ATI OB EXAM 1 2026 Questions and
Answers
a nurse is caring for a pt. who is 42 wks. gestation and in labor. The pt. asks the
nurse what should the nurse expect because her baby is post-mature. Which of the
following statements should the nurse make?
a. your baby will have excess body fat
b. your baby will have flat areola w/o breast buds
c. your baby heels will easily move to the ears
d. your baby's skin will have a leathery appearance ` - Correct answer-D
leathery, cracked, wrinkled skin is seen in a NB who is postmature due to placental
deficiency
a nurse is caring for an infant who has high bilirubin level and is receiving
phototherapy. Which of the following is the priority finding in the newborn?
a. conjunctivitis
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,b. bronze skin discolorations
c. sunken fontanels
d. maculopapular skin rash - Correct answer-C
using safety and risk reduction framework, sunken fontanels are priority finding.
Infants receiving phototherapy are at risk for dehydration from loose stools due to
increased bilirubin excretion
a nurse is called to the birthing room to assist w/ the assessment of a newborn who
was born at 32 weeks gestation. The newborn birth weight is 1,100g. Which of the
following are expected findings in the newborn (SATA)
a. lanugo
b. long nails
c. weak grasp reflex
d. translucent skin
e. plump face - Correct answer-A, C, D
a. characteristics of a preterm NB include the presence of abundant lanugo
c. a weak grasp reflex is characteristic of a preterm NB
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,d. skin that is thin, smooth, shiny, and translucent is a finding in a preterm NB
a nurse is caring for a newborn who is preterm and has resp. distress syndrome.
Which of the following should the nurse monitor to evaluate the newborn's
condition following administration of synthetic surfactant?
a. oxygen saturation
b. body temp.
c. serum bilirubin
d. HR - Correct answer-A
surfactant stabilizes the alveoli and helps increase oxygen saturation
a nurse is teaching a newly licensed nurse about neonatal abstinence syndrome.
Which of the following statements by the nurse indicate understanding of the
teaching?
a. the newborn will have decreased muscle tone
b. the newborn will have a continuous high-pitched cry
c. the newborn will sleep for 2-3 hours after feeding
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, d. the newborn will have mild tremors when disturbed - Correct answer-B. a
continuous high-pitched cry is often an indication of CNS disturbance in . newborn
who hs neonatal abstinence syndrome
a nurse is reviewing care of the umbilical cord w/ the parent of a NB. Which of the
following instructions should the nurse include in the teaching ?
a. cover the cord w/ small gauze square
b. trickle clean water over the cord w/ each diaper change
c. apply hydrogen peroxide to the cord twice a day
d. keep the diaper folded below the cord - Correct answer-D
folding the diaper below the cord prevents urine from the diaper penetrating the
cord site
a nurse is reviewing contraindications for circumcision w/ a newly hired nurse.
Which of the following conditions are contraindications? (SATA)
a. hypospadias
b. hydrocele
c. hx. of hemophilia
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Answers
a nurse is caring for a pt. who is 42 wks. gestation and in labor. The pt. asks the
nurse what should the nurse expect because her baby is post-mature. Which of the
following statements should the nurse make?
a. your baby will have excess body fat
b. your baby will have flat areola w/o breast buds
c. your baby heels will easily move to the ears
d. your baby's skin will have a leathery appearance ` - Correct answer-D
leathery, cracked, wrinkled skin is seen in a NB who is postmature due to placental
deficiency
a nurse is caring for an infant who has high bilirubin level and is receiving
phototherapy. Which of the following is the priority finding in the newborn?
a. conjunctivitis
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,b. bronze skin discolorations
c. sunken fontanels
d. maculopapular skin rash - Correct answer-C
using safety and risk reduction framework, sunken fontanels are priority finding.
Infants receiving phototherapy are at risk for dehydration from loose stools due to
increased bilirubin excretion
a nurse is called to the birthing room to assist w/ the assessment of a newborn who
was born at 32 weeks gestation. The newborn birth weight is 1,100g. Which of the
following are expected findings in the newborn (SATA)
a. lanugo
b. long nails
c. weak grasp reflex
d. translucent skin
e. plump face - Correct answer-A, C, D
a. characteristics of a preterm NB include the presence of abundant lanugo
c. a weak grasp reflex is characteristic of a preterm NB
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,d. skin that is thin, smooth, shiny, and translucent is a finding in a preterm NB
a nurse is caring for a newborn who is preterm and has resp. distress syndrome.
Which of the following should the nurse monitor to evaluate the newborn's
condition following administration of synthetic surfactant?
a. oxygen saturation
b. body temp.
c. serum bilirubin
d. HR - Correct answer-A
surfactant stabilizes the alveoli and helps increase oxygen saturation
a nurse is teaching a newly licensed nurse about neonatal abstinence syndrome.
Which of the following statements by the nurse indicate understanding of the
teaching?
a. the newborn will have decreased muscle tone
b. the newborn will have a continuous high-pitched cry
c. the newborn will sleep for 2-3 hours after feeding
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, d. the newborn will have mild tremors when disturbed - Correct answer-B. a
continuous high-pitched cry is often an indication of CNS disturbance in . newborn
who hs neonatal abstinence syndrome
a nurse is reviewing care of the umbilical cord w/ the parent of a NB. Which of the
following instructions should the nurse include in the teaching ?
a. cover the cord w/ small gauze square
b. trickle clean water over the cord w/ each diaper change
c. apply hydrogen peroxide to the cord twice a day
d. keep the diaper folded below the cord - Correct answer-D
folding the diaper below the cord prevents urine from the diaper penetrating the
cord site
a nurse is reviewing contraindications for circumcision w/ a newly hired nurse.
Which of the following conditions are contraindications? (SATA)
a. hypospadias
b. hydrocele
c. hx. of hemophilia
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