ATI - OB Study Guide Questions With
Complete Solutions
A change nurse is providing teaching for a newly
hired nurse about the potential side effects of an
epidural anesthetic for a laboring client. Which of
the following effects should the charge nurse
include in the teaching? Correct Answers Impaired
placental perfusion
A charge nurse is teaching newly licensed nurses
about teratogens that affect fetal development.
The nurses should recognize that which of the
following is an example of a teratogen? Correct
Answers Drinking alcohol during pregnancy
A client at a routine prenatal care visit asks the
nurse if developing vaginal yeast infections is
common during pregnancy. Which of the following
responses should the nurse make? Correct
Answers The hormonal changes of pregnancy alter
the acidity of the vagina, making yeast infections
more common
A client who is pregnant tells the nurse that she is
financially unable to buy the food and vitamins
recommended during pregnancy. Which of the
following actions should the nurse take? Correct
Answers Refer the client to a community resource
that could assist with providing nutrition
,A community health nurse is planning care for 4
high-risk newborns who were discharged
yesterday. Which of the following newborns should
the nurse plan to care for first? Correct Answers A
4-day old newborn who has an elevated bilirubin
level and requires phototherapy
A nburse in a prenatal care clinic answers a phone
call form a client who is at 37 weeks gestation and
reports, "I became very dizzy while lying in bed this
morning, but the feleing went away when i turned
onto my side." which of the following actions
should the nurse take? Correct Answers Instruct
the client about vena cava syndrome and
measures to prevent it
A nruse is caring for a client in the latent phase of
labor who is receiving oxytocin via continuous IV
infusion. The client is having contractions every 2
min that last 100 to 110 seconds and the fetal
heart rate (FHR) is reassuring. Which of the
following actions should the nurse take? Correct
Answers decrease the dose of oxytocin by half.
Experiencing uterine tachysystole
A nruse is caring for a client who is pregnant and
whose last menstrual period (LMP) began on April
8. Using Naegele's rule, which of the following
,dates would be the client's estimated date of birth
(EDB)? Correct Answers January 15
A nruse is performing a physical assessment of a
full-term newborn and eliciting the moro reflex.
Which of the following movements are expected
responses to this reflex? (Select all that apply)
Correct Answers Thumb and forefinger forming a
'C"
Legs extending before pulling upward
A nurse administers betamethasone to a client who
is at 33 weeks gestation to stimulate fetal lung
maturity. When planning care for the newborn,
which of the following conditions should the nurse
identify as an adverse effect of this medication?
Correct Answers Decreased blood glucose
A nurse at a clinic is preparing to teach the process
of involution to a group of antenatal clients. Which
of the following information should the nurse
provide? Correct Answers The fundus is not
palpable abdominal at 2 weeks postpartum
A nurse at a family-planning clinic is preparing to
teach a class about how to use a diaphragm. Which
of the following pieces of information should the
nurse plan to include in the teaching? Correct
Answers "Use spermicidal jelly whenever you use
your diaphragm"
, A nurse at a prenantal clinic is caring for a client
who suspects she may be pregnant and asks the
nurse how the provider will confirm her pregnancy.
Which of the following laboratory tests will be used
to confirm this client's pregnancy? Correct
Answers A urine test for the presence of human
chorionic gonadotropin
A nurse at a prenantal clinic is teaching a client
how to perform a kick count. Which of the following
statements should the nurse include in the
teaching? Correct Answers "Before bedtime is a
good time to start counting the kicks."
A nurse at a prenatal clinic is assessing an
adolescent who is pregnant and is visiting the clinic
for the first time. Which of the following factors is
the nurses priority to evaluate? Correct Answers
Nutritional status
A nurse at a prenatal clinic is assessing an adult
client who had genital cutting performed as a child
as part of her cultural practices. The nurse notes
the clients clitoris and labia minora were removed,
and she has scarring in the vaginal area. Which of
the following actions should the nurse take?
