ATI Maternity Proctored Exam – Verified
Questions and Answers | Latest 2025/2026
Update | 100% Correct | Score an A
Below is a comprehensive set of 25 multiple-choice questions for the ATI Maternity Proctored
Exam, covering key topics in maternity nursing including prenatal care, labor and delivery,
postpartum assessment, newborn care, and complications. Each question includes four options
(A–D). The correct answer is marked in bold, followed by a brief rationale.
Question 1: A nurse is assessing a client at 12 weeks of gestation. Which finding
indicates a possible ectopic pregnancy?
A. Mild cramping and spotting
B. Breast tenderness and nausea
C. Unilateral abdominal pain and shoulder tip pain
D. Fatigue and frequent urination
Correct Answer: C
Rationale: Ectopic pregnancy often presents with sharp, unilateral pain and referred shoulder
pain from diaphragmatic irritation due to internal bleeding.
Question 2: What is the recommended frequency of prenatal visits for a low-risk client in
the first trimester?
A. Monthly starting at 4 weeks
B. Every 4 weeks until 28 weeks
C. Biweekly from conception
D. Weekly throughout pregnancy
Correct Answer: B
Rationale: Standard ACOG guidelines for low-risk pregnancies recommend monthly visits until
28 weeks to monitor fetal development and maternal health.
Question 3: A client at 38 weeks of gestation reports contractions every 3 minutes
lasting 60 seconds. What is the nurse's priority action?
A. Encourage ambulation
B. Perform Leopold maneuvers
, C. Administer pain medication
D. Prepare for discharge
Correct Answer: B
Rationale: Assessing fetal presentation and position via Leopold maneuvers helps determine if
labor is progressing and guides interventions.
Question 4: During the second stage of labor, the nurse notes crowning. What
instruction should be given to the client?
A. Push with every contraction
B. Bear down continuously
C. Push only when instructed during contractions
D. Relax and breathe deeply
Correct Answer: C
Rationale: Directed pushing conserves energy, reduces fetal hypoxia, and prevents perineal
trauma during the second stage.
Question 5: A postpartum client is at risk for postpartum hemorrhage. Which medication
should the nurse anticipate administering?
A. Methylergonovine (Methergine)
B. Oxytocin (Pitocin)
C. Misoprostol (Cytotec)
D. All of the above
Correct Answer: D
Rationale: These uterotonics promote uterine contraction to control bleeding; choice depends
on client status and contraindications.
Question 6: What is the normal fundal height measurement at 20 weeks of gestation?
A. At the umbilicus
B. Midway between symphysis pubis and umbilicus
C. At the xiphoid process
D. Below the symphysis pubis
Correct Answer: B
Rationale: Fundal height approximates gestational age in centimeters; at 20 weeks, it is
approximately 20 cm, midway to the umbilicus.
Questions and Answers | Latest 2025/2026
Update | 100% Correct | Score an A
Below is a comprehensive set of 25 multiple-choice questions for the ATI Maternity Proctored
Exam, covering key topics in maternity nursing including prenatal care, labor and delivery,
postpartum assessment, newborn care, and complications. Each question includes four options
(A–D). The correct answer is marked in bold, followed by a brief rationale.
Question 1: A nurse is assessing a client at 12 weeks of gestation. Which finding
indicates a possible ectopic pregnancy?
A. Mild cramping and spotting
B. Breast tenderness and nausea
C. Unilateral abdominal pain and shoulder tip pain
D. Fatigue and frequent urination
Correct Answer: C
Rationale: Ectopic pregnancy often presents with sharp, unilateral pain and referred shoulder
pain from diaphragmatic irritation due to internal bleeding.
Question 2: What is the recommended frequency of prenatal visits for a low-risk client in
the first trimester?
A. Monthly starting at 4 weeks
B. Every 4 weeks until 28 weeks
C. Biweekly from conception
D. Weekly throughout pregnancy
Correct Answer: B
Rationale: Standard ACOG guidelines for low-risk pregnancies recommend monthly visits until
28 weeks to monitor fetal development and maternal health.
Question 3: A client at 38 weeks of gestation reports contractions every 3 minutes
lasting 60 seconds. What is the nurse's priority action?
A. Encourage ambulation
B. Perform Leopold maneuvers
, C. Administer pain medication
D. Prepare for discharge
Correct Answer: B
Rationale: Assessing fetal presentation and position via Leopold maneuvers helps determine if
labor is progressing and guides interventions.
Question 4: During the second stage of labor, the nurse notes crowning. What
instruction should be given to the client?
A. Push with every contraction
B. Bear down continuously
C. Push only when instructed during contractions
D. Relax and breathe deeply
Correct Answer: C
Rationale: Directed pushing conserves energy, reduces fetal hypoxia, and prevents perineal
trauma during the second stage.
Question 5: A postpartum client is at risk for postpartum hemorrhage. Which medication
should the nurse anticipate administering?
A. Methylergonovine (Methergine)
B. Oxytocin (Pitocin)
C. Misoprostol (Cytotec)
D. All of the above
Correct Answer: D
Rationale: These uterotonics promote uterine contraction to control bleeding; choice depends
on client status and contraindications.
Question 6: What is the normal fundal height measurement at 20 weeks of gestation?
A. At the umbilicus
B. Midway between symphysis pubis and umbilicus
C. At the xiphoid process
D. Below the symphysis pubis
Correct Answer: B
Rationale: Fundal height approximates gestational age in centimeters; at 20 weeks, it is
approximately 20 cm, midway to the umbilicus.
