ATI OB/GYN –QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
- Antepartum Care and Fetal Development
- Intrapartum Management and Complications
- Postpartum Nursing Care
- Newborn Assessment and Thermoregulation
- Women’s Health and Contraception
- Pharmacological Interventions in Obstetrics
- High-Risk Pregnancy and Comorbidities
- Ethical and Legal Standards in Maternal-Newborn Care
INTRODUCTION
This comprehensive assessment is designed to evaluate the clinical proficiency and
theoretical knowledge of nursing students and professionals preparing for the ATI
OB/GYN specialty examination. The exam encompasses a broad range of topics,
including physiological adaptations to pregnancy, labor and delivery protocols, and
neonatal stabilization. Through a series of 200 meticulously crafted multiple-choice
,and scenario-based questions, candidates are challenged to apply critical thinking
and evidence-based practice to real-world clinical situations. The assessment
emphasizes patient safety, regulatory compliance, and holistic care, ensuring that
practitioners are equipped to make sound clinical decisions in diverse obstetric and
gynecological settings.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assessing a client at 34 weeks of gestation who reports a sudden
gush of vaginal fluid. Which of the following actions should the nurse take first?
A. Perform a vaginal examination to check for dilation.
B. Test the fluid with nitrazine paper.
C. Assess the fetal heart rate pattern.
D. Check the client’s temperature.
🟢 C. Assess the fetal heart rate pattern.
🔴 RATIONALE: The priority action following the rupture of membranes is to assess
the fetal heart rate (FHR) to ensure fetal well-being and rule out umbilical cord
prolapse, which is a medical emergency.
, 2. A nurse is providing teaching to a client who is at 12 weeks of gestation and has
a new prescription for an iron supplement. Which of the following instructions
should the nurse include?
A. Take the medication with a glass of milk.
B. Take the medication at bedtime with a snack.
C. Take the medication with orange juice.
D. Avoid eating green leafy vegetables while taking this medication.
🟢 C. Take the medication with orange juice.
🔴 RATIONALE: Vitamin C, found in orange juice, enhances the absorption of iron.
Calcium in milk can inhibit absorption, and green leafy vegetables are actually
encouraged as a dietary source of iron.
3. Which of the following findings should a nurse report to the provider for a client
who is at 32 weeks of gestation?
A. Pitting edema of the lower extremities.
B. Increased vaginal discharge.
C. Heartburn after eating a large meal.
D. Blurred vision and epigastric pain.
, 🟢 D. Blurred vision and epigastric pain.
🔴 RATIONALE: Blurred vision and epigastric pain are classic signs of severe
preeclampsia or HELLP syndrome and require immediate medical evaluation to
prevent seizures or organ damage.
4. A nurse is caring for a client in the first stage of labor. The nurse observes a late
deceleration on the fetal monitor strip. Which of the following is the priority
intervention?
A. Increase the rate of the IV fluid infusion.
B. Assist the client into a left-lateral position.
C. Administer oxygen via a nonrebreather mask.
D. Document the finding in the medical record.
🟢 B. Assist the client into a left-lateral position.
🔴 RATIONALE: Late decelerations indicate uteroplacental insufficiency. The first
action should be to reposition the client to her side to improve uterine blood flow and
placental perfusion.
5. A nurse is assessing a newborn 2 hours after birth. Which of the following
findings should the nurse identify as a potential sign of respiratory distress?
PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
- Antepartum Care and Fetal Development
- Intrapartum Management and Complications
- Postpartum Nursing Care
- Newborn Assessment and Thermoregulation
- Women’s Health and Contraception
- Pharmacological Interventions in Obstetrics
- High-Risk Pregnancy and Comorbidities
- Ethical and Legal Standards in Maternal-Newborn Care
INTRODUCTION
This comprehensive assessment is designed to evaluate the clinical proficiency and
theoretical knowledge of nursing students and professionals preparing for the ATI
OB/GYN specialty examination. The exam encompasses a broad range of topics,
including physiological adaptations to pregnancy, labor and delivery protocols, and
neonatal stabilization. Through a series of 200 meticulously crafted multiple-choice
,and scenario-based questions, candidates are challenged to apply critical thinking
and evidence-based practice to real-world clinical situations. The assessment
emphasizes patient safety, regulatory compliance, and holistic care, ensuring that
practitioners are equipped to make sound clinical decisions in diverse obstetric and
gynecological settings.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assessing a client at 34 weeks of gestation who reports a sudden
gush of vaginal fluid. Which of the following actions should the nurse take first?
A. Perform a vaginal examination to check for dilation.
B. Test the fluid with nitrazine paper.
C. Assess the fetal heart rate pattern.
D. Check the client’s temperature.
🟢 C. Assess the fetal heart rate pattern.
🔴 RATIONALE: The priority action following the rupture of membranes is to assess
the fetal heart rate (FHR) to ensure fetal well-being and rule out umbilical cord
prolapse, which is a medical emergency.
, 2. A nurse is providing teaching to a client who is at 12 weeks of gestation and has
a new prescription for an iron supplement. Which of the following instructions
should the nurse include?
A. Take the medication with a glass of milk.
B. Take the medication at bedtime with a snack.
C. Take the medication with orange juice.
D. Avoid eating green leafy vegetables while taking this medication.
🟢 C. Take the medication with orange juice.
🔴 RATIONALE: Vitamin C, found in orange juice, enhances the absorption of iron.
Calcium in milk can inhibit absorption, and green leafy vegetables are actually
encouraged as a dietary source of iron.
3. Which of the following findings should a nurse report to the provider for a client
who is at 32 weeks of gestation?
A. Pitting edema of the lower extremities.
B. Increased vaginal discharge.
C. Heartburn after eating a large meal.
D. Blurred vision and epigastric pain.
, 🟢 D. Blurred vision and epigastric pain.
🔴 RATIONALE: Blurred vision and epigastric pain are classic signs of severe
preeclampsia or HELLP syndrome and require immediate medical evaluation to
prevent seizures or organ damage.
4. A nurse is caring for a client in the first stage of labor. The nurse observes a late
deceleration on the fetal monitor strip. Which of the following is the priority
intervention?
A. Increase the rate of the IV fluid infusion.
B. Assist the client into a left-lateral position.
C. Administer oxygen via a nonrebreather mask.
D. Document the finding in the medical record.
🟢 B. Assist the client into a left-lateral position.
🔴 RATIONALE: Late decelerations indicate uteroplacental insufficiency. The first
action should be to reposition the client to her side to improve uterine blood flow and
placental perfusion.
5. A nurse is assessing a newborn 2 hours after birth. Which of the following
findings should the nurse identify as a potential sign of respiratory distress?
