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ATI Obstetric Nursing Practice Examination Exam
Preparation With Complete Questions And Correct Answers
With Rationales Already Graded A+ Brand New Version!!
1. A nurse in an antepartum clinic is providing care for a client who is at
26 weeks of gestation. Upon reviewing the client's medical record,
which of the following findings should the nurse report to the provider?
A) 1-Hour Glucose Tolerance Test - 120 mg/dL
B) Hematocrit - 34%
C) Fundal Height Measurement - 30 cm
D) Fetal Heart Rate - 110 bpm
Answer: C
Rationale: Fundal height should be measured in centimeters and should
correlate with the number of gestational weeks plus or minus 2 cm from
18 to 32 weeks gestation. At 26 weeks, the expected fundal height is 24
to 28 cm. A measurement of 30 cm exceeds this range and should be
reported to the provider as it may indicate polyhydramnios, multiple
gestation, or a uterine anomaly. The 1-hour GTT of 120 mg/dL is within
normal limits (below 130-140 mg/dL). A hematocrit of 34% is normal
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during pregnancy (above 33%). The fetal heart rate of 110 bpm is within
the normal range of 110 to 160 bpm.
2. A nurse is teaching a client at 8 weeks of gestation about
manifestations to report to the provider. Which of the following should
the nurse include?
A) Nausea upon awakening
B) Blurred or double vision
C) Breast tenderness
D) Urinary frequency
Answer: B
Rationale: Blurred or double vision is a warning sign that may indicate
preeclampsia or gestational hypertension and should be reported
immediately. Nausea, breast tenderness, and urinary frequency are
common early pregnancy discomforts and are not typically indications
for immediate provider notification.
3. A nurse is calculating a client's estimated date of delivery using
Naegele's rule. The client's last menstrual period began on November
10. Which of the following dates is the estimated date of delivery?
A) August 3
B) August 17
C) September 3
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D) September 17
Answer: B
Rationale: Naegele's rule is calculated by subtracting 3 months from the
first day of the last menstrual period and adding 7 days. November 10
minus 3 months equals August 10, plus 7 days equals August 17.
4. A client who is 16 weeks of gestation asks the nurse how to prepare
her toddler for the arrival of a new sibling. Which of the following
statements should the nurse make?
A) "You should wait until the newborn arrives to discuss the baby with
your toddler."
B) "You should hold your newborn in your arms when you introduce
him to your toddler."
C) "You should have your toddler stay with relatives during the birth
and first few days."
D) "You should avoid letting your toddler see you holding the newborn
initially."
Answer: B
Rationale: Holding the newborn in the mother's arms during the first
introduction allows the toddler to see the parent with the baby in a non-
threatening manner. This promotes a positive initial interaction and
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reduces jealousy. Children should be prepared for the sibling's arrival
gradually, and excluding the toddler or hiding the newborn can increase
feelings of displacement and resentment.
5. A nurse is providing teaching to a client who is at 30 weeks of
gestation about warning signs of complications that she should report
to her provider. Which finding should the nurse include in the teaching?
A) 10 fetal movements per hour
B) Mild constipation
C) Vaginal bleeding
D) Nasal congestion
Answer: C
Rationale: Vaginal bleeding during pregnancy is an abnormal finding
that may indicate placental abruption, placenta previa, or preterm labor
and requires immediate provider notification. Ten fetal movements per
hour is a reassuring finding indicating fetal well-being. Mild
constipation and nasal congestion are common discomforts of
pregnancy.
6. A nurse is assessing a client at 34 weeks of gestation who reports a
sudden gush of clear fluid from the vagina. What is the priority nursing
action?
A) Obtain a urine specimen for culture.
ATI Obstetric Nursing Practice Examination Exam
Preparation With Complete Questions And Correct Answers
With Rationales Already Graded A+ Brand New Version!!
1. A nurse in an antepartum clinic is providing care for a client who is at
26 weeks of gestation. Upon reviewing the client's medical record,
which of the following findings should the nurse report to the provider?
A) 1-Hour Glucose Tolerance Test - 120 mg/dL
B) Hematocrit - 34%
C) Fundal Height Measurement - 30 cm
D) Fetal Heart Rate - 110 bpm
Answer: C
Rationale: Fundal height should be measured in centimeters and should
correlate with the number of gestational weeks plus or minus 2 cm from
18 to 32 weeks gestation. At 26 weeks, the expected fundal height is 24
to 28 cm. A measurement of 30 cm exceeds this range and should be
reported to the provider as it may indicate polyhydramnios, multiple
gestation, or a uterine anomaly. The 1-hour GTT of 120 mg/dL is within
normal limits (below 130-140 mg/dL). A hematocrit of 34% is normal
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during pregnancy (above 33%). The fetal heart rate of 110 bpm is within
the normal range of 110 to 160 bpm.
2. A nurse is teaching a client at 8 weeks of gestation about
manifestations to report to the provider. Which of the following should
the nurse include?
A) Nausea upon awakening
B) Blurred or double vision
C) Breast tenderness
D) Urinary frequency
Answer: B
Rationale: Blurred or double vision is a warning sign that may indicate
preeclampsia or gestational hypertension and should be reported
immediately. Nausea, breast tenderness, and urinary frequency are
common early pregnancy discomforts and are not typically indications
for immediate provider notification.
3. A nurse is calculating a client's estimated date of delivery using
Naegele's rule. The client's last menstrual period began on November
10. Which of the following dates is the estimated date of delivery?
A) August 3
B) August 17
C) September 3
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D) September 17
Answer: B
Rationale: Naegele's rule is calculated by subtracting 3 months from the
first day of the last menstrual period and adding 7 days. November 10
minus 3 months equals August 10, plus 7 days equals August 17.
4. A client who is 16 weeks of gestation asks the nurse how to prepare
her toddler for the arrival of a new sibling. Which of the following
statements should the nurse make?
A) "You should wait until the newborn arrives to discuss the baby with
your toddler."
B) "You should hold your newborn in your arms when you introduce
him to your toddler."
C) "You should have your toddler stay with relatives during the birth
and first few days."
D) "You should avoid letting your toddler see you holding the newborn
initially."
Answer: B
Rationale: Holding the newborn in the mother's arms during the first
introduction allows the toddler to see the parent with the baby in a non-
threatening manner. This promotes a positive initial interaction and
, 4|Page
reduces jealousy. Children should be prepared for the sibling's arrival
gradually, and excluding the toddler or hiding the newborn can increase
feelings of displacement and resentment.
5. A nurse is providing teaching to a client who is at 30 weeks of
gestation about warning signs of complications that she should report
to her provider. Which finding should the nurse include in the teaching?
A) 10 fetal movements per hour
B) Mild constipation
C) Vaginal bleeding
D) Nasal congestion
Answer: C
Rationale: Vaginal bleeding during pregnancy is an abnormal finding
that may indicate placental abruption, placenta previa, or preterm labor
and requires immediate provider notification. Ten fetal movements per
hour is a reassuring finding indicating fetal well-being. Mild
constipation and nasal congestion are common discomforts of
pregnancy.
6. A nurse is assessing a client at 34 weeks of gestation who reports a
sudden gush of clear fluid from the vagina. What is the priority nursing
action?
A) Obtain a urine specimen for culture.
