ATI MATERNAL NEWBORN ATI
PROCTORED EXAM QUESTIONS
AND ANSWERS GRADED A LATEST
2025/2026
A nurse is caring for a client who is at 39 wks gestation and is in the active phase of
labor. The nurse observes late decels in the FHR. What finding should the nurse
identify as the cause of late decels?
a. umbilical cord compression
b. fetal head compression
,c. uteroplacental insufficiency
d. fetal ventricular septal defect - CORRECT ANSWER c. uteroplacental insufficiency
A nurse is assessing a client who is at 35 wks gestation and is receiving magnesium
sulfate via continuous IV infusion for severe pre-eclampsia. What finding should the
nurse report to the provider?
a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr - CORRECT ANSWER d. urinary output 20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this can indicate
inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A
decrease in urinary output can also indicate a decrease in renal perfusion secondary to
a worsening of the client's pre-eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the treatment of
incompetent cervix with cervical cerclage. What statement by the client indicates an
understanding of teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
, c. I am sad that I won't be able to get pregnant again d. I can resume having sex as soon
as I feel up to it - CORRECT ANSWER a. I should go to the hospital if I think I may
be in labor
Cervical cerclage prevents premature opening of the cervix during pregnancy. The
client should immediately go to a facility for evaluation if she experiences any
manifestations of labor while the cerclage is in place. If the client experiences
preterm uterine contractions she might require tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing moderate bright red
vaginal bleeding. What action should the nurse take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation - CORRECT ANSWER a.
obtain blood samples for baseline lab values
The nurse should obtain samples of the client's blood for baseline testing of hemoglobin
and hematocrit levels.
is caring for a client who is at 38 wks of gestation and reports no fetal movement
for 24 hr. What action should the nurse take?
a. auscultate for a FHR
b. reassure the client that a term fetus is less active
PROCTORED EXAM QUESTIONS
AND ANSWERS GRADED A LATEST
2025/2026
A nurse is caring for a client who is at 39 wks gestation and is in the active phase of
labor. The nurse observes late decels in the FHR. What finding should the nurse
identify as the cause of late decels?
a. umbilical cord compression
b. fetal head compression
,c. uteroplacental insufficiency
d. fetal ventricular septal defect - CORRECT ANSWER c. uteroplacental insufficiency
A nurse is assessing a client who is at 35 wks gestation and is receiving magnesium
sulfate via continuous IV infusion for severe pre-eclampsia. What finding should the
nurse report to the provider?
a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr - CORRECT ANSWER d. urinary output 20 mL/hr
The nurse should report a urinary output of 20 mL/hr because this can indicate
inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A
decrease in urinary output can also indicate a decrease in renal perfusion secondary to
a worsening of the client's pre-eclampsia.
A nurse is teaching a client who is at 13 wks gestation about the treatment of
incompetent cervix with cervical cerclage. What statement by the client indicates an
understanding of teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
, c. I am sad that I won't be able to get pregnant again d. I can resume having sex as soon
as I feel up to it - CORRECT ANSWER a. I should go to the hospital if I think I may
be in labor
Cervical cerclage prevents premature opening of the cervix during pregnancy. The
client should immediately go to a facility for evaluation if she experiences any
manifestations of labor while the cerclage is in place. If the client experiences
preterm uterine contractions she might require tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing moderate bright red
vaginal bleeding. What action should the nurse take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation - CORRECT ANSWER a.
obtain blood samples for baseline lab values
The nurse should obtain samples of the client's blood for baseline testing of hemoglobin
and hematocrit levels.
is caring for a client who is at 38 wks of gestation and reports no fetal movement
for 24 hr. What action should the nurse take?
a. auscultate for a FHR
b. reassure the client that a term fetus is less active
