ATI PROCTORED EXAM 2023 MATERNITY SCREENSHOTS Of exam with ANSWERS
and page numbers
Exam
Antepartum – Questions 1-20
1. A nurse is providing education about folic acid supplementation. Which
statement by the client indicates understanding?
• A. "I need folic acid to prevent neural tube defects."
• B. "Folic acid is only important in the third trimester."
• C. "I should take 400 mcg daily during the first trimester only."
• D. "Folic acid prevents preterm labor."
• Correct Answer: A. Folic acid (400-800 mcg daily) before conception and
during early pregnancy reduces neural tube defects. (ATI p. 56)
2. A nurse is assessing a client at 12 weeks gestation. Which finding requires
immediate follow-up?
• A. Heartburn after eating spicy foods
• B. Urinary frequency
• C. Unilateral lower extremity swelling
• D. Breast tenderness
• Correct Answer: C. Unilateral leg swelling could indicate DVT, which is a
serious complication. (ATI p. 224)
3. A nurse is teaching a client about the signs of deep vein thrombosis (DVT)
during pregnancy. Which statement indicates the need for further teaching?
• A. "I should report calf pain that is worse when I walk."
• B. "Redness and warmth in one leg is normal during pregnancy."
• C. "Swelling in only one leg is not normal."
, • D. "I should notify my provider if I have leg pain that doesn't go away."
• Correct Answer: B. Unilateral redness, warmth, or swelling is NOT normal
and suggests DVT. (ATI p. 224)
4. A nurse is caring for a client with placenta accreta. The nurse should
anticipate:
• A. Normal vaginal delivery
• B. Manual removal of the placenta
• C. Hysterectomy after delivery
• D. Early discharge after delivery
• Correct Answer: C. Placenta accreta (abnormally adherent placenta) often
requires cesarean hysterectomy. (ATI p. 116)
5. A nurse is teaching a client about the glucose tolerance test (GTT). Which
instruction is correct?
• A. "Eat a high-carbohydrate meal 2 hours before the test."
• B. "You will need to fast for 8-12 hours before the test."
• C. "You can drink water with sugar during the fasting period."
• D. "The test takes 30 minutes total."
• Correct Answer: B. Fasting 8-12 hours is required for the 3-hour GTT. (ATI
p. 98)
6. A client at 35 weeks gestation with gestational hypertension has a platelet
count of 80,000/mm³. The nurse should suspect:
• A. HELLP syndrome
• B. Idiopathic thrombocytopenia
• C. Normal pregnancy finding
• D. Gestational thrombocytopenia
, • Correct Answer: A. HELLP = Hemolysis, Elevated Liver enzymes, Low
Platelets (<100,000). (ATI p. 106)
7. A nurse is assessing a client who is 2 hours post-amniocentesis. Which finding
should the nurse report to the provider?
• A. Maternal temperature 99.0°F (37.2°C)
• B. Fetal heart rate 155/min
• C. Client reports mild cramping
• D. Client reports fluid leaking from the puncture site
• Correct Answer: D. Leaking fluid indicates possible rupture of membranes.
(ATI p. 86)
8. A nurse is providing care to a client with a diagnosis of placenta previa. Which
position should the nurse encourage the client to maintain?
• A. Supine with legs elevated
• B. Lithotomy
• C. Side-lying
• D. Trendelenburg
• Correct Answer: C. Side-lying (left lateral) improves placental perfusion and
reduces pressure on the cervix. (ATI p. 114)
9. A nurse is reviewing lab results for a pregnant client. Which finding is
expected during pregnancy?
• A. Increased hematocrit
• B. Decreased platelet count
• C. Increased fibrinogen
• D. Decreased white blood cell count
• Correct Answer: C. Fibrinogen increases in pregnancy (hypercoagulable
state). (ATI p. 60)
, 10. A nurse is teaching a client about Rh incompatibility. Which statement is
correct?
• A. "Rh disease only affects the mother, not the baby."
• B. "Rh-negative mothers need RhoGAM after delivery only."
• C. "RhoGAM prevents maternal antibody formation."
• D. "Rh disease is more common in first pregnancies."
• Correct Answer: C. RhoGAM binds Rh-positive fetal cells, preventing
maternal sensitization. (ATI p. 186)
11. A client at 32 weeks gestation reports regular contractions every 10 minutes.
The nurse's priority action is:
• A. Assess for rupture of membranes
• B. Check cervical dilation
• C. Determine if the contractions are painful
• D. Place the client on a fetal monitor
• Correct Answer: D. Initiate fetal monitoring to assess contraction
frequency, duration, and fetal response. (ATI p. 144)
12. A nurse is administering terbutaline to a client in preterm labor. Which
finding indicates a therapeutic response?
• A. Contractions stop or decrease in frequency
• B. Blood pressure increases
• C. Fetal heart rate decreases to 110/min
• D. Maternal heart rate decreases to 60/min
• Correct Answer: A. Terbutaline (beta-2 agonist) relaxes uterine smooth
muscle, stopping contractions. (ATI p. 122)
13. A nurse is educating a client about nonstress testing (NST). Which statement
is correct?
and page numbers
Exam
Antepartum – Questions 1-20
1. A nurse is providing education about folic acid supplementation. Which
statement by the client indicates understanding?
