client who is at 32 weeks of gestation and is receiving
, 3
magnesium sulfate IV for preeclampsia. Which of the following findings should the nurse report
to the provider as a sign of magnesium toxicity?
A) Blood pressure 150/96 mmHg
B) Respiratory rate 10/min
C) Urinary output 40 mL/hr
D) 2+ deep tendon reflexes
E) Fetal heart rate 140/min
Correct Answer: B) Respiratory rate 10/min
Rationale: Magnesium sulfate is a CNS depressant. Signs of toxicity include a respiratory
rate less than 12/min, absent deep tendon reflexes (DTRs), decreased urinary output (<30
mL/hr), and altered mental status. A BP of 150/96 is expected in preeclampsia, and 2+
DTRs are a normal finding.
Question 6
A nurse is collecting data from a client who has placenta previa. Which of the following findings
should the nurse expect?
A) Painful, rigid abdomen
B) Painless, bright red vaginal bleeding
C) Intermittent contractions every 5 minutes
D) Vaginal discharge that is thick and white
E) Severe lower back pain
Correct Answer: B) Painless, bright red vaginal bleeding
Rationale: Placenta previa is characterized by the placenta covering the cervical os, leading
to painless, bright red bleeding as the cervix begins to dilate or efface. A painful, rigid
abdomen (board-like) is characteristic of abruptio placentae, which is a medical
emergency.
Question 7
A nurse is assisting with the care of a client in the first stage of labor. The nurse notes the fetal
heart rate (FHR) shows late decelerations. Which of the following actions should the nurse take
first?
, 4
A) Administer oxygen via nonrebreather mask
B) Increase the IV fluid rate
C) Assist the client into a side-lying position
D) Document the findings
E) Prepare for an immediate forceps delivery
Correct Answer: C) Assist the client into a side-lying position
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to
improve fetal oxygenation by repositioning the mother to her side (preferably left) to
displace the uterus from the inferior vena cava and increase blood flow to the placenta.
Other actions (O2, fluids, stopping oxytocin) follow, but position change is the most
immediate nursing intervention.
Question 8
A nurse is monitoring a client who is receiving oxytocin for induction of labor. The nurse should
stop the infusion if which of the following occurs?
A) Contractions every 2 to 3 minutes
B) Contractions lasting 100 seconds
C) Fetal heart rate of 120/min
D) Cervical dilation of 5 cm
E) Maternal blood pressure 130/80 mmHg
Correct Answer: B) Contractions lasting 100 seconds
Rationale: Tachysystole (hyperstimulation) is a dangerous side effect of oxytocin. The nurse
should discontinue oxytocin if contractions last longer than 90 seconds, occur more
frequently than every 2 minutes, or if there is insufficient uterine relaxation between
contractions, as this can lead to fetal hypoxia or uterine rupture.
Question 9
A nurse is evaluating a newborn’s Apgar score at 1 minute. The newborn has a heart rate of
110/min, a weak cry, some flexion of the extremities, a grimace when stimulated, and a pink
body with blue hands and feet. What is the Apgar score?
A) 5
Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+
Question 1
A nurse is collecting data from a client who is at 12 weeks of gestation. Which of the following
findings is an expected physiological change during the first trimester?
A) Presence of colostrum
B) Quickening
C) Breast tenderness
D) Braxton Hicks contractions
E) Fundus at the level of the umbilicus
Correct Answer: C) Breast tenderness
Rationale: Breast tenderness is one of the earliest signs of pregnancy, occurring in the first
trimester due to increased levels of estrogen and progesterone. Colostrum typically appears
in the second or third trimester. Quickening (feeling the baby move) occurs around 16–20
weeks. Braxton Hicks contractions are usually noticed in the second or third trimester. The
fundus reaches the umbilicus at 20 weeks.
Question 2
A nurse is calculating a client's expected date of delivery (EDD) using Naegele's rule. The
client’s last menstrual period (LMP) began on May 8th. Which of the following is the correct
EDD?
A) February 1st
B) February 15th
C) January 15th
D) March 8th
E) February 8th
Correct Answer: B) February 15th
Rationale: According to Naegele's rule, the EDD is calculated by taking the first day of the
last menstrual period, subtracting 3 months, and adding 7 days and 1 year. May 8 minus 3
months is February 8. Adding 7 days results in February 15th.
, 2
Question 3
A nurse is reviewing the GTPAL of a client who is currently pregnant. The client has one child
born at 39 weeks, twins born at 34 weeks, and had one miscarriage at 10 weeks. Which of the
following represents the correct GTPAL?
