ATI Maternal Proctored Actual Exam
ATI Maternal Proctored Actual Exam 2
VERIFIED QUESTIONS AND ANSWERS Test
Bank with 350 QUESTIONS WITH CORRECT
DETAILED ANSWERS & RATIONALES |graded
A+
A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the
following assessments should the nurse identify as priority?
a. O2 saturation
b. temperature
c. blood pressure
d. urinary output
b. temperature
The greatest risk for a client following an amniotomy is infection. Therefore, the nurse should
identify that the priority assessment is the client's temperature
A BOMB 1
, ATI Maternal Proctored Actual Exam
A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined
the fetal position as left occipital anterior. To which of the following areas of the client's
abdomen should the nurse apply the ultrasound transducer to assess the point of maximum
intensity of the fetal heart?
a. left upper quadrant
b. right upper quadrant
c. left lower quadrant
d. right lower quadrant
c. left lower quadrant
The fetal heart tones of a fetus in the left occipital anterior position are best heard in the
lower left quadrant
A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia.
Which of the following laboratory results should the nurse report to the provider?
a. Hct 39%
b. serum albumin 4.5 g/dl
c. WBC 9000
d. platelets 50,000
d. platelets 50,000
A platelet count of this is below the expected reference range, which can indicate
disseminated intravascular coagulation. The nurse should report this to the provider.
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive.
Which of the following findings in the client's history should the nurse recognize as a
contraindication to oral contraceptives? SATA
cholecystitis, hypertension, HPV, migraine headaches, anxiety disorder
cholecystitis, hypertension, migraine headaches
A BOMB 2
, ATI Maternal Proctored Actual Exam
A nurse is assessing the newborn of a client who took a SSRI during pregnancy. Which of the
following manifestations should the nurse identify as an indication of withdrawal from an
SSRI?
a. LGA
b. hyperglycemia
c. bradypnea
d. vomiting
d. vomiting
Expected manifestations associated with fetal exposure to SSRIs include irritability, agitation,
tremors, diarrhea, and vomiting. These manifestations typically last 2 days.
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
position. The client is dilated to 8 cm and reports back pain. Which of the following actions
should the nurse take?
a. apply sacral counterpressure
b. perform transcutaneous electrical nerve stimulation
c. initiate slow paced breathing
d. assist with biofeedback
a. apply sacral counterpressure
The nurse should apply this to assist in relieving back labor pain related to fetal posterior
position
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following
statements by the client indicates an understanding of the teaching?
a. "I will get injections of the medication once daily until my labor stops"
b. "My blood sugar may be low while I'm on this medication"
c. "I will have blood tests because my potassium might decrease"
d. "My blood pressure may increase while I'm on this medication"
c. "I will have blood tests because my potassium might decrease"
An adverse effect of terbutaline is hypokalemia
A BOMB 3
, ATI Maternal Proctored Actual Exam
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus to be
right above the umbilicus. Which of the following actions should the nurse perform?
a. reassess the client in 2 hrs
b. administer simethicone
c. assist the client to empty her bladder
d. instruct the client to lie on her right side
c. assist the client to empty her bladder
The nurse should assist the client to empty her bladder because the assessment findings
indicate that the client's bladder is distended. This can prevent the uterus from contracting,
resulting in increased vaginal bleeding or postpartum hemorrhage.
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for
pain control. Which of the following actions should the nurse include in the plan of care?
a. place the client in a supine position for 30 mins following the first dose of anesthetic
solution
b. administer 1000 mL of dextrose 5% in water prior to the first dose of anesthetic solution
c. monitor the client's blood pressure every 5 mins following the first dose
d. ensure the client has been NPO 4 hr prior
c. monitor the client's blood pressure every 5 mins
The nurse should plan to obtain a baseline blood pressure prior to the initiation of anesthetic
solution. The nurse should then continue to monitor the client's blood pressure every 5-10
minutes to assess for maternal hypotension caused by the anesthetic
A nurse is planning care for a client who is 2 hr postpartum. Which of the following
interventions should the nurse plan to implement during the taking-hold phase of postpartum
behavioral adjustmen?
