OB-ATI Proctored exam 70 questions with 100% correct answers complete test

  1. A charge nurse is teaching a newly licensed nurse about fetal monitoring. the newly licensed nurse should identify that which of the following images indicates prolonged decelerations? A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous iv infusion. which of the following findings should the nurse report to the provider? a) Absent deep -tendon reflexes b) BP 150/100 mm Hg c) Urinary output 35 mL/hr d) Decrease in frequency of contractions 3. A nurse is caring for a client who has a placenta previa. which of the following findings should the nurse expect? a) Persistent headache b) Uterine hypertonicity c) Firm, rigid abdomen d) Painless, vaginal bleeding 4. A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant staphylococcus aureus. which of the following types of isolation precautions should the nurse initiate? a) Contact b) Droplet c) Airborne d) Protective environment 5. A nurse is planning care for a client who is pregnant and has HIV. which of the following actions should the nurse include in the plan of care? a) Use a fetal electrode during labor and delivery b) Administer a pneumococcal immunization to the newborn within 4 hr following birth c) Instruct the client to stop taking the antiretroviral medications at 32 weeks of gestation. d) Bathe the newborn before initiating skin to skin contact. 6. A nurse is reviewing the electronic medical record of a postpartum client. the nurse should identify that which of the following factors places the client at risk for an infection? a) Placenta previa b) Midline episiotomy c) Gestational hypertension d) Meconium-stained fluid 7. A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks of gestation. which of the following actions should the nurse take? (Click on the “exhibit” button for additional information) a) Administer ceftriaxone IM b) Obtain a maternal serum alpha-fetoprotein specimen c) Administer rubella vaccine d) Obtain a blood culture 8. A nurse is planning care for a client following a chorionic villus sampling. The nurse should recognize that the client is at risk for developing which of the following complications? a) Infection b) Anemia c) Placental insufficiency d) Late decelerations 9. A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus. which of the following findings should the nurse report to the provider? a) The client has nonpitting pedal edema. b) The client has a fasting blood glucose of 90 mg/ dL. c) The client has a fundal height of 38 cm. d) The client reports 12 fetal movements in 1 hr. 10. A nurse is performing a heel stick on a newborn. Which of the following actions should the nurse take? a) Cleanse the newborn’s heel with an alcohol swab after the procedure. b) Use an automatic puncture device on the heel. c) Puncture the heel on the inner aspect of the foot d) Place an ice pack on the newborn’s heel 5 min before the procedure. 11. A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. which of the following clinical findings should the nurse instruct the client to report? a) Increased respiratory rate b) Increased muscle weakness c) Increased fetal movement d) Increased urinary output 12. A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs? a) Six contractions in 10 min b) Nonrepetitive early decelerations c) Moderate variability of the fetal heart rate d) Contractions last 60 seconds 13. A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. the client asks the nurse which foods she should eat to ensure adequate calcium intake. the nurse should instruct the client that which of the following foods has the highest amount of calcium? a) 1 medium potato b) 1 large banana c) 1 cup cooked broccoli d) ½ cup cubed avocado 14. A client who is at 16 weeks of gestation asks a nurse how to prepare her toddler to have a younger sibling. which of the following statements should the nurse make? a) “You should move your toddler out of her crib 2 weeks prior to your due date.” b) “You should hold your newborn in your arms when you introduce him to your toddler” c) “You should give your toddler a gif t from the baby when she visits you in the facility.” d) “You should place your toddler in time-out if she exhibits regressive behavior after the baby is born.” 15. A nurse is conducting a class for a group of clients about birth control. which of the following information should the nurse include in the teaching? a) “Your fertility will return 6 months after your provider removes your IUD.” b) “You will not need to use birth control for 1 month after receiving emergency contraception.” c) “You should have an annual examination to assess your diaphragm.” d) “You should use spermicide 3 hours prior to sexual intercourse.” 16. A nurse is teaching a client and her partner about the technique of counterpressure during labor. Which of the following statements by the nurse is appropriate? a) “Your partner will apply pressure to the top of your uterus during contractions.” b) “Your partner will apply continuous, firm pressure between your thumb and index finger.” c) “Your partner will apply upward pressure on your lower abdomen between contractions d) “Your partner will apply steady pressure with a tennis ball to your lower back.” 17. A nurse is providing discharge instructions to a client who is 24 hr. postpartum and has decided not to breastfeed. which of the following instructions should the nurse include in the teaching? a) “Pump your breast twice daily to relieve discomfort from engorgement.” b) “Shower daily, allowing warm water to run directly over your breasts.” c) “Apply ice packs to your breasts using a 15 minutes on, 45 minutes off schedule.” d) “Wear a loose-fitting, nonbinding bra for 72 hours.” 