ATI Maternity Proctored Exam Test Bank (Latest updated,
2024) (Questions /Answers)
ATI RN 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?
,At the umbilicus
At 22 weeks of gestation, the fundal height should be around the level of the umbilicus. The distance in
centimeters from the symphysis pubis to the top of the fundus is a rough estimate of gestational age.
A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation.
The client reports urinary frequency and asks the nurse if this will continue
throughout her pregnancy. Which of the following responses by the nurse is
appropriate?
"No, it should only last until about your 12th week, but it will return near the end of the pregnancy."
Urinary frequency usually disappears at about 12 weeks of gestation but returns near term as the enlarging
uterus presses on the bladder. It can also worsen following fetal descent.
A nurse in a prenatal clinic overhears a newly licensed nurse discussing
conception with a client. Which of the following statements by the newly
licensed nurse requires intervention by the nurse?
“Implantation occurs between two and three weeks after conception.”
ANSWER
This statement requires clarification because implantation follows conception within 6 to 10 days.
,A nurse is preparing to auscultate fetal heart tones for a client who is pregnant.
Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in
the fundal portion of the uterus and a long, smooth surface on the mother’s
right side. In which of the following maternal quadrants should the nurse
auscultate fetal heart tones?
Right upper quadrant
Fetal heart tones are best auscultated directly over the location of the fetal back,
which, in this breech presentation, is in the right upper quadrant.
A nurse is caring for a client who is pregnant and undergoing a nonstress test.
The nurse records the FHR as 130 to 150/min, with no fetal movement for 15
min. Which of the following actions should the nurse take?
Apply vibroacoustic stimulation to the woman's abdomen.
This technique is sometimes used with a nonstress test to stimulate a fetal response. A sound source, typically a laryngeal
stimulator, is applied to the client's abdomen over the fetal head for 3 seconds.
A nurse is reinforcing teaching with a client at her first prenatal visit about
expected changes during gestation. (Move the steps into the box on the right,
, placing them in the selected order of occurrence from earliest to latest in
gestation. Use all the steps.)
Breast tenderness
Nausea and vomiting
Goodell’s sign
Quickening
Striaegravidarum
A nurse in a prenatal clinic is determining a client’s estimated date of delivery
using Naegele’s rule. The first day of her last menstrual period was May 4.
Which of the following dates should the nurse tell the client is her estimated
date of delivery?
February 11
Using Naegele’s rule to calculate the client’s estimated date of delivery, the nurse should subtract 3 calendar
months and add 7 days to the client’s first day of her last menstrual period. The nurse should calculate
February 11th as the estimated date of delivery for this client.
A nurse is reinforcing teaching with a client who is in labor about why epidural
anesthesia is not initiated until a good labor pattern has been established.
Which of the following explanations should the nurse include?
"Given too soon, epidural anesthesia can prolong labor."
2024) (Questions /Answers)
ATI RN 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?
,At the umbilicus
At 22 weeks of gestation, the fundal height should be around the level of the umbilicus. The distance in
centimeters from the symphysis pubis to the top of the fundus is a rough estimate of gestational age.
A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation.
The client reports urinary frequency and asks the nurse if this will continue
throughout her pregnancy. Which of the following responses by the nurse is
appropriate?
"No, it should only last until about your 12th week, but it will return near the end of the pregnancy."
Urinary frequency usually disappears at about 12 weeks of gestation but returns near term as the enlarging
uterus presses on the bladder. It can also worsen following fetal descent.
A nurse in a prenatal clinic overhears a newly licensed nurse discussing
conception with a client. Which of the following statements by the newly
licensed nurse requires intervention by the nurse?
“Implantation occurs between two and three weeks after conception.”
ANSWER
This statement requires clarification because implantation follows conception within 6 to 10 days.
,A nurse is preparing to auscultate fetal heart tones for a client who is pregnant.
Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in
the fundal portion of the uterus and a long, smooth surface on the mother’s
right side. In which of the following maternal quadrants should the nurse
auscultate fetal heart tones?
Right upper quadrant
Fetal heart tones are best auscultated directly over the location of the fetal back,
which, in this breech presentation, is in the right upper quadrant.
A nurse is caring for a client who is pregnant and undergoing a nonstress test.
The nurse records the FHR as 130 to 150/min, with no fetal movement for 15
min. Which of the following actions should the nurse take?
Apply vibroacoustic stimulation to the woman's abdomen.
This technique is sometimes used with a nonstress test to stimulate a fetal response. A sound source, typically a laryngeal
stimulator, is applied to the client's abdomen over the fetal head for 3 seconds.
A nurse is reinforcing teaching with a client at her first prenatal visit about
expected changes during gestation. (Move the steps into the box on the right,
, placing them in the selected order of occurrence from earliest to latest in
gestation. Use all the steps.)
Breast tenderness
Nausea and vomiting
Goodell’s sign
Quickening
Striaegravidarum
A nurse in a prenatal clinic is determining a client’s estimated date of delivery
using Naegele’s rule. The first day of her last menstrual period was May 4.
Which of the following dates should the nurse tell the client is her estimated
date of delivery?
February 11
Using Naegele’s rule to calculate the client’s estimated date of delivery, the nurse should subtract 3 calendar
months and add 7 days to the client’s first day of her last menstrual period. The nurse should calculate
February 11th as the estimated date of delivery for this client.
A nurse is reinforcing teaching with a client who is in labor about why epidural
anesthesia is not initiated until a good labor pattern has been established.
Which of the following explanations should the nurse include?
"Given too soon, epidural anesthesia can prolong labor."
