West Coast University NURS 306 OB ATI Exam (pdf) | 2026/27 | ATI
Proctored | OB Nursing
1. A nurse is caring for a full-term newborn immediately following birth.
Which of the following actions should the nurse take first?
A) Place identification bands on the newborn
B) Dry the newborn and place them skin-to-skin with the mother
C) Administer the vitamin K injection
D) Apply antibiotic eye ointment
Correct Answer: Dry the newborn and place them skin-to-skin with the
mother
Rationale: The priority action immediately after birth is to prevent cold stress
by drying the newborn and promoting thermoregulation through skin-to-skin
contact. This also supports early breastfeeding and bonding. Identification,
vitamin K, and eye ointment are important but secondary to maintaining the
newborn's airway and temperature.
2. A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the client
for which of the following diagnostic tests?
A) Amniocentesis
B) Biophysical profile
C) Nonstress test
D) Chorionic villus sampling
Correct Answer: Biophysical profile
Rationale: A positive contraction stress test indicates fetal compromise and
requires further evaluation. A biophysical profile (BPP) uses real-time
,ultrasound to assess fetal well-being, including fetal breathing, movement,
tone, and amniotic fluid volume.
3. A nurse in a prenatal clinic is assessing a group of clients. Which of the
following clients should the nurse request the provider see first?
A) A client who is at 11 weeks of gestation and reports abdominal cramping
B) A client who is at 20 weeks of gestation and reports mild ankle edema
C) A client who is at 28 weeks of gestation and reports occasional Braxton-
Hicks contractions
D) A client who is at 35 weeks of gestation and reports urinary frequency
Correct Answer: A client who is at 11 weeks of gestation and reports
abdominal cramping
Rationale: Abdominal cramping in the first trimester can indicate an ectopic
pregnancy or spontaneous abortion. This client should be seen first. Mild
ankle edema, Braxton-Hicks contractions, and urinary frequency are common
discomforts of pregnancy.
4. A nurse is demonstrating to a client how to bathe her newborn. What is
the correct order for the following actions?
A) Cleanse the diaper area, wash the legs and feet, wash the neck, wipe the
eyes
B) Wipe the eyes, wash the neck, cleanse the umbilical cord area, wash the
legs and feet, clean the diaper area
C) Wash the legs and feet, wipe the eyes, wash the neck, clean the diaper
area
D) Wipe the eyes, wash the legs and feet, wash the neck, cleanse the
umbilical cord area
,Correct Answer: Wipe the eyes, wash the neck, cleanse the umbilical cord
area, wash the legs and feet, clean the diaper area
Rationale: The correct sequence for bathing a newborn is to wipe the eyes
from the inner canthus outward, wash the neck by lifting the chin, cleanse
the skin around the umbilical cord stump, wash the legs and feet, and finally
clean the diaper area.
5. A nurse is assessing a client who is at 30 weeks of gestation during a
routine prenatal visit. Which of the following findings should the nurse report
to the provider?
A) Mild ankle edema
B) Swelling of the face
C) Hemorrhoids
D) Backache
Correct Answer: Swelling of the face
Rationale: Facial, sacral, and hand swelling can indicate gestational
hypertension or preeclampsia and should be reported. Mild ankle edema,
hemorrhoids, and backache are common discomforts of pregnancy.
6. A nurse is observing a new mother caring for her crying newborn who is
bottle feeding. Which of the following actions by the mother should the nurse
recognize as a positive parenting behavior?
A) Lays the newborn across her lap and gently sways
B) Places the newborn in the crib and allows them to cry
C) Offers the newborn a pacifier
D) Changes the newborn's diaper
, Correct Answer: Lays the newborn across her lap and gently sways
Rationale: Tactile stimulation, such as gentle swaying, promotes a sense of
security for the newborn and is a positive parenting behavior. The other
options do not demonstrate responsive parenting.
7. A nurse is assessing a newborn 12 hours after birth. Which of the following
manifestations should the nurse report to the provider?
A) Acrocyanosis
B) Jaundice
C) Vernix caseosa
D) Milia
Correct Answer: Jaundice
Rationale: Jaundice within the first 24 hours of life is pathological and should
be reported. Acrocyanosis, vernix caseosa, and milia are normal newborn
findings.
8. A nurse is teaching a client who is at 8 weeks of gestation about exercise.
Which of the following statements by the client indicates an understanding of
the teaching?
A) "I should avoid exercise during my pregnancy."
B) "I can continue my high-impact aerobics class."
C) "I should avoid lying flat on my back after the first trimester."
D) "I should exercise until I am exhausted."