18. A nurse is caring for a client who is in labor and just received epidural anesthesia. The client’s blood pressure is 90/50 mm Hg. which of the following actions should the nurse take? a) Administer naloxone to the client. b) Turn the client onto their side. c) Initiate an amnioinfusion for the client. d) Monitor the client’s blood pressure every 15 min. 19. A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. which of the following responses should the nurse make? a) “We can schedule the procedure for later today if you’d like.” b) “You cannot have an amniocentesis until you are at least 35 years of age.” c) “This procedure determines if your baby has genetic or congenital disorders.” d) “Your provider will schedule a chorionic villus sampling to determine the sex of your baby.” 20. A nurse is providing discharge instructions to a client who is breastfeeding her newborn. which of the following instructions should the nurse include? a) Feed the newborn 5 to 10 min per breast b) Expect two to four wet diapers every 24 hr. c) Offer the newborn 30 mL (1oz) of water between feedings. d) Allow the baby to feed at least every 3 hr. 21. A nurse is assessing a client during her first prenatal visit. A client reports March 20 as her last menstrual period. Use Naegele’s rule to calculate the estimated date of delivery (use the MMDD format) a. 1227 22. A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make? a) “If you don’t hold the baby, it will make letting go much harder.” b) “I’m sure you will be able to have another baby when you’re ready.” c) “You can bathe and dress your baby if you’d like to.” d) “You should name the baby so she can have an identity.” 23. A nurse is caring for a newborn who has exstrophy of the bladder. which of the following actions should the nurse take prior to the beginning of surgical correction? a) Keep the newborn in a side-lying position. b) Exert gentle pressure on the newborn’s bladder with sterile gauze. c) Cover the newborn’s bladder with a sterile, non-adherent dressing. d) Restrict the newborn’s fluid intake. 24. A nurse is caring for a newborn following delivery. which of the following actions should the nurse take first? a) Apply prophylactic eye ointment. b) Apply identification bands to the newborn. c) Obtain the newborn’s weight. d) Administer IM vitamin K. 25. A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. which of the following instructions should the nurse include? a) “You should have your provider refit you for a new diaphragm.” b) “You should use an oil-base vaginal lubricant when inserting your diaphragm.” c) “You should store your diaphragm in sterile water after each use.” d) “You should keep the diaphragm in place for at least four 4 after intercourse.” 26. A nurse is providing teaching to a client that is 3 days postpartum and expresses to continue using the diaphragm for contraception. What do the following interventions should the nurse include? a) “You should keep the diaphragm in place for at least four hours after intercourse.” b) “you should have your provider refit you for a new diaphragm.” c) “you should use an oil based vaginal lubricant when inserting your diaphragm.” d) “you should store your diaphragm in sterile water after each use.” 27. A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions should the nurse take? a) Reassess the blood glucose level prior to the next feeding. b) Obtain a blood sample for a serum glucose level. c) Administer 50 mL of dextrose solution IV. d) Feed the newborn immediately. 28. A nurse is caring for a client who has pregestational diabetes mellitus. which of the following clinical findings should indicate to the nurse the client has hyperglycemia? a) Increased urination b) Dizziness c) Sweating d) Double vision 29. A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider? a) Blood glucose 58 mg/dL b) hematocrit 48% c) platelets 100,000/mm d) hemoglobin 16 g/dL 30. A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider? a) Fasting blood glucose 75 mg/dL b) BP 88/58 mm Hg c) Urinary output 40 mL/hr d) FHR 120/min 31. A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing? a) No late decelerations in the fetal heart rate noted with three uterine contractions of 60 seconds in duration within a 10-min testing period b) Three fetal movements perceived by the client in a 20-min testing period c) An increase in fetal heart rate to 150/min above the baseline of 140/min lasting 10 seconds in response to fetal movement within a 40 min testing period d) Irregular contractions of 10 to 20 seconds in duration that are not felt by the client 32. A nurse is assessing a full-term newborn upon administration to the nursery. which of the following clinical findings should the nurse report to the provider? a) Rust-stained urine b) Transient circumoral cyanosis c) Subconjunctival hemorrhage d) Single palmar creases 33. A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup? a) Oatmeal b) Cabbage c) Asparagus d) Lentils 34. A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates understanding of the teaching? a) “I will receive a series of three immunizations and each one will be a month apart.” b) “I will report joint pain that develops after the immunization to my provider immediately.” c) “I should avoid becoming pregnant for at least 1 month following the immunization.” d) “I should avoid breastfeeding for 2 weeks following the immunization.” 