ATI MATERNAL NEWBORN OB EXAM
VERSION 1
1. Since 1995 there has been a significant decrease in the rate of infant death related to
which of the following:
a. Disorders associated with short gestation and low birth weight
b. Accidents
c. Sudden infant death
d. Newborns affected by complications of placenta, cord, and membranes
2. Tobacco use during pregnancy is associated with adverse effects on the unborn infant
such as intrauterine growth restriction, preterm births, and respiratory problems. By race,
which has the highest percentages of smokers? a. American Indian and Alaskan Natives
b. Asian or Pacific Islanders
c. Non-Hispanic blacks
d. Non-Hispanic whites
,3. Which of the following women is at the highest risk for health disparity?
a. A white, middle-class, 16-year-old woman
b. An African American, middle-class, 25-year-old woman
c. An African American, upper-middle-class, 19-year-old woman
d. An Asian, low-income, 30-year-old woman
4. A neonate born at 36 weeks gestation is classified as which of the following?
a. Very premature
b. Moderately premature
c. Late premature
d. Term
5. The perinatal nurse explains to the student nurse that a goal of the Healthy People 2020
report is to:
a. Increase proportion of infants who are breastfed to 93.1%.
b. Increase proportion of infants who are breastfed to 90.7%.
c. Increase proportion of infants who are breastfed to 85.6%.
d. Increase proportion of infants who are breastfed to 83.9%.
6. The perinatal nurse explains to the student nurse that is the leading cause of
infant death in the United States.
a. Sudden Infant Death Syndrome
b. Respiratory distress of newborns
c. Disorders related to short gestation and low birth weight
d. Congenital malformations and chromosomal abnormalities
7. Which of the following statements are true related to teen pregnancies? (Select all that
apply.)
a. Teen mothers are at higher risk for HIV.
b. Teen mothers are at higher risk for hypertensive problems.
c. The birth rate for teenaged women has increased in the past 15 years.
d. Infants born to teen mothers are at higher risk for health problems.
,8. The nurse takes the history of a client, G2 P1, at her first prenatal visit. The client is
referred to a genetic counselor, due to her previous child having a diagnosis of .
a. Unilateral amblyopia
b. Subdural hematoma
c. Sickle cell anemia
d. Glomerular nephritis
9. A nurse is teaching a woman about her menstrual cycle. The nurse states that
is the most important change that happens during the secretory phase of the
menstrual cycle.
a. Maturation of the graafian follicle
b. Multiplication of the fimbriae
c. Secretion of human chorionic gonadotropin
d. Proliferation of the endometrium
10. An ultrasound of a fetus’ heart shows that “normal fetal circulation is occurring.” Which of
the following statements is consistent with the finding? a. A right to left shunt is seen
between the atria.
b. Blood is returning to the placenta via the umbilical vein.
c. Blood is returning to the right atrium from the pulmonary system.
d. A right to left shunt is seen between the umbilical arteries.
11. The clinic nurse knows that the part of the endometrial cycle occurring from ovulation to
just prior to menses is known as the: a. Menstrual phase
b. Proliferative phase
c. Secretory phase
d. Ischemic phase
12. A clinic nurse explains to the pregnant woman that the amount of amniotic fluid present
at 24 weeks’ gestation is approximately: a. 500 mL
b. 750 mL
c. 800 mL
d. 1000 mL
13. Information provided by the nurse that addresses the function of the amniotic fluid is that
the amniotic fluid helps the fetus to maintain a normal body temperature and also: a.
Facilitates asymmetrical growth of the fetal limbs
, b. Cushions the fetus from mechanical injury
c. Promotes development of muscle tone
d. Promotes adherence of fetal lung tissue
14. During preconception counseling, the clinic nurse explains that the time period when the
fetus is most vulnerable to the effects of teratogens occurs from: a. 2 to 8 weeks
b. 4 to12 weeks
c. 5 to 10 weeks
d. 6 to 15 weeks
15. A major fetal development characteristic at 16 weeks’ gestation is:
a. The average fetal weight is 450 grams
b. Lanugo covers entire body
c. Brown fat begins to develop
d. Teeth begin to form
16. Karen, a 26-year-old woman, has come for preconception counseling and asks about
caring for her cat as she has heard that she “should not touch the cat during pregnancy.”
The clinic nurse’s best response is:
a. It is best if someone other than you changes the cat’s litter pan during pregnancy so
that you have no risk of toxoplasmosis during pregnancy.
b. It is important to have someone else change the litter pan during pregnancy and also
avoid consuming raw vegetables.
c. Have you had any “flu-like” symptoms since you got your cat? If so, you may have
already had toxoplasmosis and there is nothing to worry about.
d. Toxoplasmosis is a concern during pregnancy, so it is important to have someone else
change the cat’s litter pan and also to avoid consuming uncooked meat.
17. A couple who has sought infertility counseling has been told that the man’s sperm count
is very low. The nurse advises the couple that spermatogenesis is impaired when which of
the following occur?
a. The testes are overheated.
b. The vas deferens is ligated.
c. The prostate gland is enlarged.
d. The flagella are segmented.