Correct Answer: "I should avoid lying flat on my back after the first
trimester."
Proctored | OB Nursing
1. A nurse is caring for a full-term newborn immediately following birth.
Which of the following actions should the nurse take first?
A) Place identification bands on the newborn
B) Dry the newborn and place them skin-to-skin with the mother
C) Administer the vitamin K injection
D) Apply antibiotic eye ointment
Correct Answer: Dry the newborn and place them skin-to-skin with the
mother
Rationale: The priority action immediately after birth is to prevent cold stress
by drying the newborn and promoting thermoregulation through skin-to-skin
contact. This also supports early breastfeeding and bonding. Identification,
vitamin K, and eye ointment are important but secondary to maintaining the
newborn's airway and temperature.
2. A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the client
for which of the following diagnostic tests?
A) Amniocentesis
B) Biophysical profile
C) Nonstress test
D) Chorionic villus sampling
Correct Answer: Biophysical profile
Rationale: A positive contraction stress test indicates fetal compromise and
requires further evaluation. A biophysical profile (BPP) uses real-time
,ultrasound to assess fetal well-being, including fetal breathing, movement,
tone, and amniotic fluid volume.
3. A nurse in a prenatal clinic is assessing a group of clients. Which of the
following clients should the nurse request the provider see first?
A) A client who is at 11 weeks of gestation and reports abdominal cramping
B) A client who is at 20 weeks of gestation and reports mild ankle edema
C) A client who is at 28 weeks of gestation and reports occasional Braxton-
Hicks contractions
D) A client who is at 35 weeks of gestation and reports urinary frequency
Correct Answer: A client who is at 11 weeks of gestation and reports
abdominal cramping
Rationale: Abdominal cramping in the first trimester can indicate an ectopic
pregnancy or spontaneous abortion. This client should be seen first. Mild
ankle edema, Braxton-Hicks contractions, and urinary frequency are common
discomforts of pregnancy.
4. A nurse is demonstrating to a client how to bathe her newborn. What is
the correct order for the following actions?
A) Cleanse the diaper area, wash the legs and feet, wash the neck, wipe the
eyes
B) Wipe the eyes, wash the neck, cleanse the umbilical cord area, wash the
legs and feet, clean the diaper area
C) Wash the legs and feet, wipe the eyes, wash the neck, clean the diaper
area
D) Wipe the eyes, wash the legs and feet, wash the neck, cleanse the
umbilical cord area
,Correct Answer: Wipe the eyes, wash the neck, cleanse the umbilical cord
area, wash the legs and feet, clean the diaper area
Rationale: The correct sequence for bathing a newborn is to wipe the eyes
from the inner canthus outward, wash the neck by lifting the chin, cleanse
the skin around the umbilical cord stump, wash the legs and feet, and finally
clean the diaper area.
5. A nurse is assessing a client who is at 30 weeks of gestation during a
routine prenatal visit. Which of the following findings should the nurse report
to the provider?
A) Mild ankle edema
B) Swelling of the face
C) Hemorrhoids
D) Backache
Correct Answer: Swelling of the face
Rationale: Facial, sacral, and hand swelling can indicate gestational
hypertension or preeclampsia and should be reported. Mild ankle edema,
hemorrhoids, and backache are common discomforts of pregnancy.
6. A nurse is observing a new mother caring for her crying newborn who is
bottle feeding. Which of the following actions by the mother should the nurse
recognize as a positive parenting behavior?
A) Lays the newborn across her lap and gently sways
B) Places the newborn in the crib and allows them to cry
C) Offers the newborn a pacifier
D) Changes the newborn's diaper
, Correct Answer: Lays the newborn across her lap and gently sways
Rationale: Tactile stimulation, such as gentle swaying, promotes a sense of
security for the newborn and is a positive parenting behavior. The other
options do not demonstrate responsive parenting.
7. A nurse is assessing a newborn 12 hours after birth. Which of the following
manifestations should the nurse report to the provider?
A) Acrocyanosis
B) Jaundice
C) Vernix caseosa
D) Milia
Correct Answer: Jaundice
Rationale: Jaundice within the first 24 hours of life is pathological and should
be reported. Acrocyanosis, vernix caseosa, and milia are normal newborn
findings.
8. A nurse is teaching a client who is at 8 weeks of gestation about exercise.
Which of the following statements by the client indicates an understanding of
the teaching?
A) "I should avoid exercise during my pregnancy."
B) "I can continue my high-impact aerobics class."
C) "I should avoid lying flat on my back after the first trimester."
D) "I should exercise until I am exhausted."
Correct Answer: "I should avoid lying flat on my back after the first
trimester."