A) G3 T1 P1 A1 L3
B) G4 T1 P1 A1 L3
C) G4 T1 P2 A1 L2
D) G3 T2 P1 A0 L3
E) G4 T2 P1 A1 L3
Correct Answer: B) G4 T1 P1 A1 L3
Rationale: G (Gravida): Total pregnancies (Current + 3 past = 4). T (Term): Pregnancies
delivered at 37 weeks or more (1 child = 1). P (Preterm): Pregnancies delivered from 20–36
weeks (Twins count as one pregnancy/event = 1). A (Abortions/Miscarriages): Before 20
weeks (1 miscarriage = 1). L (Living): Total children (1 term + 2 twins = 3).
Question 4
A nurse is reinforcing teaching with a client about a nonstress test (NST). Which of the following
statements should the nurse include?
A) "You will need to be NPO for 4 hours before the test."
B) "The test will take about 10 minutes."
C) "You will push a button when you feel the baby move."
D) "This test is used to determine the maturity of the baby’s lungs."
E) "We will stimulate the cervix during this procedure."
Correct Answer: C) "You will push a button when you feel the baby move."
Rationale: During an NST, the client is asked to press a button whenever she feels fetal
movement, which allows the provider to assess if the fetal heart rate accelerates
appropriately with movement. This is a non-invasive procedure that usually lasts 20–30
minutes. It does not require fasting or cervical stimulation.
Question 5
A nurse is assisting with the care of a client who is at 32 weeks of gestation and is receiving
, 3
magnesium sulfate IV for preeclampsia. Which of the following findings should the nurse report
to the provider as a sign of magnesium toxicity?
A) Blood pressure 150/96 mmHg
B) Respiratory rate 10/min
C) Urinary output 40 mL/hr
D) 2+ deep tendon reflexes
E) Fetal heart rate 140/min
Correct Answer: B) Respiratory rate 10/min
Rationale: Magnesium sulfate is a CNS depressant. Signs of toxicity include a respiratory
rate less than 12/min, absent deep tendon reflexes (DTRs), decreased urinary output (<30
mL/hr), and altered mental status. A BP of 150/96 is expected in preeclampsia, and 2+
DTRs are a normal finding.
Question 6
A nurse is collecting data from a client who has placenta previa. Which of the following findings
should the nurse expect?
A) Painful, rigid abdomen
B) Painless, bright red vaginal bleeding
C) Intermittent contractions every 5 minutes
D) Vaginal discharge that is thick and white
E) Severe lower back pain
Correct Answer: B) Painless, bright red vaginal bleeding
Rationale: Placenta previa is characterized by the placenta covering the cervical os, leading
to painless, bright red bleeding as the cervix begins to dilate or efface. A painful, rigid
abdomen (board-like) is characteristic of abruptio placentae, which is a medical
emergency.
Question 7
A nurse is assisting with the care of a client in the first stage of labor. The nurse notes the fetal
heart rate (FHR) shows late decelerations. Which of the following actions should the nurse take
first?
, 4
A) Administer oxygen via nonrebreather mask
B) Increase the IV fluid rate
C) Assist the client into a side-lying position
D) Document the findings
E) Prepare for an immediate forceps delivery
Correct Answer: C) Assist the client into a side-lying position
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to
improve fetal oxygenation by repositioning the mother to her side (preferably left) to
displace the uterus from the inferior vena cava and increase blood flow to the placenta.
Other actions (O2, fluids, stopping oxytocin) follow, but position change is the most
immediate nursing intervention.
Question 8
A nurse is monitoring a client who is receiving oxytocin for induction of labor. The nurse should
stop the infusion if which of the following occurs?
A) Contractions every 2 to 3 minutes
B) Contractions lasting 100 seconds
C) Fetal heart rate of 120/min
D) Cervical dilation of 5 cm
E) Maternal blood pressure 130/80 mmHg
Correct Answer: B) Contractions lasting 100 seconds
Rationale: Tachysystole (hyperstimulation) is a dangerous side effect of oxytocin. The nurse
should discontinue oxytocin if contractions last longer than 90 seconds, occur more
frequently than every 2 minutes, or if there is insufficient uterine relaxation between
contractions, as this can lead to fetal hypoxia or uterine rupture.
Question 9
A nurse is evaluating a newborn’s Apgar score at 1 minute. The newborn has a heart rate of
110/min, a weak cry, some flexion of the extremities, a grimace when stimulated, and a pink
body with blue hands and feet. What is the Apgar score?
A) 5
