ATI RN OB MATERNITY PROCTORED
EXAM
Question 1
A nurse is assessing a pregnant client in the third trimester. The client reports a
sudden onset of severe abdominal pain and vaginal bleeding. What is the priority
nursing intervention?
A. Monitor fetal heart rate.
B. Administer pain medication as prescribed.
C. Prepare the client for a cesarean section.
D. Assess the amount and color of vaginal discharge.
Answer: A. Monitor fetal heart rate.
Question 2
During a prenatal visit, a client asks the nurse about the purpose of a glucose
tolerance test. What is the nurse's best response?
A. "The test screens for anemia during pregnancy."
B. "The test measures your blood sugar levels to check for gestational diabetes."
C. "The test determines your risk for preterm labor."
D. "The test checks for protein levels in your urine."
Answer: B. "The test measures your blood sugar levels to check for gestational
diabetes."
,Question 3
A nurse is providing education to a pregnant client about the importance of prenatal
vitamins. Which statement by the client indicates understanding of the education?
A. "Prenatal vitamins will help my baby develop strong bones and teeth."
B. "Prenatal vitamins will prevent morning sickness."
C. "Prenatal vitamins will ensure I have enough iron for delivery."
D. "Prenatal vitamins will prevent birth defects related to folic acid deficiency."
Answer: D. "Prenatal vitamins will prevent birth defects related to folic acid
deficiency."
Question 4
A nurse is assessing a postpartum client and notices that the client’s uterus is firm
and located at the level of the umbilicus. What action should the nurse take?
A. Document the finding as normal.
B. Perform a bimanual compression to stimulate uterine contraction.
C. Administer a uterotonics medication immediately.
D. Notify the healthcare provider immediately.
Answer: A. Document the finding as normal.
Question 5
,During labor, a nurse observes late decelerations on the fetal monitor. What should
the nurse do first?
A. Increase the infusion of intravenous fluids.
B. Change the maternal position to left lateral.
C. Administer supplemental oxygen to the mother.
D. Prepare for an emergency cesarean section.
Answer: B. Change the maternal position to left lateral.
Question 6
A nurse is teaching a client about signs of preterm labor. Which of the following
should the nurse include?
A. Occasional cramping with no regular pattern.
B. Increased fetal movement with back pain.
C. Regular contractions occurring every 10 minutes or less.
D. Mild pelvic pressure that resolves with rest.
Answer: C. Regular contractions occurring every 10 minutes or less.
Question 7
What is the most appropriate nursing action when a client experiences spontaneous
rupture of membranes?
A. Check the fetal heart rate immediately.
, B. Document the color and amount of amniotic fluid.
C. Apply a sterile vaginal exam to assess for cervical dilation.
D. Administer antibiotics as prescribed.
Answer: A. Check the fetal heart rate immediately.
Question 8
A client in the second trimester is concerned about experiencing shortness of breath.
What is the best advice the nurse can give?
A. "This is a common symptom due to the growing uterus pushing on the
diaphragm."
B. "You should be concerned and consult your healthcare provider immediately."
C. "It’s important to start taking medication for asthma."
D. "Try lying flat on your back to help with the breathing."
Answer: A. "This is a common symptom due to the growing uterus pushing on the
diaphragm."
Question 9
A postpartum client is diagnosed with postpartum depression. What is the priority
nursing intervention?
A. Encourage the client to participate in support groups.
B. Assist the client in creating a daily routine to improve mood.
EXAM
Question 1
A nurse is assessing a pregnant client in the third trimester. The client reports a
sudden onset of severe abdominal pain and vaginal bleeding. What is the priority
nursing intervention?
A. Monitor fetal heart rate.
B. Administer pain medication as prescribed.
C. Prepare the client for a cesarean section.
D. Assess the amount and color of vaginal discharge.
Answer: A. Monitor fetal heart rate.
Question 2
During a prenatal visit, a client asks the nurse about the purpose of a glucose
tolerance test. What is the nurse's best response?
A. "The test screens for anemia during pregnancy."
B. "The test measures your blood sugar levels to check for gestational diabetes."
C. "The test determines your risk for preterm labor."
D. "The test checks for protein levels in your urine."
Answer: B. "The test measures your blood sugar levels to check for gestational
diabetes."
,Question 3
A nurse is providing education to a pregnant client about the importance of prenatal
vitamins. Which statement by the client indicates understanding of the education?
A. "Prenatal vitamins will help my baby develop strong bones and teeth."
B. "Prenatal vitamins will prevent morning sickness."
C. "Prenatal vitamins will ensure I have enough iron for delivery."
D. "Prenatal vitamins will prevent birth defects related to folic acid deficiency."
Answer: D. "Prenatal vitamins will prevent birth defects related to folic acid
deficiency."
Question 4
A nurse is assessing a postpartum client and notices that the client’s uterus is firm
and located at the level of the umbilicus. What action should the nurse take?
A. Document the finding as normal.
B. Perform a bimanual compression to stimulate uterine contraction.
C. Administer a uterotonics medication immediately.
D. Notify the healthcare provider immediately.
Answer: A. Document the finding as normal.
Question 5
,During labor, a nurse observes late decelerations on the fetal monitor. What should
the nurse do first?
A. Increase the infusion of intravenous fluids.
B. Change the maternal position to left lateral.
C. Administer supplemental oxygen to the mother.
D. Prepare for an emergency cesarean section.
Answer: B. Change the maternal position to left lateral.
Question 6
A nurse is teaching a client about signs of preterm labor. Which of the following
should the nurse include?
A. Occasional cramping with no regular pattern.
B. Increased fetal movement with back pain.
C. Regular contractions occurring every 10 minutes or less.
D. Mild pelvic pressure that resolves with rest.
Answer: C. Regular contractions occurring every 10 minutes or less.
Question 7
What is the most appropriate nursing action when a client experiences spontaneous
rupture of membranes?
A. Check the fetal heart rate immediately.
, B. Document the color and amount of amniotic fluid.
C. Apply a sterile vaginal exam to assess for cervical dilation.
D. Administer antibiotics as prescribed.
Answer: A. Check the fetal heart rate immediately.
Question 8
A client in the second trimester is concerned about experiencing shortness of breath.
What is the best advice the nurse can give?
A. "This is a common symptom due to the growing uterus pushing on the
diaphragm."
B. "You should be concerned and consult your healthcare provider immediately."
C. "It’s important to start taking medication for asthma."
D. "Try lying flat on your back to help with the breathing."
Answer: A. "This is a common symptom due to the growing uterus pushing on the
diaphragm."
Question 9
A postpartum client is diagnosed with postpartum depression. What is the priority
nursing intervention?
A. Encourage the client to participate in support groups.
B. Assist the client in creating a daily routine to improve mood.
