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OB ATI Exam – Complete
Questions & Verified
Answers
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206. A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new
prescription for betamethasone and ask the nurse about the purpose of this medication. The nurse should provide
which of the following explanations?
It promotes fetal lung maturity
Rationale: Betamethasone is a glucocorticoid that enhances fetal lung maturity by promoting the release of certain
enzymes that help produce surfactant.
A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the
following statements should the nurse provide?
"This infection is treated with one dose of azithromycin."
Rationale: A single dose of azithromycin is an appropriate treatment for a chlamydial infection. An acceptable
alternative is doxycycline twice a day for 7 days.
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A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should
the nurse anticipate administering? (Select all that apply.)
A. Vitamin K injection
B. Hepatitis B immunization
C. Antibiotic ointment to both eyes
Vitamin K injection is correct. Vitamin K is administered by a single intramuscular injection of 0.5 to 1 mg soon after
birth to prevent hemorrhagic disease of the newborn. Vitamin K is not present in the gastrointestinal tract of the
newborn, but production will begin at about 7 days of age as bacteria begin to form in the intestines. Hepatitis B
immunization is correct. Hepatitis B immunization is recommended at birth, 1 to 2 months, and between 6 to 18 months.
It is injected intramuscularly soon after birth. For newborns born to hepatitis-infected mothers, hepatitis B immune
globin (HBIG) also should be administered within 12 hr of birth. The vastus lateralis is the preferred site of
intramuscular injections in newborns, and no more than 0.5 mL should be administered in one injection. Parental
consent must first be obtained prior to the administration of this immunization. Antibiotic ointment to both eyes is
correct. Due to the risk of eye infections to newborns born to women who have vaginal infections (e.g., chlamydia,
gonorrhea), the instillation of prophylactic antibiotics is mandatory in the United States. The medication used is
dependent upon facility protocols but is usually erythromycin or tetracycline ophthalmic ointment. It is administered
into both eyes within 1 to 2 hr after birth. It should be applied from inner canthus to outer canthus, being careful not to
touch the eye. After 1 min, the excess ointment can be wiped off. Lidocaine gel to the umbilical stump is incorrect.</b>
A clamp is applied to the umbilical cord immediately following birth and removed in about 24 hr, or when the cord
has dried sufficiently that bleeding is no longer an issue. The cord is not painful. There is no indication for lidocaine
gel. Haemophilus influenza type b immunization (Hib) is incorrect.</b> The Hib conjugate immunization is not
administered immediately following birth. It is recommended at 2, 4, 6, and 12 t015 months. It is administered by
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intramuscular injection in a separate site from any concurrent immunizations. The Hib immunization is not associated
with the influenza (flu) virus. It protects against a number of in
A nurse caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in
isolation. Which of the following responses by the nurse is appropriate?
"The newborn might be actively shedding the virus."
Rationale: Infants born to mothers who have rubella will continue to shed the rubella virus for up to 18 months
postdelivery
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following
should the infant receive?
Hepatitis B immune globulin and hepatitis B vaccine within 12 hr of birth
Rationale: A newborn whose mother is positive for the hepatitis B surface antigen should receive both the hepatitis B
vaccine and the hepatitis B immune globulin within 12 hr of birth.
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OB ATI Exam – Complete
Questions & Verified
Answers
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OB ATI Exam – Complete Questions & Verified Answers.pdf 1 OB ATI Exam – Complete Questions & Verified Answers.pdf
,OB ATI All Exam Questions Page 2 2026-03-16
206. A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The client has a new
prescription for betamethasone and ask the nurse about the purpose of this medication. The nurse should provide
which of the following explanations?
It promotes fetal lung maturity
Rationale: Betamethasone is a glucocorticoid that enhances fetal lung maturity by promoting the release of certain
enzymes that help produce surfactant.
A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the
following statements should the nurse provide?
"This infection is treated with one dose of azithromycin."
Rationale: A single dose of azithromycin is an appropriate treatment for a chlamydial infection. An acceptable
alternative is doxycycline twice a day for 7 days.
OB ATI All Exam Questions.pdf 2 OB ATI All Exam Questions.pdf
,OB ATI All Exam Questions Page 3 2026-03-16
A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should
the nurse anticipate administering? (Select all that apply.)
A. Vitamin K injection
B. Hepatitis B immunization
C. Antibiotic ointment to both eyes
Vitamin K injection is correct. Vitamin K is administered by a single intramuscular injection of 0.5 to 1 mg soon after
birth to prevent hemorrhagic disease of the newborn. Vitamin K is not present in the gastrointestinal tract of the
newborn, but production will begin at about 7 days of age as bacteria begin to form in the intestines. Hepatitis B
immunization is correct. Hepatitis B immunization is recommended at birth, 1 to 2 months, and between 6 to 18 months.
It is injected intramuscularly soon after birth. For newborns born to hepatitis-infected mothers, hepatitis B immune
globin (HBIG) also should be administered within 12 hr of birth. The vastus lateralis is the preferred site of
intramuscular injections in newborns, and no more than 0.5 mL should be administered in one injection. Parental
consent must first be obtained prior to the administration of this immunization. Antibiotic ointment to both eyes is
correct. Due to the risk of eye infections to newborns born to women who have vaginal infections (e.g., chlamydia,
gonorrhea), the instillation of prophylactic antibiotics is mandatory in the United States. The medication used is
dependent upon facility protocols but is usually erythromycin or tetracycline ophthalmic ointment. It is administered
into both eyes within 1 to 2 hr after birth. It should be applied from inner canthus to outer canthus, being careful not to
touch the eye. After 1 min, the excess ointment can be wiped off. Lidocaine gel to the umbilical stump is incorrect.</b>
A clamp is applied to the umbilical cord immediately following birth and removed in about 24 hr, or when the cord
has dried sufficiently that bleeding is no longer an issue. The cord is not painful. There is no indication for lidocaine
gel. Haemophilus influenza type b immunization (Hib) is incorrect.</b> The Hib conjugate immunization is not
administered immediately following birth. It is recommended at 2, 4, 6, and 12 t015 months. It is administered by
OB ATI All Exam Questions.pdf 3 OB ATI All Exam Questions.pdf
, OB ATI All Exam Questions Page 4 2026-03-16
intramuscular injection in a separate site from any concurrent immunizations. The Hib immunization is not associated
with the influenza (flu) virus. It protects against a number of in
A nurse caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in
isolation. Which of the following responses by the nurse is appropriate?
"The newborn might be actively shedding the virus."
Rationale: Infants born to mothers who have rubella will continue to shed the rubella virus for up to 18 months
postdelivery
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following
should the infant receive?
Hepatitis B immune globulin and hepatitis B vaccine within 12 hr of birth
Rationale: A newborn whose mother is positive for the hepatitis B surface antigen should receive both the hepatitis B
vaccine and the hepatitis B immune globulin within 12 hr of birth.
OB ATI All Exam Questions.pdf 4 OB ATI All Exam Questions.pdf
