ATI MATERNAL 2026 COMPREHENSIVE
OBSTETRICS NURSING STUDY GUIDE
◉A nurse is performing a vaginal examination on a client who is in
labor and observes the umbilical cord protruding from the vagina
after calling for assistance which of the following actions should the
nurse take next
Place a rolled towel beneath one of the client's hips.
Apply internal upward pressure to the presenting part using two
gloved fingers.
Administer oxygen to the client via a nonrebreather mask at 10
L/min.
Increase the IV infusion rate.. Answer: Apply internal upward
pressure to the presenting part using two gloved fingers
Using evidence-based practice, the first action the nurse should take
is to apply internal upward pressure to the presenting part. Prolapse
of the umbilical cord during labor can result in decreased perfusion
to the fetus, which can lead to hypoxia. After calling for assistance,
the nurse should relieve the compression on the umbilical cord by
applying upward internal pressure on the presenting part with two
gloved fingers. The nurse should not move their hand.
,◉A nurse is planning care for a client who is two hours postpartum
which of the following intervention should the nurse plan to
implement during the taking hold phase of postpartum behavioral
adjustment
Discuss contraceptive options with the client and her partner.
Repeat information to ensure client understanding.
Listen to the client and her partner as they reflect upon the birth
experience.
Demonstrate to the client how to perform a newborn bath.. Answer:
Demonstrate to the client how to perform a newborn bath
Demonstrating to the client how to perform a newborn bath occurs
during the taking-hold phase. The new parent moves from being
passively dependent to taking a stronger interest in her new role as
a mother. She is now focusing on the care her newborn and
acquiring parenting skills. The nurse should provide positive
reinforcement during this phase to give the new parent confidence
and promote maternal adjustment.
◉A nurse is teaching a client who is at 36 weeks of gestation and has
a prescription for a nonstress test which of the following statements
should the nurse include in the teaching
,"You will receive IV fluids prior to this test."
"The procedure will take approximately 10 to 15 minutes."
"You will be offered orange juice to drink during the test."
"You will need to sign an informed consent form each time you have
this test.". Answer: You will be offered orange juice to drink during a
test
A nonstress test is performed to measure fetal activity. Having the
client drink orange juice, or another beverage high in glucose, will
stimulate fetal movements during the procedure, helping to obtain
results.
◉A nurse in a women's health clinic is providing teaching about
nutritional intake to a client who is it eight weeks of gestation the
nurse should instruct the client to increase her daily intake of which
of the following nutrients
Calcium
Vitamin E
Iron
Vitamin D. Answer: Iron
The recommendation for iron intake during pregnancy is higher
than that for women who are not pregnant. For women who are
pregnant, it is 27 mg/day. For women who are not pregnant, it is 15
, mg/day for women younger than 19 years old and 18 mg/day for
women between the ages of 19 and 50 years old.
◉A nurse is caring for a client who is at 35 weeks of gestation and
has placenta previa which of the following actions should the nurse
take
Perform a vaginal exam to determine cervical dilation every 2 hr.
Instruct the client to ambulate in the hallway once every 4 hr.
Administer betamethasone to the client via IM injection.
Initiate continuous external fetal monitoring.. Answer: Initiate
continuous external fetal monitoring
The nurse should identify that a client who has a placenta previa and
is actively bleeding is at an increased risk for preterm labor and
hemorrhage. The nurse should initiate interventions such as bed
rest, pelvic rest, and continuous fetal heart monitoring, which
assesses fetal well-being and the presence of contractions. The nurse
should obtain IV access and monitor laboratory values. Also, the
nurse should implement interventions to prepare for an emergency
birth.
◉A nurse is assessing fetal heart tones for a client who is pregnant
the nurse is determined the fetal position as left occipital anterior to
which of the following areas of the clients abdomen sure the nurse
OBSTETRICS NURSING STUDY GUIDE
◉A nurse is performing a vaginal examination on a client who is in
labor and observes the umbilical cord protruding from the vagina
after calling for assistance which of the following actions should the
nurse take next
Place a rolled towel beneath one of the client's hips.
Apply internal upward pressure to the presenting part using two
gloved fingers.
Administer oxygen to the client via a nonrebreather mask at 10
L/min.
Increase the IV infusion rate.. Answer: Apply internal upward
pressure to the presenting part using two gloved fingers
Using evidence-based practice, the first action the nurse should take
is to apply internal upward pressure to the presenting part. Prolapse
of the umbilical cord during labor can result in decreased perfusion
to the fetus, which can lead to hypoxia. After calling for assistance,
the nurse should relieve the compression on the umbilical cord by
applying upward internal pressure on the presenting part with two
gloved fingers. The nurse should not move their hand.
,◉A nurse is planning care for a client who is two hours postpartum
which of the following intervention should the nurse plan to
implement during the taking hold phase of postpartum behavioral
adjustment
Discuss contraceptive options with the client and her partner.
Repeat information to ensure client understanding.
Listen to the client and her partner as they reflect upon the birth
experience.
Demonstrate to the client how to perform a newborn bath.. Answer:
Demonstrate to the client how to perform a newborn bath
Demonstrating to the client how to perform a newborn bath occurs
during the taking-hold phase. The new parent moves from being
passively dependent to taking a stronger interest in her new role as
a mother. She is now focusing on the care her newborn and
acquiring parenting skills. The nurse should provide positive
reinforcement during this phase to give the new parent confidence
and promote maternal adjustment.
◉A nurse is teaching a client who is at 36 weeks of gestation and has
a prescription for a nonstress test which of the following statements
should the nurse include in the teaching
,"You will receive IV fluids prior to this test."
"The procedure will take approximately 10 to 15 minutes."
"You will be offered orange juice to drink during the test."
"You will need to sign an informed consent form each time you have
this test.". Answer: You will be offered orange juice to drink during a
test
A nonstress test is performed to measure fetal activity. Having the
client drink orange juice, or another beverage high in glucose, will
stimulate fetal movements during the procedure, helping to obtain
results.
◉A nurse in a women's health clinic is providing teaching about
nutritional intake to a client who is it eight weeks of gestation the
nurse should instruct the client to increase her daily intake of which
of the following nutrients
Calcium
Vitamin E
Iron
Vitamin D. Answer: Iron
The recommendation for iron intake during pregnancy is higher
than that for women who are not pregnant. For women who are
pregnant, it is 27 mg/day. For women who are not pregnant, it is 15
, mg/day for women younger than 19 years old and 18 mg/day for
women between the ages of 19 and 50 years old.
◉A nurse is caring for a client who is at 35 weeks of gestation and
has placenta previa which of the following actions should the nurse
take
Perform a vaginal exam to determine cervical dilation every 2 hr.
Instruct the client to ambulate in the hallway once every 4 hr.
Administer betamethasone to the client via IM injection.
Initiate continuous external fetal monitoring.. Answer: Initiate
continuous external fetal monitoring
The nurse should identify that a client who has a placenta previa and
is actively bleeding is at an increased risk for preterm labor and
hemorrhage. The nurse should initiate interventions such as bed
rest, pelvic rest, and continuous fetal heart monitoring, which
assesses fetal well-being and the presence of contractions. The nurse
should obtain IV access and monitor laboratory values. Also, the
nurse should implement interventions to prepare for an emergency
birth.
◉A nurse is assessing fetal heart tones for a client who is pregnant
the nurse is determined the fetal position as left occipital anterior to
which of the following areas of the clients abdomen sure the nurse