35. A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect? a) Increased head circumference b) Decreased startle response c) High-pitched cry d) Hypotonicity 36. A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care? a) Prepare for surgical closure after 72 hr. b) Administer broad-spectrum antibiotics. c) Monitor the rectal temperature every 4 hr. d) Cleanse the site with povidone-iodine. 37. A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hr after the injury occurred? a) Osteomyelitis b) Compartment syndrome c) Volkmann ischemic contracture d) Renal calculi 38. A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. which of the following responses by the nurse is appropriate? a) “This medication improves tissue perfusion.” b) “This medication prevents seizures.” c) “This medication increases cardiac output.” d) “This medication stabilizes the fetal heart rate.” 39. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan? a) Ensure the newborn’s eyes are closed beneath the shield. b) Apply a thin layer of lotion to the newborn’s skin every 8 hr. e) Give the newborn 1 oz of glucose water every 4 hr. c) Dress the newborn in a thin layer of clothing during therapy. 40. A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. When the nurse offers to pick the newborn up and place him in the client’s arms, the mother states, “No, the baby is too tired to be held.” Which of the following actions should the nurse take? a) Insist that the mother pick up the newborn to feed him. b) Offer to take the newborn to the nursery to finish his feeding. c) Demonstrate how to hold the newborn and allow the client to practice. d) Persuade the client to breastfeed the newborn to promote bonding. 41. A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse care? a) Place the client in a semi-fowler’s position for 1 hr after administration b) Verify that informed consent is obtained prior to administration. c) Allow the medication to reach room temperature prior to administration d) Instruct the client to avoid urinary elimination until after administration. 42. Newborn nursery is receiving change-of-shift report for four newborns. Which of the following newborns should the nurse assess first? a) A newborn who is 30 hr old and has blood-tinged discharge in her diaper. b) A newborn who has a short frenulum and is having difficulty breastfeeding. c) A newborn who is 24 hr old and has not had a meconium stool. d) A newborn who is 10 hr old and has new onset tachypnea. 43. A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? a) Urine ketones b) Rapid plasma regain c) Prothrombin time d) Urine culture 44. A nurse is providing dietary teaching to a client who is 32 weeks of gestation and has cholelithiasis. Which of the following foods should the nurse recommend for the client to include in her diet? a) Bacon cheeseburger b) French fries c) Baked chicken d) Whole milk 45. A nurse is providing teaching to a client who is primigravida and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicated an understanding of the teaching? a) “I will drink water before the test until my bladder feels full.” b) “I can’t have anything to eat after midnight.” c) “I need to take a stool softener the night before the test.” d) “I won’t apply perfumed lotion to my abdomen before the test.” 46. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect? a) Facial petechiae b) Telangiectatic nevi c) Erythema toxicum d) Periauricular papilliomas 47. A nurse is caring for a client who received epidural analgesia during labor and is 4 hr postpartum. Which of the following client reports should the nurse address first? a) Tingling in her legs b) Inability to void c) Itching d) Abdominal cramps 48. A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory test should the nurse review during tocolytic therapy? a) Liver enzymes b) Serum medication level c) Indirect coombs’ test d) Uric acid level 49. A nurse is caring for four antepartum clients. Which of the following clients should the nurse assess first? a) A client who is at 7 weeks of gestation and reports urinary frequency b) A client who is at 32 weeks of gestation and reports seeing floating spots c) A client who is at 20 weeks of gestation and reports periodic numbness in her fingers d) A client who is at 38 weeks of gestation and reports leg cramps 50. A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique. Which of the following information should the nurse include? a) “Make sure the newborn’s diaper is snug.” b) “Notify the provider if the end of your baby’s penis appears dark red.” c) “The plastibell will be removed 4 hours after the procedure.” d) “Yellow exudate will form at the surgical site in 24 hours.” 