a. discuss contraceptive options with the client & her partner
b. repeat info to ensure understanding
c. listen to the client and her partner as they reflect upon the birthing experience
d. demonstrate to the client how to perform a newborn bath
A BOMB 4
ATI Maternal Proctored Actual Exam 2
VERIFIED QUESTIONS AND ANSWERS Test
Bank with 350 QUESTIONS WITH CORRECT
DETAILED ANSWERS & RATIONALES |graded
A+
A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the
following assessments should the nurse identify as priority?
a. O2 saturation
b. temperature
c. blood pressure
d. urinary output
b. temperature
The greatest risk for a client following an amniotomy is infection. Therefore, the nurse should
identify that the priority assessment is the client's temperature
A BOMB 1
, ATI Maternal Proctored Actual Exam
A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined
the fetal position as left occipital anterior. To which of the following areas of the client's
abdomen should the nurse apply the ultrasound transducer to assess the point of maximum
intensity of the fetal heart?
a. left upper quadrant
b. right upper quadrant
c. left lower quadrant
d. right lower quadrant
c. left lower quadrant
The fetal heart tones of a fetus in the left occipital anterior position are best heard in the
lower left quadrant
A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia.
Which of the following laboratory results should the nurse report to the provider?
a. Hct 39%
b. serum albumin 4.5 g/dl
c. WBC 9000
d. platelets 50,000
d. platelets 50,000
A platelet count of this is below the expected reference range, which can indicate
disseminated intravascular coagulation. The nurse should report this to the provider.
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive.
Which of the following findings in the client's history should the nurse recognize as a
contraindication to oral contraceptives? SATA
cholecystitis, hypertension, HPV, migraine headaches, anxiety disorder
cholecystitis, hypertension, migraine headaches
A BOMB 2
, ATI Maternal Proctored Actual Exam
A nurse is assessing the newborn of a client who took a SSRI during pregnancy. Which of the
following manifestations should the nurse identify as an indication of withdrawal from an
SSRI?
a. LGA
b. hyperglycemia
c. bradypnea
d. vomiting
d. vomiting
Expected manifestations associated with fetal exposure to SSRIs include irritability, agitation,
tremors, diarrhea, and vomiting. These manifestations typically last 2 days.
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
position. The client is dilated to 8 cm and reports back pain. Which of the following actions
should the nurse take?
a. apply sacral counterpressure
b. perform transcutaneous electrical nerve stimulation
c. initiate slow paced breathing
d. assist with biofeedback
a. apply sacral counterpressure
The nurse should apply this to assist in relieving back labor pain related to fetal posterior
position
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following
statements by the client indicates an understanding of the teaching?
a. "I will get injections of the medication once daily until my labor stops"
b. "My blood sugar may be low while I'm on this medication"
c. "I will have blood tests because my potassium might decrease"
d. "My blood pressure may increase while I'm on this medication"
c. "I will have blood tests because my potassium might decrease"
An adverse effect of terbutaline is hypokalemia
A BOMB 3
, ATI Maternal Proctored Actual Exam
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus to be
right above the umbilicus. Which of the following actions should the nurse perform?
a. reassess the client in 2 hrs
b. administer simethicone
c. assist the client to empty her bladder
d. instruct the client to lie on her right side
c. assist the client to empty her bladder
The nurse should assist the client to empty her bladder because the assessment findings
indicate that the client's bladder is distended. This can prevent the uterus from contracting,
resulting in increased vaginal bleeding or postpartum hemorrhage.
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for
pain control. Which of the following actions should the nurse include in the plan of care?
a. place the client in a supine position for 30 mins following the first dose of anesthetic
solution
b. administer 1000 mL of dextrose 5% in water prior to the first dose of anesthetic solution
c. monitor the client's blood pressure every 5 mins following the first dose
d. ensure the client has been NPO 4 hr prior
c. monitor the client's blood pressure every 5 mins
The nurse should plan to obtain a baseline blood pressure prior to the initiation of anesthetic
solution. The nurse should then continue to monitor the client's blood pressure every 5-10
minutes to assess for maternal hypotension caused by the anesthetic
A nurse is planning care for a client who is 2 hr postpartum. Which of the following
interventions should the nurse plan to implement during the taking-hold phase of postpartum
behavioral adjustmen?
a. discuss contraceptive options with the client & her partner
b. repeat info to ensure understanding
c. listen to the client and her partner as they reflect upon the birthing experience
d. demonstrate to the client how to perform a newborn bath
A BOMB 4
