ATI Maternal Proctored Actual Exam
ATI Maternal Proctored Actual Exam VERIFIED
QUESTIONS AND ANSWERS Test Bank with
350 QUESTIONS WITH CORRECT DETAILED
ANSWERS & RATIONALES |graded A+
A nurse is performing a vaginal assessment on a client who is in labor and observes the
umbilical cord protruding from the vagina . After calling for assistance, which of the following
actions should the nurse take?
A) Insert two gloved fingers into the vagina and apply upward pressure to the presenting
part.
B) Wrap the visible cord tightly with sterile, dry gauze.
C) Apply oxygen to the client at 2 L/min via nasal cannula.
D) Place the client in the lithotomy position and apply fundal pressure.
A) Insert two gloved fingers into the vagina and apply upward pressure to the presenting
part.
The nurse should quickly apply gloves and insert two fingers into the vagina toward the cervix,
A BOMB 1
, ATI Maternal Proctored Actual Exam
exerting upward pressure onto the presenting part to relieve umbilical cord compression and
increase oxygenation to the fetus.
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental
aburption. Which of the following laboratory tests should the nurse expect the provider to
prescribe?
A) Kleihauer-Betke test
B) Progesterone serum level
C) Lecithin/sphingomyelin (L/S) ratio
D) Maternal Alpha-fetoprotein (AFP)
A) Kleihauer-Betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who has
suspected placental abruption to determine if fetal blood is in maternal circulation. This test is
useful to determine if Rho-(D) immune globulin therapy should be administered to a client
who is Rh-negative.
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which
of the following complications should the nurse assess?
A) Abruptio placenta
B) Placenta previa
C) Preeclampsia
D) Maternal bradycardia
A) Abruptio placenta
Cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
A nurse is assessing client who has severe preenclampsia. Which of the following
manifestations should the nurse expect?
A BOMB 2
, ATI Maternal Proctored Actual Exam
A) 2+ deep tendon reflexes
B) Proteinuria of 200 mg in a 24-hr specimen
C) Polyuria
D) Blurred vision
D) Blurred vision
The nurse should identify that a client who has severe preeclampsia can have arteriolar
vasospasms and decreased blood flow to the retina which can lead to visual disturbances,
such as blurred vision, double vision, or dark spots in the visual field.
A nurse is providing edu about family bonding to parents who recently adopted a newborn.
The nurse should make which of the following suggestions to aide the family's 7 year old into
accepting the newborn?
A) Allow the sibling to hold the newborn during a bath.
B) Make sure the sibling kisses the newborn each night.
C) Obtain a gift from the newborn to present to the sibling.
D) Switch the sibling's room with the nursery
C) Obtain a gift from the newborn to present to the sibling.
Presenting a gift from the newborn to the sibling is a strategy to facilitate a school-age
sibling's acceptance of a new family member. This ensures that the sibling does not feel left
out and that they understand their role in the family.
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a c-
section. The nurse notes RR of 8 breaths/min. Which of the following meds should the nurse
adminster?
A) Fentanyl
B) Butorphanol
A BOMB 3
, ATI Maternal Proctored Actual Exam
C) Naloxone
D) Meperidine
C) Naloxone
Morphine is a common opioid analgesic used for postoperative pain management that can
cause central nervous system depression and can cause respiratory depression. The nurse
should administer naloxone, an opioid antagonist, to reverse the opioid-induced respiratory
depression in the client.
A nurse is teaching a client who is at 10 weeks gestation about nutrition during pregnancy.
Which of the following statements by the client indicates an understanding of the teaching?
"I should increase my protein intake to 60 grams each day."
"I should drink 2 liters of water each day."
"I should increase my overall daily caloric intake by 300 calories."
"I should take 600 micrograms of folic acid each day."
"I should take 600 micrograms of folic acid each day."
A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic acid assists
with preventing neural tube birth defects.
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should
the nurse report to the provider?
Acrocyanosis
Transient strabismus
Jaundice
Caput succedaneum
Jaundice
Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility,
hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the provider.