VERSION 1
1. Since 1995 there has been a significant decrease in the rate of infant death related to
which of the following:
a. Disorders associated with short gestation and low birth weight
b. Accidents
c. Sudden infant death
d. Newborns affected by complications of placenta, cord, and membranes
2. Tobacco use during pregnancy is associated with adverse effects on the unborn infant
such as intrauterine growth restriction, preterm births, and respiratory problems. By race,
which has the highest percentages of smokers? a. American Indian and Alaskan Natives
b. Asian or Pacific Islanders
c. Non-Hispanic blacks
d. Non-Hispanic whites
,3. Which of the following women is at the highest risk for health disparity?
a. A white, middle-class, 16-year-old woman
b. An African American, middle-class, 25-year-old woman
c. An African American, upper-middle-class, 19-year-old woman
d. An Asian, low-income, 30-year-old woman
4. A neonate born at 36 weeks gestation is classified as which of the following?
a. Very premature
b. Moderately premature
c. Late premature
d. Term
5. The perinatal nurse explains to the student nurse that a goal of the Healthy People 2020
report is to:
a. Increase proportion of infants who are breastfed to 93.1%.
b. Increase proportion of infants who are breastfed to 90.7%.
c. Increase proportion of infants who are breastfed to 85.6%.
d. Increase proportion of infants who are breastfed to 83.9%.
6. The perinatal nurse explains to the student nurse that is the leading cause of
infant death in the United States.
a. Sudden Infant Death Syndrome
b. Respiratory distress of newborns
c. Disorders related to short gestation and low birth weight
d. Congenital malformations and chromosomal abnormalities
7. Which of the following statements are true related to teen pregnancies? (Select all that
apply.)
a. Teen mothers are at higher risk for HIV.
b. Teen mothers are at higher risk for hypertensive problems.
c. The birth rate for teenaged women has increased in the past 15 years.
d. Infants born to teen mothers are at higher risk for health problems.
,8. The nurse takes the history of a client, G2 P1, at her first prenatal visit. The client is
referred to a genetic counselor, due to her previous child having a diagnosis of .
a. Unilateral amblyopia
b. Subdural hematoma
c. Sickle cell anemia
d. Glomerular nephritis
9. A nurse is teaching a woman about her menstrual cycle. The nurse states that
is the most important change that happens during the secretory phase of the
menstrual cycle.
a. Maturation of the graafian follicle
b. Multiplication of the fimbriae
c. Secretion of human chorionic gonadotropin
d. Proliferation of the endometrium
10. An ultrasound of a fetus’ heart shows that “normal fetal circulation is occurring.” Which of
the following statements is consistent with the finding? a. A right to left shunt is seen
between the atria.
b. Blood is returning to the placenta via the umbilical vein.
c. Blood is returning to the right atrium from the pulmonary system.
d. A right to left shunt is seen between the umbilical arteries.
11. The clinic nurse knows that the part of the endometrial cycle occurring from ovulation to
just prior to menses is known as the: a. Menstrual phase
b. Proliferative phase
c. Secretory phase
d. Ischemic phase
12. A clinic nurse explains to the pregnant woman that the amount of amniotic fluid present
at 24 weeks’ gestation is approximately: a. 500 mL
b. 750 mL
c. 800 mL
d. 1000 mL
13. Information provided by the nurse that addresses the function of the amniotic fluid is that
the amniotic fluid helps the fetus to maintain a normal body temperature and also: a.
Facilitates asymmetrical growth of the fetal limbs
, b. Cushions the fetus from mechanical injury
c. Promotes development of muscle tone
d. Promotes adherence of fetal lung tissue
14. During preconception counseling, the clinic nurse explains that the time period when the
fetus is most vulnerable to the effects of teratogens occurs from: a. 2 to 8 weeks
b. 4 to12 weeks
c. 5 to 10 weeks
d. 6 to 15 weeks
15. A major fetal development characteristic at 16 weeks’ gestation is:
a. The average fetal weight is 450 grams
b. Lanugo covers entire body
c. Brown fat begins to develop
d. Teeth begin to form
16. Karen, a 26-year-old woman, has come for preconception counseling and asks about
caring for her cat as she has heard that she “should not touch the cat during pregnancy.”
The clinic nurse’s best response is:
a. It is best if someone other than you changes the cat’s litter pan during pregnancy so
that you have no risk of toxoplasmosis during pregnancy.
b. It is important to have someone else change the litter pan during pregnancy and also
avoid consuming raw vegetables.
c. Have you had any “flu-like” symptoms since you got your cat? If so, you may have
already had toxoplasmosis and there is nothing to worry about.
d. Toxoplasmosis is a concern during pregnancy, so it is important to have someone else
change the cat’s litter pan and also to avoid consuming uncooked meat.
17. A couple who has sought infertility counseling has been told that the man’s sperm count
is very low. The nurse advises the couple that spermatogenesis is impaired when which of
the following occur?
a. The testes are overheated.
b. The vas deferens is ligated.
c. The prostate gland is enlarged.
d. The flagella are segmented.
