BANK/MATERNITY ATI PROCTORED TEST
BANK /ATI MATERNITY PROCTORED
EXAM PREPARATION REAL EXAM 150+
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES.
**Question 1**
A nurse is assessing a client at 12 weeks of gestation. Which of the
following findings requires immediate intervention?
- A. Heart rate 90 bpm
- B. Blood pressure 140/90 mm Hg
- C. Serum hemoglobin 11 g/dL
- D. Urine dipstick glucose 1+
**Correct Answer: B. Blood pressure 140/90 mm Hg**
**Rationale:** A blood pressure of ≥140/90 before 20 weeks of
gestation suggests chronic hypertension or the early development of
,preeclampsia and requires immediate intervention. A hemoglobin of 11
g/dL and mild tachycardia are common findings in pregnancy, and trace
glucose is often normal due to increased renal plasma flow .
**Question 2**
A nurse is providing teaching to a client about the physiological changes
that occur during pregnancy. The client is at 10 weeks of gestation.
Which of the following client statements indicates an understanding of
the teaching?
- A. "My blood volume will decrease during the first trimester."
- B. "My heart rate will slow down as pregnancy progresses."
- C. "My blood pressure may decrease during the second trimester."
- D. "My breathing will become more shallow and rapid."
**Correct Answer: C. "My blood pressure may decrease during the
second trimester."**
**Rationale:** Blood pressure often decreases during the second
trimester due to hormonal changes and reduced peripheral vascular
resistance, reaching its lowest point at about 24-32 weeks of gestation .
**Question 3**
A nurse in a prenatal clinic is caring for a client who suspects she may
be pregnant and asks how the provider will confirm her pregnancy.
Which of the following lab tests will be used to confirm her pregnancy?
,- A. Urine test for presence of hCG
- B. Urine test for presence of hCS
- C. Blood test for presence of estrogen
- D. Blood test for the amount of circulating progesterone
**Correct Answer: A. Urine test for presence of hCG**
**Rationale:** Human chorionic gonadotropin (hCG) is the hormone
produced by the placenta that confirms pregnancy. It is detectable in
urine and blood shortly after implantation and is the basis for most
home pregnancy tests .
**Question 4**
A nurse is caring for a client who is at 12 weeks of gestation and has a
hydatidiform mole. Which of the following findings should the nurse
expect?
- A. Hypothermia
- B. Dark brown vaginal discharge
- C. Fetal heart tones
- D. Decreased urinary output
**Correct Answer: B. Dark brown vaginal discharge**
, **Rationale:** A hydatidiform mole (molar pregnancy) is a benign
proliferative growth of the chorionic villi. As cells slough off the uterine
wall, vaginal discharge is usually dark brown and can contain grapelike
clusters .
**Question 5**
A client at 25 weeks of gestation tells the nurse that she dropped a
cooking utensil last week and her baby jumped in response to the
noise. What information should the nurse provide?
- A. This is a demonstration of the fetus's acoustical reflex.
- B. The fetus can respond to sound by 24-weeks gestation.
- C. It is a coincidence the fetus responded at the same time.
- D. Report the fetus's behavior to the healthcare provider.
**Correct Answer: B. The fetus can respond to sound by 24-weeks
gestation.**
**Rationale:** By 24 weeks of gestation, the fetus's ability to hear loud
environmental sounds can illicit a startle response. Acoustic
stimulations can evoke a fetal heart rate response and fetal movement
.
**Question 6**