• A. "I need folic acid to prevent neural tube defects."
• B. "Folic acid is only important in the third trimester."
• C. "I should take 400 mcg daily during the first trimester only."
• D. "Folic acid prevents preterm labor."
• Correct Answer: A. Folic acid (400-800 mcg daily) before conception and
during early pregnancy reduces neural tube defects. (ATI p. 56)
2. A nurse is assessing a client at 12 weeks gestation. Which finding requires
immediate follow-up?
• A. Heartburn after eating spicy foods
• B. Urinary frequency
• C. Unilateral lower extremity swelling
• D. Breast tenderness
• Correct Answer: C. Unilateral leg swelling could indicate DVT, which is a
serious complication. (ATI p. 224)
3. A nurse is teaching a client about the signs of deep vein thrombosis (DVT)
during pregnancy. Which statement indicates the need for further teaching?
• A. "I should report calf pain that is worse when I walk."
• B. "Redness and warmth in one leg is normal during pregnancy."
• C. "Swelling in only one leg is not normal."
, • D. "I should notify my provider if I have leg pain that doesn't go away."
• Correct Answer: B. Unilateral redness, warmth, or swelling is NOT normal
and suggests DVT. (ATI p. 224)
4. A nurse is caring for a client with placenta accreta. The nurse should
anticipate:
• A. Normal vaginal delivery
• B. Manual removal of the placenta
• C. Hysterectomy after delivery
• D. Early discharge after delivery
• Correct Answer: C. Placenta accreta (abnormally adherent placenta) often
requires cesarean hysterectomy. (ATI p. 116)
5. A nurse is teaching a client about the glucose tolerance test (GTT). Which
instruction is correct?
• A. "Eat a high-carbohydrate meal 2 hours before the test."
• B. "You will need to fast for 8-12 hours before the test."
• C. "You can drink water with sugar during the fasting period."
• D. "The test takes 30 minutes total."
• Correct Answer: B. Fasting 8-12 hours is required for the 3-hour GTT. (ATI
p. 98)
6. A client at 35 weeks gestation with gestational hypertension has a platelet
count of 80,000/mm³. The nurse should suspect:
• A. HELLP syndrome
• B. Idiopathic thrombocytopenia
• C. Normal pregnancy finding
• D. Gestational thrombocytopenia
, • Correct Answer: A. HELLP = Hemolysis, Elevated Liver enzymes, Low
Platelets (<100,000). (ATI p. 106)
7. A nurse is assessing a client who is 2 hours post-amniocentesis. Which finding
should the nurse report to the provider?
• A. Maternal temperature 99.0°F (37.2°C)
• B. Fetal heart rate 155/min
• C. Client reports mild cramping
• D. Client reports fluid leaking from the puncture site
• Correct Answer: D. Leaking fluid indicates possible rupture of membranes.
(ATI p. 86)
8. A nurse is providing care to a client with a diagnosis of placenta previa. Which
position should the nurse encourage the client to maintain?
• A. Supine with legs elevated
• B. Lithotomy
• C. Side-lying
• D. Trendelenburg
• Correct Answer: C. Side-lying (left lateral) improves placental perfusion and
reduces pressure on the cervix. (ATI p. 114)
9. A nurse is reviewing lab results for a pregnant client. Which finding is
expected during pregnancy?
• A. Increased hematocrit
• B. Decreased platelet count
• C. Increased fibrinogen
• D. Decreased white blood cell count
• Correct Answer: C. Fibrinogen increases in pregnancy (hypercoagulable
state). (ATI p. 60)
, 10. A nurse is teaching a client about Rh incompatibility. Which statement is
correct?
• A. "Rh disease only affects the mother, not the baby."
• B. "Rh-negative mothers need RhoGAM after delivery only."
• C. "RhoGAM prevents maternal antibody formation."
• D. "Rh disease is more common in first pregnancies."
• Correct Answer: C. RhoGAM binds Rh-positive fetal cells, preventing
maternal sensitization. (ATI p. 186)
11. A client at 32 weeks gestation reports regular contractions every 10 minutes.
The nurse's priority action is:
• A. Assess for rupture of membranes
• B. Check cervical dilation
• C. Determine if the contractions are painful
• D. Place the client on a fetal monitor
• Correct Answer: D. Initiate fetal monitoring to assess contraction
frequency, duration, and fetal response. (ATI p. 144)
12. A nurse is administering terbutaline to a client in preterm labor. Which
finding indicates a therapeutic response?
• A. Contractions stop or decrease in frequency
• B. Blood pressure increases
• C. Fetal heart rate decreases to 110/min
• D. Maternal heart rate decreases to 60/min
• Correct Answer: A. Terbutaline (beta-2 agonist) relaxes uterine smooth
muscle, stopping contractions. (ATI p. 122)
13. A nurse is educating a client about nonstress testing (NST). Which statement
is correct?