A BOMB 4
ATI Maternal Proctored Actual Exam VERIFIED
QUESTIONS AND ANSWERS Test Bank with
350 QUESTIONS WITH CORRECT DETAILED
ANSWERS & RATIONALES |graded A+
A nurse is performing a vaginal assessment on a client who is in labor and observes the
umbilical cord protruding from the vagina . After calling for assistance, which of the following
actions should the nurse take?
A) Insert two gloved fingers into the vagina and apply upward pressure to the presenting
part.
B) Wrap the visible cord tightly with sterile, dry gauze.
C) Apply oxygen to the client at 2 L/min via nasal cannula.
D) Place the client in the lithotomy position and apply fundal pressure.
A) Insert two gloved fingers into the vagina and apply upward pressure to the presenting
part.
The nurse should quickly apply gloves and insert two fingers into the vagina toward the cervix,
A BOMB 1
, ATI Maternal Proctored Actual Exam
exerting upward pressure onto the presenting part to relieve umbilical cord compression and
increase oxygenation to the fetus.
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental
aburption. Which of the following laboratory tests should the nurse expect the provider to
prescribe?
A) Kleihauer-Betke test
B) Progesterone serum level
C) Lecithin/sphingomyelin (L/S) ratio
D) Maternal Alpha-fetoprotein (AFP)
A) Kleihauer-Betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who has
suspected placental abruption to determine if fetal blood is in maternal circulation. This test is
useful to determine if Rho-(D) immune globulin therapy should be administered to a client
who is Rh-negative.
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which
of the following complications should the nurse assess?
A) Abruptio placenta
B) Placenta previa
C) Preeclampsia
D) Maternal bradycardia
A) Abruptio placenta
Cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
A nurse is assessing client who has severe preenclampsia. Which of the following
manifestations should the nurse expect?
A BOMB 2
, ATI Maternal Proctored Actual Exam
A) 2+ deep tendon reflexes
B) Proteinuria of 200 mg in a 24-hr specimen
C) Polyuria
D) Blurred vision
D) Blurred vision
The nurse should identify that a client who has severe preeclampsia can have arteriolar
vasospasms and decreased blood flow to the retina which can lead to visual disturbances,
such as blurred vision, double vision, or dark spots in the visual field.
A nurse is providing edu about family bonding to parents who recently adopted a newborn.
The nurse should make which of the following suggestions to aide the family's 7 year old into
accepting the newborn?
A) Allow the sibling to hold the newborn during a bath.
B) Make sure the sibling kisses the newborn each night.
C) Obtain a gift from the newborn to present to the sibling.
D) Switch the sibling's room with the nursery
C) Obtain a gift from the newborn to present to the sibling.
Presenting a gift from the newborn to the sibling is a strategy to facilitate a school-age
sibling's acceptance of a new family member. This ensures that the sibling does not feel left
out and that they understand their role in the family.
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a c-
section. The nurse notes RR of 8 breaths/min. Which of the following meds should the nurse
adminster?
A) Fentanyl
B) Butorphanol
A BOMB 3
, ATI Maternal Proctored Actual Exam
C) Naloxone
D) Meperidine
C) Naloxone
Morphine is a common opioid analgesic used for postoperative pain management that can
cause central nervous system depression and can cause respiratory depression. The nurse
should administer naloxone, an opioid antagonist, to reverse the opioid-induced respiratory
depression in the client.
A nurse is teaching a client who is at 10 weeks gestation about nutrition during pregnancy.
Which of the following statements by the client indicates an understanding of the teaching?
"I should increase my protein intake to 60 grams each day."
"I should drink 2 liters of water each day."
"I should increase my overall daily caloric intake by 300 calories."
"I should take 600 micrograms of folic acid each day."
"I should take 600 micrograms of folic acid each day."
A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic acid assists
with preventing neural tube birth defects.
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should
the nurse report to the provider?
Acrocyanosis
Transient strabismus
Jaundice
Caput succedaneum
Jaundice
Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility,
hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the provider.
A BOMB 4
