ATI RN Maternal Newborn (OB) Practice Exam
A charge nurse on a labor delivery unit is teaching a newly licensed nurse how to perform
leopold maneuvers. What indicates the first step of leopold maneuvers?
a hands on either side of baby's head
b. one hand on baby's head
c. hands on either side of baby's bottom
d. one hand on baby's back and one on baby's front - ANS-c. hands on either side of baby's
bottom
A client who is 34 wks gestation asks the nurse how she will know when she is in labor and
should go to the hospital. What response should the nurse make?
a. you feel the contractions primarily in your upper abd
b. you will feel extremely fatigued when your labor starts
c. your breasts will begin to excrete colostrum
d. you will notice blood-tinged discharge from your vagina - ANS-d. you will notice blood-tinged
discharge from your vagina
A nurse in a prenatal clinic is assessing a group of clients/ What client should the nurse request
the provider to see first?
a. 11 wks gestation and reports abd cramping
b. 15 wks gestation and reports tingling and numbness in her right hand
c. 20 wks gestation and reports constipation for past 4 days
d. 8 wks gestation and reports having 3 bloody noses in past week - ANS-a. 11 wks gestation
and reports abd cramping
A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 wks
late. THe client appears anxious and asks the nurse if she is pregnant. What response should
the nurse make?
a. you can miss your period for several other reason. Describe your typical menstrual cycle.
b. if you have been sexually active and haven't used protection, it is likely that you are pregnant
c. let's check to see if you have any other signs of pregnancy. Have you noticed any abd
enlargement yet?
d. because you missed your period, you should try taking a home preg test before you start
worrying - ANS-a. you can miss your period for several other reason. Describe your typical
menstrual cycle.
A nurse in an antepartal clinic is providing care for a client who is 26 weeks gestation. Upon
reviewing her medical record, what findings should the nurse report to the provider?
a. 1-hr glucose tolerance test
b. hematocrit
c. fundal height measurement
, d .FHR - ANS-c. fundal height measurement
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client
states she is, "happy one minute and crying the next." the nurse should interpret the client's
statement as an indication of which of the following?
a. emotional lability
b. focusing phase
c. cognitive restructuring
d. couvade syndrome - ANS-a. emotional lability
A nurse is assessing a client who gave birth vaginally 12hrs ago and palpates her uterus to the
right above the umbilicus. What interventions should the nurse perform?
a. reassess the client in 2 hrs
b. administer simethiconde
c. assist the client to empty her bladder
d. instruct the client to lie on her right side - ANS-c. assist the client to empty her bladder
A nurse is assessing a client who is 30 weeks gestation during a routine prenatal visit. Which
findings should the nurse report to the provider?
a. swelling of the face
b. varicose veins in the calves
c. nonpitting 1+ ankle edema
d. hyperpigmentation of the cheeks - ANS-a. swelling of the face
A nurse is assessing a client who is in labor and notes early decels on the fetal monitor. What
findings should the nurse identifiy as possible cause of early decels?
a. prolapsed umbilical cord
b. placenta previa
c. fetal head compression
d. maternal hypotension - ANS-c. fetal head compression
A nurse is assessing a newborn 12hrs after birth. What manifestation should the nurse report to
the provider?
a. acrocyanosis
b. transient strabismus
c. jaundice
d. caput succedaneum - ANS-c. jaundice
A nurse is assessing a newborn following circumcision. What finding should the nurse identify
as an indication that the newborn is experiencing pain?
a. decreased HR
b. chin quivering
c. pinpoint pupils
d. slowed respirations - ANS-b. chin quivering
A charge nurse on a labor delivery unit is teaching a newly licensed nurse how to perform
leopold maneuvers. What indicates the first step of leopold maneuvers?
a hands on either side of baby's head
b. one hand on baby's head
c. hands on either side of baby's bottom
d. one hand on baby's back and one on baby's front - ANS-c. hands on either side of baby's
bottom
A client who is 34 wks gestation asks the nurse how she will know when she is in labor and
should go to the hospital. What response should the nurse make?
a. you feel the contractions primarily in your upper abd
b. you will feel extremely fatigued when your labor starts
c. your breasts will begin to excrete colostrum
d. you will notice blood-tinged discharge from your vagina - ANS-d. you will notice blood-tinged
discharge from your vagina
A nurse in a prenatal clinic is assessing a group of clients/ What client should the nurse request
the provider to see first?
a. 11 wks gestation and reports abd cramping
b. 15 wks gestation and reports tingling and numbness in her right hand
c. 20 wks gestation and reports constipation for past 4 days
d. 8 wks gestation and reports having 3 bloody noses in past week - ANS-a. 11 wks gestation
and reports abd cramping
A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 wks
late. THe client appears anxious and asks the nurse if she is pregnant. What response should
the nurse make?
a. you can miss your period for several other reason. Describe your typical menstrual cycle.
b. if you have been sexually active and haven't used protection, it is likely that you are pregnant
c. let's check to see if you have any other signs of pregnancy. Have you noticed any abd
enlargement yet?
d. because you missed your period, you should try taking a home preg test before you start
worrying - ANS-a. you can miss your period for several other reason. Describe your typical
menstrual cycle.
A nurse in an antepartal clinic is providing care for a client who is 26 weeks gestation. Upon
reviewing her medical record, what findings should the nurse report to the provider?
a. 1-hr glucose tolerance test
b. hematocrit
c. fundal height measurement
, d .FHR - ANS-c. fundal height measurement
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client
states she is, "happy one minute and crying the next." the nurse should interpret the client's
statement as an indication of which of the following?
a. emotional lability
b. focusing phase
c. cognitive restructuring
d. couvade syndrome - ANS-a. emotional lability
A nurse is assessing a client who gave birth vaginally 12hrs ago and palpates her uterus to the
right above the umbilicus. What interventions should the nurse perform?
a. reassess the client in 2 hrs
b. administer simethiconde
c. assist the client to empty her bladder
d. instruct the client to lie on her right side - ANS-c. assist the client to empty her bladder
A nurse is assessing a client who is 30 weeks gestation during a routine prenatal visit. Which
findings should the nurse report to the provider?
a. swelling of the face
b. varicose veins in the calves
c. nonpitting 1+ ankle edema
d. hyperpigmentation of the cheeks - ANS-a. swelling of the face
A nurse is assessing a client who is in labor and notes early decels on the fetal monitor. What
findings should the nurse identifiy as possible cause of early decels?
a. prolapsed umbilical cord
b. placenta previa
c. fetal head compression
d. maternal hypotension - ANS-c. fetal head compression
A nurse is assessing a newborn 12hrs after birth. What manifestation should the nurse report to
the provider?
a. acrocyanosis
b. transient strabismus
c. jaundice
d. caput succedaneum - ANS-c. jaundice
A nurse is assessing a newborn following circumcision. What finding should the nurse identify
as an indication that the newborn is experiencing pain?
a. decreased HR
b. chin quivering
c. pinpoint pupils
d. slowed respirations - ANS-b. chin quivering
