OB ATI TEST A, B, C & D TEST BANK| 4
VERSIONS (A, B, C AND D) WITH
COMPLETE REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!).
**Q1. A nurse is calculating a client's estimated date of delivery using
Naegele's rule. The client's last menstrual period began on November
27. Which date is the client's expected date of delivery?**
A) September 3
B) September 20
C) August 3
D) August 20
**Correct Answer: A**
**Rationale:** Naegele's rule is calculated by subtracting 3 months
from the first day of the last menstrual period (LMP) and adding 7 days.
November 27 minus 3 months = August 27; plus 7 days = September 3 .
**Q2. A nurse is teaching a client who is 10 weeks gestation about
nutrition during pregnancy. Which statement by the client indicates an
understanding of the teaching?**
,A) "I should increase my protein intake to 60 grams per day"
B) "I should drink 2 liters of water each day"
C) "I should increase my overall caloric intake by 300 calories per day"
D) "I should take 600 mcg of folic acid each day"
**Correct Answer: D**
**Rationale:** The recommended daily folic acid intake during
pregnancy is 600 mcg to prevent neural tube defects. Protein needs
increase to about 71 grams, fluid needs to about 3 liters, and caloric
needs increase by about 300-350 calories in the second and third
trimesters, not the first .
**Q3. A nurse is performing a routine assessment on a client who is 18
weeks gestation. Which of the following findings should the nurse
expect?**
A) Deep tendon reflexes 4+
B) Fundal height 14 cm
C) Urine protein 2+
D) Fetal heart rate 152/min
**Correct Answer: D**
**Rationale:** Normal fetal heart rate ranges from 110-160 beats per
minute. Deep tendon reflexes should be 2+ (normal). Fundal height at
18 weeks should be approximately 18 cm (correlating with weeks of
gestation). Urine protein should be negative or trace .
,**Q4. A nurse is providing prenatal teaching to a client who is at 12
weeks of gestation. The nurse should teach the client that which of the
following laboratory tests will be performed between 24 and 28 weeks
of gestation?**
A) Alpha-fetoprotein (AFP)
B) Group B Streptococcus (GBS)
C) Glucose tolerance test (GTT)
D) Quad screen
**Correct Answer: C**
**Rationale:** The glucose tolerance test is performed between 24
and 28 weeks to screen for gestational diabetes. AFP and quad screen
are done in the second trimester (15-20 weeks). GBS screening is done
at 35-37 weeks .
**Q5. A nurse is assessing a client who is at 27 weeks of gestation and
has preeclampsia. Which finding should the nurse report to the
provider?**
A) Hemoglobin 14.8 g/dL
B) Urine protein 200 mg/24 hr
C) Creatinine 0.8 mg/dL
D) Platelet count 60,000/mm³
, **Correct Answer: D**
**Rationale:** Severe preeclampsia is characterized by blood pressure
≥160/110 mmHg, proteinuria ≥3+, oliguria, elevated serum creatinine,
cerebral or visual disturbances, hyperreflexia, and thrombocytopenia
(platelets less than 100,000/mm³). A platelet count of 60,000 indicates
severe thrombocytopenia and risk for bleeding .
**Q6. A nurse is caring for a client who is at 36 weeks gestation and has
a prescription for amniocentesis. For which reason should the nurse
prepare the client for an ultrasound prior to the procedure?**
A) Estimate fetal weight
B) Locate a pocket of fluid
C) Determine multiparity
D) Prescreen for fetal anomalies
**Correct Answer: B**
**Rationale:** Ultrasound is performed prior to amniocentesis to
locate the placenta and identify an adequate pocket of amniotic fluid,
which helps prevent injury to the fetus or placenta during needle
insertion .
**Q7. A nurse is teaching a client about Rho(D) immune globulin
(RhoGAM). Which statement by the client indicates an understanding
of the teaching?**
A) "I will receive this medication if my baby is Rh-negative"
VERSIONS (A, B, C AND D) WITH
COMPLETE REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!).
**Q1. A nurse is calculating a client's estimated date of delivery using
Naegele's rule. The client's last menstrual period began on November
27. Which date is the client's expected date of delivery?**
A) September 3
B) September 20
C) August 3
D) August 20
**Correct Answer: A**
**Rationale:** Naegele's rule is calculated by subtracting 3 months
from the first day of the last menstrual period (LMP) and adding 7 days.
November 27 minus 3 months = August 27; plus 7 days = September 3 .
**Q2. A nurse is teaching a client who is 10 weeks gestation about
nutrition during pregnancy. Which statement by the client indicates an
understanding of the teaching?**
,A) "I should increase my protein intake to 60 grams per day"
B) "I should drink 2 liters of water each day"
C) "I should increase my overall caloric intake by 300 calories per day"
D) "I should take 600 mcg of folic acid each day"
**Correct Answer: D**
**Rationale:** The recommended daily folic acid intake during
pregnancy is 600 mcg to prevent neural tube defects. Protein needs
increase to about 71 grams, fluid needs to about 3 liters, and caloric
needs increase by about 300-350 calories in the second and third
trimesters, not the first .
**Q3. A nurse is performing a routine assessment on a client who is 18
weeks gestation. Which of the following findings should the nurse
expect?**
A) Deep tendon reflexes 4+
B) Fundal height 14 cm
C) Urine protein 2+
D) Fetal heart rate 152/min
**Correct Answer: D**
**Rationale:** Normal fetal heart rate ranges from 110-160 beats per
minute. Deep tendon reflexes should be 2+ (normal). Fundal height at
18 weeks should be approximately 18 cm (correlating with weeks of
gestation). Urine protein should be negative or trace .
,**Q4. A nurse is providing prenatal teaching to a client who is at 12
weeks of gestation. The nurse should teach the client that which of the
following laboratory tests will be performed between 24 and 28 weeks
of gestation?**
A) Alpha-fetoprotein (AFP)
B) Group B Streptococcus (GBS)
C) Glucose tolerance test (GTT)
D) Quad screen
**Correct Answer: C**
**Rationale:** The glucose tolerance test is performed between 24
and 28 weeks to screen for gestational diabetes. AFP and quad screen
are done in the second trimester (15-20 weeks). GBS screening is done
at 35-37 weeks .
**Q5. A nurse is assessing a client who is at 27 weeks of gestation and
has preeclampsia. Which finding should the nurse report to the
provider?**
A) Hemoglobin 14.8 g/dL
B) Urine protein 200 mg/24 hr
C) Creatinine 0.8 mg/dL
D) Platelet count 60,000/mm³
, **Correct Answer: D**
**Rationale:** Severe preeclampsia is characterized by blood pressure
≥160/110 mmHg, proteinuria ≥3+, oliguria, elevated serum creatinine,
cerebral or visual disturbances, hyperreflexia, and thrombocytopenia
(platelets less than 100,000/mm³). A platelet count of 60,000 indicates
severe thrombocytopenia and risk for bleeding .
**Q6. A nurse is caring for a client who is at 36 weeks gestation and has
a prescription for amniocentesis. For which reason should the nurse
prepare the client for an ultrasound prior to the procedure?**
A) Estimate fetal weight
B) Locate a pocket of fluid
C) Determine multiparity
D) Prescreen for fetal anomalies
**Correct Answer: B**
**Rationale:** Ultrasound is performed prior to amniocentesis to
locate the placenta and identify an adequate pocket of amniotic fluid,
which helps prevent injury to the fetus or placenta during needle
insertion .
**Q7. A nurse is teaching a client about Rho(D) immune globulin
(RhoGAM). Which statement by the client indicates an understanding
of the teaching?**
A) "I will receive this medication if my baby is Rh-negative"
