ATI MATERNITY
PROCTORED EXAM 2023
A nurse is collecting data from a client who is 12 hr postpartum following a
spontaneous vaginal delivery. The nurse should expect to find the uterine
fundus at which of the following positions on the client’s abdomen?
At the level of the umbilicus
Within 12 hr, the fundus should rise to the level of the umbilicus and then recede 1 to 2 cm each day.
A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small
amount of lochia rubra on the client's perineal pad. The fundus is midline and
firm at the umbilicus. Which of the following actions should the nurse take?
Perform fundal massage
The nurse notes that the fundus is midline and firm; therefore, fundal massage is not indicated at this time.
A nurse is preparing to palpate the uterine fundus of a client who is at 22
weeks of gestation to measure fundal height. At which of the following
locations should the nurse expect to find the fundus?
, a. Insert two gloved fingers into the vagina and apply upward pressure to
thepresenting 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
8. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption? Which of the following laboratory tests should the nurse
expect theprovider to prescribe?
a. Kleihauer-Betke test
b. Progesterone serum level
c. Lecithin/sphingomyelin (L/S) ration
d. Maternal Alpha-fetoprotein (AFP)
9. A nurse is admitting a client who is in labor. The client admits to recent cocaine use.
Forwhich of the following complications should the nurse assess?
a. Abruptio placenta
b. Placenta previa
c. Preeclampsia
d. Maternal bradycardia
10. A nurse is assessing a client who has severe preeclampsia. Which of the
followingmanifestations should the nurse expect?
a. 2+ deep tendon reflex
b. Proteinuria of 200mg in a 24-hr specimen
c. Polyuria
d. Blurred vision
1. Two days after delivery, a postpartum client prepares for discharge. What should the
nurseteach her about lochia flow?
Incorrect: Lochia does change color but goes from lochia rubra (bright red) on days 1-3, to
lochiaserosa (pinkish brown) on days 4-9, to lochia alba (creamy white) days 10-21.
Incorrect: Numerous clots are abnormal and should be reported to the physician.
PROCTORED EXAM 2023
A nurse is collecting data from a client who is 12 hr postpartum following a
spontaneous vaginal delivery. The nurse should expect to find the uterine
fundus at which of the following positions on the client’s abdomen?
At the level of the umbilicus
Within 12 hr, the fundus should rise to the level of the umbilicus and then recede 1 to 2 cm each day.
A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small
amount of lochia rubra on the client's perineal pad. The fundus is midline and
firm at the umbilicus. Which of the following actions should the nurse take?
Perform fundal massage
The nurse notes that the fundus is midline and firm; therefore, fundal massage is not indicated at this time.
A nurse is preparing to palpate the uterine fundus of a client who is at 22
weeks of gestation to measure fundal height. At which of the following
locations should the nurse expect to find the fundus?
, a. Insert two gloved fingers into the vagina and apply upward pressure to
thepresenting 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
8. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption? Which of the following laboratory tests should the nurse
expect theprovider to prescribe?
a. Kleihauer-Betke test
b. Progesterone serum level
c. Lecithin/sphingomyelin (L/S) ration
d. Maternal Alpha-fetoprotein (AFP)
9. A nurse is admitting a client who is in labor. The client admits to recent cocaine use.
Forwhich of the following complications should the nurse assess?
a. Abruptio placenta
b. Placenta previa
c. Preeclampsia
d. Maternal bradycardia
10. A nurse is assessing a client who has severe preeclampsia. Which of the
followingmanifestations should the nurse expect?
a. 2+ deep tendon reflex
b. Proteinuria of 200mg in a 24-hr specimen
c. Polyuria
d. Blurred vision
1. Two days after delivery, a postpartum client prepares for discharge. What should the
nurseteach her about lochia flow?
Incorrect: Lochia does change color but goes from lochia rubra (bright red) on days 1-3, to
lochiaserosa (pinkish brown) on days 4-9, to lochia alba (creamy white) days 10-21.
Incorrect: Numerous clots are abnormal and should be reported to the physician.
