ATI OB EXAM SCRIPT 2026 COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+
◉A nurse is assessing a client who is 12hr postpartum and received
spinal anesthesia for a cesarean birth. Which of the following
findings requires immediate intervention by the nurse?
A. Blood pressure 100/70 mmHg
B. Headache pain rated 6 on a scale of 0 to 10
C. Respiratory rate 10/min
D. Urinary output 30mL/hr. Answer: C. Respiratory rate 10/min
A client who has received spinal anesthesia is at risk for respiratory
depression and hypotension. A respiratory rate of 10/min indicates
bradypnea and requires immediate intervention.
◉A nurse is caring for a client who has just delivered her first
newborn. The nurse anticipates hyperbilirubinemmia due to Rh
incompatibility. The nurse should understand that
hyperbilirubinemia occurs with Rh incompatibility for which of the
following reasons?
A. The client's blood does not contain the Rh factor, she she produces
anti-Rh antibodies that cross the placental barrier and cause
hemolysis of red blood cells in newborns.
,B. The client' blood contains the Rh factor and the newborn's does
not and antibodies that destroy red blood cells are formed in the
fetus.
C. The client has a history of receiving a transfusion with Rh-
negative blood.
D. The client's anti-A and anti-B antibodies cross the placenta and
cause the destruction of the fetal red blood cells.. Answer: A. The
client's blood does not contain the Rh factor, she she produces anti-
Rh antibodies that cross the placental barrier and cause hemolysis
of red blood cells in newborns.
If the Rh-negative client has been exposed to Rh-positive fetal blood,
she will produce antibodies against Rh factor. These antibodies can
cross the placenta and destroy the red blood cells of the Rh-positive
fetus. This accelerated rate of red blood cell destruction results in
the increased release of bilirubin. The newborn's serum bilirubin
level can rise quickly.
◉A nurse is teaching a newborn's parent to care for the umbilical
cord stump. Which of the following instructions should the nurse
include?
A. Wash the cord daily with mild soap and water.
B. Cover the cord with the diaper.
C. Apply petroleum jelly to the cord stump.
D. Give a sponge bath until the cord stump falls off.. Answer: D. Give a
sponge bath until the cord stump falls off.
, Immersing the umbilical cord stump in water can delay the process
of drying, separation, and healing. Sponge baths are appropriate
until the stump falls off.
◉A nurse is caring for a client who is postpartum. The client tells the
nurse that the newborn's maternal grandmother was born deaf and
asks how to tell if her newborn hears well. Which of the following
statements should the nurse make?
A. "There is no need to worry about that. Most forms of hearing loss
are not inherited."
B. "Look at how she looks at you when you speak. That's a good
sign."
C. "We do routine hearing screenings on newborns. You'll know the
results before you leave the hospital."
D. "The best way to determine if your baby can hear is to clap your
hands loudly and see if she startles.". Answer: C. "We do routine
hearing screenings on newborns. You'll know the results before you
leave the hospital."
Most states mandate hearing screening for all newborns. The two
tests in use do not diagnose hearing loss, but determine whether or
not a newborn requires further evaluation.
QUESTIONS AND SOLUTIONS GRADED A+
◉A nurse is assessing a client who is 12hr postpartum and received
spinal anesthesia for a cesarean birth. Which of the following
findings requires immediate intervention by the nurse?
A. Blood pressure 100/70 mmHg
B. Headache pain rated 6 on a scale of 0 to 10
C. Respiratory rate 10/min
D. Urinary output 30mL/hr. Answer: C. Respiratory rate 10/min
A client who has received spinal anesthesia is at risk for respiratory
depression and hypotension. A respiratory rate of 10/min indicates
bradypnea and requires immediate intervention.
◉A nurse is caring for a client who has just delivered her first
newborn. The nurse anticipates hyperbilirubinemmia due to Rh
incompatibility. The nurse should understand that
hyperbilirubinemia occurs with Rh incompatibility for which of the
following reasons?
A. The client's blood does not contain the Rh factor, she she produces
anti-Rh antibodies that cross the placental barrier and cause
hemolysis of red blood cells in newborns.
,B. The client' blood contains the Rh factor and the newborn's does
not and antibodies that destroy red blood cells are formed in the
fetus.
C. The client has a history of receiving a transfusion with Rh-
negative blood.
D. The client's anti-A and anti-B antibodies cross the placenta and
cause the destruction of the fetal red blood cells.. Answer: A. The
client's blood does not contain the Rh factor, she she produces anti-
Rh antibodies that cross the placental barrier and cause hemolysis
of red blood cells in newborns.
If the Rh-negative client has been exposed to Rh-positive fetal blood,
she will produce antibodies against Rh factor. These antibodies can
cross the placenta and destroy the red blood cells of the Rh-positive
fetus. This accelerated rate of red blood cell destruction results in
the increased release of bilirubin. The newborn's serum bilirubin
level can rise quickly.
◉A nurse is teaching a newborn's parent to care for the umbilical
cord stump. Which of the following instructions should the nurse
include?
A. Wash the cord daily with mild soap and water.
B. Cover the cord with the diaper.
C. Apply petroleum jelly to the cord stump.
D. Give a sponge bath until the cord stump falls off.. Answer: D. Give a
sponge bath until the cord stump falls off.
, Immersing the umbilical cord stump in water can delay the process
of drying, separation, and healing. Sponge baths are appropriate
until the stump falls off.
◉A nurse is caring for a client who is postpartum. The client tells the
nurse that the newborn's maternal grandmother was born deaf and
asks how to tell if her newborn hears well. Which of the following
statements should the nurse make?
A. "There is no need to worry about that. Most forms of hearing loss
are not inherited."
B. "Look at how she looks at you when you speak. That's a good
sign."
C. "We do routine hearing screenings on newborns. You'll know the
results before you leave the hospital."
D. "The best way to determine if your baby can hear is to clap your
hands loudly and see if she startles.". Answer: C. "We do routine
hearing screenings on newborns. You'll know the results before you
leave the hospital."
Most states mandate hearing screening for all newborns. The two
tests in use do not diagnose hearing loss, but determine whether or
not a newborn requires further evaluation.
