NURS 306 EXAM 1 OB ATI PROCTORED
REVIEW | QUESTIONS AND ANSWERS |
2026 UPDATED | 100% CORRECT - WCU.
140 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NURS 306 EXAM 1 OB ATI PROCTORED REVIEW | QUESTIONS AND ANSWERS | 2026 UPDATED | 100%
CORRECT - WCU.. It contains 140 carefully selected questions that reflect the most current exam content and
testing strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 140 Questions
Foundations - Application - NURS 306 1 OB ATI Proctored Review AND 2026 Updated 100 Correct - WCU
Maternal-newborn Nursing OB ATI Proctored Review Undergraduate YEAR 3 Baccalaureate Nursing
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Management OF CARE 1-24 Finding, Weeks, Gestation, Magnesium, Fetal
Safety AND Infection Control 25-48 Labor, Weeks Gestation, Fetal, Heart RATE, Priority
Health Promotion AND 49-72 Finding, Intervention, Weeks, Appropriate, Gestation
Maintenance
Psychosocial Integrity 73-96 Fetal, Weeks, Intervention, Labor, Immediate
Basic CARE AND Comfort 97-120 Finding, Weeks Gestation, Fetal, Immediate, Intervention
Pharmacological Therapies 121-140 Finding, Weeks, Gestation, Fetal, Preeclampsia
TOTAL 140 All questions include answers and detailed rationales
,Section A - Management OF CARE
Q1.
A client at 32 weeks gestation with severe preeclampsia is receiving magnesium sulfate.
Which finding requires immediate action by the nurse?
A. Respiratory rate 10/min B. Deep tendon reflexes 2+
C. Urine output 30 mL/hr D. Serum magnesium level 6.5 mEq/L
Correct: A - Respiratory rate 10/min
Rationale:Magnesium sulfate toxicity causes respiratory depression; a rate <12/min indicates
toxicity. DTRs 2+ and urine output 30 mL/hr are acceptable. A serum level of 6.5 mEq/L is
therapeutic but close to toxic, yet the respiratory rate is the critical finding.
Q2.
A nurse is caring for a client in active labor with an external fetal monitor showing
recurrent late decelerations. What is the priority intervention?
A. Increase IV fluid rate B. Reposition client to left lateral
C. Administer oxygen via face mask D. Discontinue oxytocin infusion
Correct: B - Reposition client to left lateral
Rationale:Late decelerations indicate uteroplacental insufficiency. Repositioning to left lateral
improves uterine blood flow and is the initial priority. Increasing IV fluids and oxygen are
secondary, and stopping oxytocin is important if it is infusing, but position change is the
immediate action.
Q3.
Which assessment finding in a postpartum client requires immediate notification of the
healthcare provider?
A. Temperature 100.4°F (38°C) at 12 hours B. Fundus firm at the umbilicus
postpartum
C. Lochia rubra with moderate amount D. Perineal pain rated 4 on 0-10 scale
Correct: A - Temperature 100.4°F (38°C) at 12 hours postpartum
Rationale:A temperature "e100.4°F (38°C) after the first 24 hours postpartum suggests
infection. The other findings are normal: fundus at umbilicus, lochia rubra, and mild perineal
pain are expected.
Page 3
, Section A - Management OF CARE
Q4.
A nurse is assessing a term newborn 1 hour after birth. Which finding requires prompt
intervention?
A. Acrocyanosis of hands and feet B. Respiratory rate 60/min with nasal flaring
C. Apical heart rate 140/min D. Mongolian spots on the sacrum
Correct: B - Respiratory rate 60/min with nasal flaring
Rationale:Nasal flaring indicates respiratory distress; normal respiratory rate is 30-60/min but
should not have retractions or flaring. Acrocyanosis, HR 140, and Mongolian spots are normal
newborn findings.
Q5.
A client with gestational diabetes is in labor. The nurse notes the fetal heart rate baseline
is 160/min with moderate variability. Which action is most appropriate?
A. Prepare for immediate cesarean birth B. Administer 50% dextrose IV push
C. Document findings and continue to D. Notify the provider about possible fetal
monitor acidosis
Correct: C - Document findings and continue to monitor
Rationale:A baseline of 160/min is within normal limits (110-160), and moderate variability is
reassuring. No intervention is needed; documentation and continued monitoring are
appropriate. The other options are not indicated.
Q6.
A nurse is providing teaching to a client who is 8 weeks pregnant. Which statement
indicates a need for further teaching?
A. I can continue taking my isotretinoin for B. I should avoid changing the cat litter box.
acne.
C. I will stop drinking alcohol completely. D. I need to take 400 mcg of folic acid daily.
Correct: A - I can continue taking my isotretinoin for acne.
Rationale:Isotretinoin is a known teratogen and contraindicated in pregnancy. Avoiding cat
litter prevents toxoplasmosis, alcohol is prohibited, and folic acid is recommended. Therefore,
continuing isotretinoin indicates a misunderstanding.