Correct Answers Inform the client that giving birth
vaginally might not be possible
Complete Solutions
A change nurse is providing teaching for a newly
hired nurse about the potential side effects of an
epidural anesthetic for a laboring client. Which of
the following effects should the charge nurse
include in the teaching? Correct Answers Impaired
placental perfusion
A charge nurse is teaching newly licensed nurses
about teratogens that affect fetal development.
The nurses should recognize that which of the
following is an example of a teratogen? Correct
Answers Drinking alcohol during pregnancy
A client at a routine prenatal care visit asks the
nurse if developing vaginal yeast infections is
common during pregnancy. Which of the following
responses should the nurse make? Correct
Answers The hormonal changes of pregnancy alter
the acidity of the vagina, making yeast infections
more common
A client who is pregnant tells the nurse that she is
financially unable to buy the food and vitamins
recommended during pregnancy. Which of the
following actions should the nurse take? Correct
Answers Refer the client to a community resource
that could assist with providing nutrition
,A community health nurse is planning care for 4
high-risk newborns who were discharged
yesterday. Which of the following newborns should
the nurse plan to care for first? Correct Answers A
4-day old newborn who has an elevated bilirubin
level and requires phototherapy
A nburse in a prenatal care clinic answers a phone
call form a client who is at 37 weeks gestation and
reports, "I became very dizzy while lying in bed this
morning, but the feleing went away when i turned
onto my side." which of the following actions
should the nurse take? Correct Answers Instruct
the client about vena cava syndrome and
measures to prevent it
A nruse is caring for a client in the latent phase of
labor who is receiving oxytocin via continuous IV
infusion. The client is having contractions every 2
min that last 100 to 110 seconds and the fetal
heart rate (FHR) is reassuring. Which of the
following actions should the nurse take? Correct
Answers decrease the dose of oxytocin by half.
Experiencing uterine tachysystole
A nruse is caring for a client who is pregnant and
whose last menstrual period (LMP) began on April
8. Using Naegele's rule, which of the following
,dates would be the client's estimated date of birth
(EDB)? Correct Answers January 15
A nruse is performing a physical assessment of a
full-term newborn and eliciting the moro reflex.
Which of the following movements are expected
responses to this reflex? (Select all that apply)
Correct Answers Thumb and forefinger forming a
'C"
Legs extending before pulling upward
A nurse administers betamethasone to a client who
is at 33 weeks gestation to stimulate fetal lung
maturity. When planning care for the newborn,
which of the following conditions should the nurse
identify as an adverse effect of this medication?
Correct Answers Decreased blood glucose
A nurse at a clinic is preparing to teach the process
of involution to a group of antenatal clients. Which
of the following information should the nurse
provide? Correct Answers The fundus is not
palpable abdominal at 2 weeks postpartum
A nurse at a family-planning clinic is preparing to
teach a class about how to use a diaphragm. Which
of the following pieces of information should the
nurse plan to include in the teaching? Correct
Answers "Use spermicidal jelly whenever you use
your diaphragm"
, A nurse at a prenantal clinic is caring for a client
who suspects she may be pregnant and asks the
nurse how the provider will confirm her pregnancy.
Which of the following laboratory tests will be used
to confirm this client's pregnancy? Correct
Answers A urine test for the presence of human
chorionic gonadotropin
A nurse at a prenantal clinic is teaching a client
how to perform a kick count. Which of the following
statements should the nurse include in the
teaching? Correct Answers "Before bedtime is a
good time to start counting the kicks."
A nurse at a prenatal clinic is assessing an
adolescent who is pregnant and is visiting the clinic
for the first time. Which of the following factors is
the nurses priority to evaluate? Correct Answers
Nutritional status
A nurse at a prenatal clinic is assessing an adult
client who had genital cutting performed as a child
as part of her cultural practices. The nurse notes
the clients clitoris and labia minora were removed,
and she has scarring in the vaginal area. Which of
the following actions should the nurse take?
Correct Answers Inform the client that giving birth
vaginally might not be possible
