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OB CMS ATI COMPREHENSIVE ACTUAL EXAM 2026 -2027 ACTUAL
COMPLETE REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+(2025/2026)Newest 2026 Edition
1. A nurse is providing discharge teaching to a postpartum client who had no
immunity to rubella and received the rubella immunization. Which statement
by the client indicates understanding of the teaching?
A. I will need to prevent getting pregnant for 28 days after I receive this
immunization
B. I can get pregnant immediately after the immunization
C. I should avoid breastfeeding for 2 weeks
D. I will need a booster in 6 months
Answer: A
Rationale: The rubella vaccine is a live attenuated virus. Women should avoid
pregnancy for at least 28 days after receiving the immunization to prevent
potential harm to a developing fetus.
2. A nurse is caring for a postpartum client who is breastfeeding her newborn
and reports that her nipples have become sore and cracked. Which statement
should the nurse make?
A. Apply colostrum to the nipples after feeding to help them heal
B. Stop breastfeeding until the nipples heal completely
C. Use soap and water to clean the nipples after each feeding
D. Pump and discard breast milk until the nipples heal
Answer: A
Rationale: Colostrum and breast milk have antibacterial properties and can
promote healing of sore, cracked nipples. The client should continue
breastfeeding with proper latch technique.
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3. A nurse is caring for a client who is 12 hours postpartum, had an episiotomy
during delivery, and reports pain 7 on a scale from 0 to 10. Which non-
pharmacological pain relief method should the nurse implement?
A. Sitz bath
B. Ice pack to the perineum
C. Warm compress to the perineum
D. Massage of the perineum
Answer: B
Rationale: Ice packs are used during the first 24 hours postpartum to reduce
swelling and numb the perineal area. Sitz baths and warm compresses are
used after 24 hours.
4. A nurse is developing a plan of care for a client who is in the latent phase of
labor. Which action should the nurse include in the plan to manage the
client's pain?
A. Encourage the client to listen to music
B. Administer an opioid analgesic
C. Prepare for epidural placement
D. Instruct the client to hold her breath during contractions
Answer: A
Rationale: Non-pharmacological interventions such as music therapy are
appropriate during the latent phase of labor. Opioids and epidurals are
typically reserved for more active phases.
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5. A nurse is assessing a newborn. Which finding indicates the need to check
the newborn's blood glucose level for hypoglycemia?
A. Hypotonia
B. Hyperthermia
C. Tachycardia
D. Hypertension
Answer: A
Rationale: Hypotonia, jitteriness, lethargy, and poor feeding are signs of
hypoglycemia in newborns. Blood glucose should be checked immediately.
6. A nurse is planning to administer methylergonovine to manage postpartum
hemorrhage for a client. Which condition is a contraindication for this
medication?
A. Hypertension
B. Diabetes mellitus
C. Anemia
D. Asthma
Answer: A
Rationale: Methylergonovine causes vasoconstriction and is contraindicated
in clients with hypertension, preeclampsia, or cardiovascular disease.
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7. A nurse is reviewing the medical record of a client who is at 8 weeks
gestation. Which finding should the nurse identify as a risk factor for
developing preeclampsia?
A. Rheumatoid arthritis
B. Asthma
C. Anemia
D. Hypothyroidism
Answer: A
Rationale: Rheumatoid arthritis is an autoimmune condition associated with
increased risk of preeclampsia. Other risk factors include chronic
hypertension, diabetes, and multiple gestation.
8. A nurse is assessing a client who is in labor. Which finding should the nurse
expect?
A. Decrease in blood glucose level
B. Increase in blood glucose level
C. Decrease in white blood cell count
D. Increase in platelet count
Answer: A
Rationale: Labor is physically demanding and increases glucose consumption,
leading to decreased blood glucose levels. Clients in labor should have glucose
monitored.
OB CMS ATI COMPREHENSIVE ACTUAL EXAM 2026 -2027 ACTUAL
COMPLETE REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+(2025/2026)Newest 2026 Edition
1. A nurse is providing discharge teaching to a postpartum client who had no
immunity to rubella and received the rubella immunization. Which statement
by the client indicates understanding of the teaching?
A. I will need to prevent getting pregnant for 28 days after I receive this
immunization
B. I can get pregnant immediately after the immunization
C. I should avoid breastfeeding for 2 weeks
D. I will need a booster in 6 months
Answer: A
Rationale: The rubella vaccine is a live attenuated virus. Women should avoid
pregnancy for at least 28 days after receiving the immunization to prevent
potential harm to a developing fetus.
2. A nurse is caring for a postpartum client who is breastfeeding her newborn
and reports that her nipples have become sore and cracked. Which statement
should the nurse make?
A. Apply colostrum to the nipples after feeding to help them heal
B. Stop breastfeeding until the nipples heal completely
C. Use soap and water to clean the nipples after each feeding
D. Pump and discard breast milk until the nipples heal
Answer: A
Rationale: Colostrum and breast milk have antibacterial properties and can
promote healing of sore, cracked nipples. The client should continue
breastfeeding with proper latch technique.
,2
3. A nurse is caring for a client who is 12 hours postpartum, had an episiotomy
during delivery, and reports pain 7 on a scale from 0 to 10. Which non-
pharmacological pain relief method should the nurse implement?
A. Sitz bath
B. Ice pack to the perineum
C. Warm compress to the perineum
D. Massage of the perineum
Answer: B
Rationale: Ice packs are used during the first 24 hours postpartum to reduce
swelling and numb the perineal area. Sitz baths and warm compresses are
used after 24 hours.
4. A nurse is developing a plan of care for a client who is in the latent phase of
labor. Which action should the nurse include in the plan to manage the
client's pain?
A. Encourage the client to listen to music
B. Administer an opioid analgesic
C. Prepare for epidural placement
D. Instruct the client to hold her breath during contractions
Answer: A
Rationale: Non-pharmacological interventions such as music therapy are
appropriate during the latent phase of labor. Opioids and epidurals are
typically reserved for more active phases.
,3
5. A nurse is assessing a newborn. Which finding indicates the need to check
the newborn's blood glucose level for hypoglycemia?
A. Hypotonia
B. Hyperthermia
C. Tachycardia
D. Hypertension
Answer: A
Rationale: Hypotonia, jitteriness, lethargy, and poor feeding are signs of
hypoglycemia in newborns. Blood glucose should be checked immediately.
6. A nurse is planning to administer methylergonovine to manage postpartum
hemorrhage for a client. Which condition is a contraindication for this
medication?
A. Hypertension
B. Diabetes mellitus
C. Anemia
D. Asthma
Answer: A
Rationale: Methylergonovine causes vasoconstriction and is contraindicated
in clients with hypertension, preeclampsia, or cardiovascular disease.
, 4
7. A nurse is reviewing the medical record of a client who is at 8 weeks
gestation. Which finding should the nurse identify as a risk factor for
developing preeclampsia?
A. Rheumatoid arthritis
B. Asthma
C. Anemia
D. Hypothyroidism
Answer: A
Rationale: Rheumatoid arthritis is an autoimmune condition associated with
increased risk of preeclampsia. Other risk factors include chronic
hypertension, diabetes, and multiple gestation.
8. A nurse is assessing a client who is in labor. Which finding should the nurse
expect?
A. Decrease in blood glucose level
B. Increase in blood glucose level
C. Decrease in white blood cell count
D. Increase in platelet count
Answer: A
Rationale: Labor is physically demanding and increases glucose consumption,
leading to decreased blood glucose levels. Clients in labor should have glucose
monitored.