51. A nurse is planning care immediately following birth for a newborn who has myelomeningocele that is leaking cerebral spinal fluid. Which of the following actions should the nurse include in the plan of care? a) Administer broad spectrum antibiotics (THINK ANSWER IS THIS ONE!) b) prepare for surgical closure after 72 hr c) monitor the rectal temperature every 4 hr d) Cleanse the site with povidone- iodine 52. A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit? a) Hearing loss b) Cataracts c) Urinary tract infection d) Macrosomia 53. A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider? a) Platelet count 60,000/mm3 b) Creatinine 0.8mg/dL c) Hemoglobin 14.8 g/dL d) Urine protein concentration 200 mg/24 hr 54. A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed? a) The newborn’s pulse oximetry is 91%. b) The newborn’s respiratory rate is 32/min. c) The newborn’s respiratory rate is irregular. d) The newborn’s is beginning to cough. 55. A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository? a) Abdominal distention b) Third-degree perineal laceration c) Vaginal candidiasis d) Afterpains 56. A nurse is caring for a client who is in the latent phase of the first stage of labor is in pain. Which of the following nursing interventions are appropriate to reduce pain? (Select all that apply.) a) Ambulate the client in the hallway. b) Administer 70% nitrous oxide mixed with oxygen. c) Perform Leopold maneuvers. 57. A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next? a) Perform a vaginal examination by applying upward pressure on the presenting part. b) Administer oxygen via nonrebreather mask at 8 L/min. c) Cover the umbilical cord with a sterile saline saturated towel. d) Initiate an infusion of IV fluids for the client. 58. A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct? a) Group B strep culture b) Blood type and Rh c) 1-hr glucose tolerance test d) Rubella titer 59. A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching? a) “Lesions are visible on the mother’s genitalia.” b) “Transmission can occur via the saliva and urine of the newborn.” c) “Mothers will receive prophylactic treatment with acyclovir prior to delivery.” d) “This infection requires that airborne precautions be initiated for the newborn.” 60. A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home. Which of the following statements should the nurse make to the client? a) “Place triple antibiotic ointment on your baby’s umbilical cord twice per day.” b) “Notify your baby’s pediatrician if he urinates less than six times a day.” c) “Swaddle your baby tightly with his legs extended before laying him down to sleep.” d) “Retract the foreskin to clean your baby’s penis during each bath.” 61. A nurse is caring for a client who is postpartum and experiencing hypovolemic shock. Which of the following findings should the nurse expect? a) Respiratory rate 18/min b) Cool, clammy skin c) Urinary output 30 mL/hr d) Bounding pulses 62. A nurse is caring for a client who is at 6 weeks of gestation and reports nausea and vomiting. Which of the following recommendations should the nurse make? a) “Drink additional liquids with each meal.” b) “Avoid eating snacks before bedtime.” c) “Consume foods served at cool temperatures.” d) “Eat a high-fat snack before getting out of bed.” 63. A nurse is performing an assessment of a newborn’s Babinski reflex. Which of the following findings should the nurse expect? a) Downward curl of the toes b) Dorsiflexion of the great toe c) Extension of the leg d) Flexion of the forearm 64. A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching? a) Oligohydramnios b) Retained placental fragments c) Meconium-stained fluid d) Pregnancy induced hypertension 65. A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 centimeters dilated. The nurse realized that the client is at risk for which of the following conditions? a) Postpartum hemorrhage b) ectopic pregnancy c) hyperemesis gravidarum d) incompetent cervix 66. A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect? a) WBC count 9,000/mm3 b) Scant lochia c) Uterine tenderness d) Temperature 37.4 C (99.3 F) 67. A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.) a) Varicella b) Measles, mumps, and rubella c) Diphtheria-acellular pertussis d) inactivated influenza e) human papillomavirus 68. A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication? a) Respiratory rate 16/min b) Hyperglycemia c) Urine output 20 mL/hr d) Hypertension 69. A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching? a) “I will need to return to the clinic in 8 weeks for my next injection.” b) “I should discontinue this medication if I experience spotting.” c) “I should increase my calcium intake while taking this medication.” d) “I will get two shots each time I receive this medication.” 70. A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions? (I PUT THIS IN ORDER FOR YOU!) 1. Ask the client to her back and with her knees flexed 2. position one hand around the top of the client’s fundus and one hand just above the client symphysis pubis 3. rotate the upper hand to massage declines uterus while using slight downward 4. pressure to compress the fundus observe the client’s perineum for the passage of clots and the amount of bleeding