MATERNAL ATI EXAM| PRACTICE EXAM WITH COMPLETE SOLUTIONS
AND LATEST UPDATES 2026.
epidural - answer: -cannot feel pain, pressure, or tearing sensation
-changes in VS indicate hypovolemia
-cause maternal BP to decrease rather than increase because of CNS
depression
-most effective in active labor, where there will be vervain changes
occurring at least every 5-7 minutes that last between 45-50sec, and
contractions will be moderately strong in intensity
-can cause bradycardia in fetus
-bolus mother with 500ml of IV fluids prior to epidural
-giving prior to active stage of labor can slow the progression, taking
longer to dilate and efface
hematoma - answer: localized collection of blood into the tissues of the
reproductive sac after delivery.
-vulvar hematoma most common
-application of ice reduces swelling caused by hematoma formation in
vulvar area
priority for soft/boggy uterus - answer: massage the fundus until it it is
firm and to express clots that may have accumulated in the uterus
-do not push on an uncontracted uterus, it can cause the uterus to
become inverted, leading to massive hemorrhage
opioid administration - answer: obtain a medication hx before the
administration of an opioid analgesic.
-some medications may be contraindicated if the client has a hx of
,opioid dependency because these medications can precipitate
withdrawal sx in pt and NB
Ergot alkaloid *PRIORITY* NI - answer: check BP prior to administering
-can cause severe HTN and are contraindicated in a pt with HTN
Preterm Labor NI (Chp 10) - answer: -focusing on stopping uterine
contractions.
,*Activity restriction*
-Instruct the client on ways to modify her environment to allow for
modified bed rest, yet have the ability to fulfill role responsibilities.
Strict bed rest has been found to have adverse effects.
-Encourage the client to rest in the left lateral position to increase blood
flow to the uterus and decrease uterine activity.
-Tell the client to avoid sexual intercourse.
*Ensure hydration*
-Dehydration stimulates the pituitary gland to secrete an antidiuretic
hormone and oxytocin. Preventing dehydration prevents the release of
oxytocin, which stimulates uterine contractions.
-Have the client report any vaginal discharge, noting color, consistency,
and odor.
-Monitor vital signs and temperature.
Mitral Valve Stenosis (Chp 15) - answer: Class III
-marked limitation in activity d/t sx, even during less=than-ordinary
activity
Class I - answer: no sx and no limitations in ordinary physical activity
Class II - answer: mild sx and slight limitation with activity
Class IV - answer: severe limitations with sx at rest
Dosage Calculation: Determining Dose of
Metronidazole (Pharm Chp 3) - answer:
Hypoglycemia (Chp 27) - answer: -Serum glucose less than 40 mg/dl
, -Bilirubin levels increase more than 0.5 mg/dl/hr, peaks at greater
than 13 mg/dl or is associated with anemia or hepatosplenomegaly
-Kernicterus: bilirubin levels at or higher than 25 mg/dl
Managing preeclampsia (Chp 9) - answer: clinical subsets of the disease
based on end-organ effects and progresses along a continuum from
mild gestational hypertension, mild and severe
AND LATEST UPDATES 2026.
epidural - answer: -cannot feel pain, pressure, or tearing sensation
-changes in VS indicate hypovolemia
-cause maternal BP to decrease rather than increase because of CNS
depression
-most effective in active labor, where there will be vervain changes
occurring at least every 5-7 minutes that last between 45-50sec, and
contractions will be moderately strong in intensity
-can cause bradycardia in fetus
-bolus mother with 500ml of IV fluids prior to epidural
-giving prior to active stage of labor can slow the progression, taking
longer to dilate and efface
hematoma - answer: localized collection of blood into the tissues of the
reproductive sac after delivery.
-vulvar hematoma most common
-application of ice reduces swelling caused by hematoma formation in
vulvar area
priority for soft/boggy uterus - answer: massage the fundus until it it is
firm and to express clots that may have accumulated in the uterus
-do not push on an uncontracted uterus, it can cause the uterus to
become inverted, leading to massive hemorrhage
opioid administration - answer: obtain a medication hx before the
administration of an opioid analgesic.
-some medications may be contraindicated if the client has a hx of
,opioid dependency because these medications can precipitate
withdrawal sx in pt and NB
Ergot alkaloid *PRIORITY* NI - answer: check BP prior to administering
-can cause severe HTN and are contraindicated in a pt with HTN
Preterm Labor NI (Chp 10) - answer: -focusing on stopping uterine
contractions.
,*Activity restriction*
-Instruct the client on ways to modify her environment to allow for
modified bed rest, yet have the ability to fulfill role responsibilities.
Strict bed rest has been found to have adverse effects.
-Encourage the client to rest in the left lateral position to increase blood
flow to the uterus and decrease uterine activity.
-Tell the client to avoid sexual intercourse.
*Ensure hydration*
-Dehydration stimulates the pituitary gland to secrete an antidiuretic
hormone and oxytocin. Preventing dehydration prevents the release of
oxytocin, which stimulates uterine contractions.
-Have the client report any vaginal discharge, noting color, consistency,
and odor.
-Monitor vital signs and temperature.
Mitral Valve Stenosis (Chp 15) - answer: Class III
-marked limitation in activity d/t sx, even during less=than-ordinary
activity
Class I - answer: no sx and no limitations in ordinary physical activity
Class II - answer: mild sx and slight limitation with activity
Class IV - answer: severe limitations with sx at rest
Dosage Calculation: Determining Dose of
Metronidazole (Pharm Chp 3) - answer:
Hypoglycemia (Chp 27) - answer: -Serum glucose less than 40 mg/dl
, -Bilirubin levels increase more than 0.5 mg/dl/hr, peaks at greater
than 13 mg/dl or is associated with anemia or hepatosplenomegaly
-Kernicterus: bilirubin levels at or higher than 25 mg/dl
Managing preeclampsia (Chp 9) - answer: clinical subsets of the disease
based on end-organ effects and progresses along a continuum from
mild gestational hypertension, mild and severe