Page 4
REVIEW | QUESTIONS AND ANSWERS |
2026 UPDATED | 100% CORRECT - WCU.
140 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NURS 306 EXAM 1 OB ATI PROCTORED REVIEW | QUESTIONS AND ANSWERS | 2026 UPDATED | 100%
CORRECT - WCU.. It contains 140 carefully selected questions that reflect the most current exam content and
testing strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 140 Questions
Foundations - Application - NURS 306 1 OB ATI Proctored Review AND 2026 Updated 100 Correct - WCU
Maternal-newborn Nursing OB ATI Proctored Review Undergraduate YEAR 3 Baccalaureate Nursing
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Management OF CARE 1-24 Finding, Weeks, Gestation, Magnesium, Fetal
Safety AND Infection Control 25-48 Labor, Weeks Gestation, Fetal, Heart RATE, Priority
Health Promotion AND 49-72 Finding, Intervention, Weeks, Appropriate, Gestation
Maintenance
Psychosocial Integrity 73-96 Fetal, Weeks, Intervention, Labor, Immediate
Basic CARE AND Comfort 97-120 Finding, Weeks Gestation, Fetal, Immediate, Intervention
Pharmacological Therapies 121-140 Finding, Weeks, Gestation, Fetal, Preeclampsia
TOTAL 140 All questions include answers and detailed rationales
,Section A - Management OF CARE
Q1.
A client at 32 weeks gestation with severe preeclampsia is receiving magnesium sulfate.
Which finding requires immediate action by the nurse?
A. Respiratory rate 10/min B. Deep tendon reflexes 2+
C. Urine output 30 mL/hr D. Serum magnesium level 6.5 mEq/L
Correct: A - Respiratory rate 10/min
Rationale:Magnesium sulfate toxicity causes respiratory depression; a rate <12/min indicates
toxicity. DTRs 2+ and urine output 30 mL/hr are acceptable. A serum level of 6.5 mEq/L is
therapeutic but close to toxic, yet the respiratory rate is the critical finding.
Q2.
A nurse is caring for a client in active labor with an external fetal monitor showing
recurrent late decelerations. What is the priority intervention?
A. Increase IV fluid rate B. Reposition client to left lateral
C. Administer oxygen via face mask D. Discontinue oxytocin infusion
Correct: B - Reposition client to left lateral
Rationale:Late decelerations indicate uteroplacental insufficiency. Repositioning to left lateral
improves uterine blood flow and is the initial priority. Increasing IV fluids and oxygen are
secondary, and stopping oxytocin is important if it is infusing, but position change is the
immediate action.
Q3.
Which assessment finding in a postpartum client requires immediate notification of the
healthcare provider?
A. Temperature 100.4°F (38°C) at 12 hours B. Fundus firm at the umbilicus
postpartum
C. Lochia rubra with moderate amount D. Perineal pain rated 4 on 0-10 scale
Correct: A - Temperature 100.4°F (38°C) at 12 hours postpartum
Rationale:A temperature "e100.4°F (38°C) after the first 24 hours postpartum suggests
infection. The other findings are normal: fundus at umbilicus, lochia rubra, and mild perineal
pain are expected.
Page 3
, Section A - Management OF CARE
Q4.
A nurse is assessing a term newborn 1 hour after birth. Which finding requires prompt
intervention?
A. Acrocyanosis of hands and feet B. Respiratory rate 60/min with nasal flaring
C. Apical heart rate 140/min D. Mongolian spots on the sacrum
Correct: B - Respiratory rate 60/min with nasal flaring
Rationale:Nasal flaring indicates respiratory distress; normal respiratory rate is 30-60/min but
should not have retractions or flaring. Acrocyanosis, HR 140, and Mongolian spots are normal
newborn findings.
Q5.
A client with gestational diabetes is in labor. The nurse notes the fetal heart rate baseline
is 160/min with moderate variability. Which action is most appropriate?
A. Prepare for immediate cesarean birth B. Administer 50% dextrose IV push
C. Document findings and continue to D. Notify the provider about possible fetal
monitor acidosis
Correct: C - Document findings and continue to monitor
Rationale:A baseline of 160/min is within normal limits (110-160), and moderate variability is
reassuring. No intervention is needed; documentation and continued monitoring are
appropriate. The other options are not indicated.
Q6.
A nurse is providing teaching to a client who is 8 weeks pregnant. Which statement
indicates a need for further teaching?
A. I can continue taking my isotretinoin for B. I should avoid changing the cat litter box.
acne.
C. I will stop drinking alcohol completely. D. I need to take 400 mcg of folic acid daily.
Correct: A - I can continue taking my isotretinoin for acne.
Rationale:Isotretinoin is a known teratogen and contraindicated in pregnancy. Avoiding cat
litter prevents toxoplasmosis, alcohol is prohibited, and folic acid is recommended. Therefore,
continuing isotretinoin indicates a misunderstanding.
Page 4
