ATI Maternal Newborn Proctored Exam 2023–2026 Updated
Practice Questions & Answers with Screenshots and Rationales
6. A nurse is assessing a client at 35 weeks gestation with preeclampsia. The
client reports a severe headache and blurred vision. Which of the following
actions should the nurse take first?
A) Administer acetaminophen for headache
B) Notify the provider
C) Check blood pressure
D) Prepare for magnesium sulfate administration
Correct Answer: C
Rationale: The nurse should first assess the client's blood pressure to confirm
hypertension. Headache and blurred vision are signs of severe preeclampsia. After
obtaining vital signs, the nurse should notify the provider and prepare for magnesium
sulfate.
,7. A nurse is caring for a client who is 10 weeks pregnant and reports frequent
nausea and vomiting. Which of the following recommendations should the
nurse make?
A) Eat large, heavy meals to keep the stomach full
B) Drink a glass of orange juice immediately upon waking
C) Eat dry crackers before getting out of bed
D) Lie flat for 30 minutes after eating
Correct Answer: C
Rationale: Eating dry crackers or toast before getting out of bed helps prevent
morning sickness by raising blood glucose and absorbing stomach acid. Small,
frequent meals are recommended. Orange juice is acidic and may worsen symptoms.
Lying flat after eating can promote reflux.
,3. A nurse is caring for a client at 26 weeks gestation who has a diagnosis of
pyelonephritis. Which of the following findings should the nurse expect?
A) Painless vaginal bleeding
B) Costovertebral angle tenderness and fever
C) Hyperreflexia and headache
D) Painless cervical dilation
Correct Answer: B
Rationale: Pyelonephritis (kidney infection) presents with fever, chills, flank pain,
costovertebral angle tenderness, nausea, and vomiting. It is a serious complication
during pregnancy that can lead to preterm labor and sepsis.
, 4. A nurse is reviewing the laboratory results of a client who is 32 weeks
pregnant. Which of the following findings should the nurse report to the
provider?
A) Hemoglobin 11.0 g/dL
B) Platelets 80,000/mm³
C) White blood cell count 13,000/mm³
D) Blood glucose 85 mg/dL
Correct Answer: B
Rationale: Platelets <100,000/mm³ (thrombocytopenia) can indicate HELLP
syndrome, immune thrombocytopenia, or other serious conditions. Normal platelet
count in pregnancy is 150,000–400,000/mm³. Hemoglobin of 11.0 is normal in
pregnancy (mild dilutional anemia). WBC up to 15,000 is normal.
Practice Questions & Answers with Screenshots and Rationales
6. A nurse is assessing a client at 35 weeks gestation with preeclampsia. The
client reports a severe headache and blurred vision. Which of the following
actions should the nurse take first?
A) Administer acetaminophen for headache
B) Notify the provider
C) Check blood pressure
D) Prepare for magnesium sulfate administration
Correct Answer: C
Rationale: The nurse should first assess the client's blood pressure to confirm
hypertension. Headache and blurred vision are signs of severe preeclampsia. After
obtaining vital signs, the nurse should notify the provider and prepare for magnesium
sulfate.
,7. A nurse is caring for a client who is 10 weeks pregnant and reports frequent
nausea and vomiting. Which of the following recommendations should the
nurse make?
A) Eat large, heavy meals to keep the stomach full
B) Drink a glass of orange juice immediately upon waking
C) Eat dry crackers before getting out of bed
D) Lie flat for 30 minutes after eating
Correct Answer: C
Rationale: Eating dry crackers or toast before getting out of bed helps prevent
morning sickness by raising blood glucose and absorbing stomach acid. Small,
frequent meals are recommended. Orange juice is acidic and may worsen symptoms.
Lying flat after eating can promote reflux.
,3. A nurse is caring for a client at 26 weeks gestation who has a diagnosis of
pyelonephritis. Which of the following findings should the nurse expect?
A) Painless vaginal bleeding
B) Costovertebral angle tenderness and fever
C) Hyperreflexia and headache
D) Painless cervical dilation
Correct Answer: B
Rationale: Pyelonephritis (kidney infection) presents with fever, chills, flank pain,
costovertebral angle tenderness, nausea, and vomiting. It is a serious complication
during pregnancy that can lead to preterm labor and sepsis.
, 4. A nurse is reviewing the laboratory results of a client who is 32 weeks
pregnant. Which of the following findings should the nurse report to the
provider?
A) Hemoglobin 11.0 g/dL
B) Platelets 80,000/mm³
C) White blood cell count 13,000/mm³
D) Blood glucose 85 mg/dL
Correct Answer: B
Rationale: Platelets <100,000/mm³ (thrombocytopenia) can indicate HELLP
syndrome, immune thrombocytopenia, or other serious conditions. Normal platelet
count in pregnancy is 150,000–400,000/mm³. Hemoglobin of 11.0 is normal in
pregnancy (mild dilutional anemia). WBC up to 15,000 is normal.
