ATI OB PROCTORED EXAM PRACTICE QUESTIONS LATEST
UPDATE
1. A charge nurse is providing teaching to a newly hired nurse about the potential side effects of an epidural
anesthetic for a laboring client. Which of the following effects should the charge nurse include in the teaching?
Newborn respiratory depression at birth
Impaired ability of the neonate to maintain body temperature
Impaired placental perfusion
Decreased fetal heart rate (FHR) variability
(correct answer)Impaired placental perfusion
2. A nurse is teaching a postpartum client how to swaddle her newborn. Which of the following statements by the
parent demonstrates an understanding of the teaching?
"I should stop swaddling my baby once she is able to roll over by herself"
"My baby's legs should be extended straight out when I swaddle her"
"I should be able to slide just 1 finger between my baby's chest and the swaddled blanket"
"After swaddling, I should place my baby on her side in her crib or bassinet"
(correct answer)"I should stop swaddling my baby once she is able to roll over by herself"
Rolling over can tighten swaddle and make it hard to baby to breathe
3. A nurse is performing a physical assessment of a newborn. Which of the following actions should the nurse take?
Measure the newborn's length from the anterior fontanel to the heel
Measure the newborn's weight while he is wearing a clean diaper
Measure the circumference of the newborn's head with a tape measure just above the eyebrows
Measure the circumference on the newborn's chest with a tape measure 2 cm below the nipple line
(correct answer)Measure the circumference of the newborn's head with a tape measure just above the eyebrows
4. A nurse is discussing diaphragm use with a client. Which of the following statements by the client indicates an
understanding of the teaching?
,"I should clean my diaphragm with alcohol each time I use it"
"I should leave the diaphragm in for 4 hours after intercourse"
"I should replace my diaphragm every 2 years"
"I should use a vaginal lubricant to insert my diaphragm"
(correct answer)"I should replace my diaphragm every 2 years"
5. A nurse is providing teaching about the selection of commercial formula to the guardian of a newborn. Which of
the following pieces of information should the nurse include?
Soy-based formula is recommended to decrease colic
Amino acid formula is recommended to increase the newborn's protein intake
Cow's milk-based formula is recommended for healthy newborns
Low-iron formula is recommended to prevent excess iron intake
(correct answer)Cow's milk-based formula is recommended for health newborns
6. A nurse is providing care to a client who is in labor and experienced SROM. Which of the following findings require
intervention by the nurse?
Intense contractions lasting less than 30 seconds
Rest periods between contractions lasting longer than 90 seconds
Fetal heart rate decreased by 15/min
Maternal temperature of 37.8C (100F) after ruptured membrane
(correct answer)Fetal heart rate decreased by 15/min
Indicative of variable decelerations
7. A nurse in labor & delivery is teaching a newly licensed nurse about performing the McRoberts maneuver to relieve
shoulder dystocia. Which of the following pieces of information should the nurse include?
Position the client on her hands & knees while in bed
Flex the client's legs apart & raise her knees to her abdomen
Apply gentle pressure on the clients fundus while she is lying supine
Push the fetus's anterior shoulder under the symphysis pubis externally
, (correct answer)Flex the client's legs apart and raise her knees to her abdomen
8. A nurse is caring for a client who is nulliparous and experiencing hypertonic uterine dysfunction. An assessment
indicates 3 cm dilation. Which of the following actions should the nurse take?
Encourage the client to bear down with contractions
Request a prescription to initiate oxytocin
Offer the client hydrotherapy
Assist the client with ambulation
(correct answer)Offer the client hydrotherapy
Therapy rest measures should be initiated, such as hydrotherapy
9. A nurse is caring for a client who has an epidural for pain relief. Which of the following is a complication of the
epidural block?
Nausea & vomitng
Tachycardia
Hypotension
Respiratory depression
(correct answer)Hypotension
10. A nurse is planning care for a client who is scheduled to have prostaglandin E2 gel inserted for cervical ripening.
Which of the following actions should the nurse take?
Assess FHR & contraction pattern every 15 min after insertion
Thaw the frozen gel in a warm water bath prior to insertion
Maintain the client in a side-lying position for 30 min after insertion
Initiate an oxytocin infusion for induction 1 hr after gel insertion
(correct answer)Maintain the client in a side-lying position for 30 min after insertion
11. A nurse is assessing a client who is pregnant & reports increased nasal stuffiness. The nurse should inform the
client that which of the following hormones is responsible for this discomfort?
UPDATE
1. A charge nurse is providing teaching to a newly hired nurse about the potential side effects of an epidural
anesthetic for a laboring client. Which of the following effects should the charge nurse include in the teaching?
Newborn respiratory depression at birth
Impaired ability of the neonate to maintain body temperature
Impaired placental perfusion
Decreased fetal heart rate (FHR) variability
(correct answer)Impaired placental perfusion
2. A nurse is teaching a postpartum client how to swaddle her newborn. Which of the following statements by the
parent demonstrates an understanding of the teaching?
"I should stop swaddling my baby once she is able to roll over by herself"
"My baby's legs should be extended straight out when I swaddle her"
"I should be able to slide just 1 finger between my baby's chest and the swaddled blanket"
"After swaddling, I should place my baby on her side in her crib or bassinet"
(correct answer)"I should stop swaddling my baby once she is able to roll over by herself"
Rolling over can tighten swaddle and make it hard to baby to breathe
3. A nurse is performing a physical assessment of a newborn. Which of the following actions should the nurse take?
Measure the newborn's length from the anterior fontanel to the heel
Measure the newborn's weight while he is wearing a clean diaper
Measure the circumference of the newborn's head with a tape measure just above the eyebrows
Measure the circumference on the newborn's chest with a tape measure 2 cm below the nipple line
(correct answer)Measure the circumference of the newborn's head with a tape measure just above the eyebrows
4. A nurse is discussing diaphragm use with a client. Which of the following statements by the client indicates an
understanding of the teaching?
,"I should clean my diaphragm with alcohol each time I use it"
"I should leave the diaphragm in for 4 hours after intercourse"
"I should replace my diaphragm every 2 years"
"I should use a vaginal lubricant to insert my diaphragm"
(correct answer)"I should replace my diaphragm every 2 years"
5. A nurse is providing teaching about the selection of commercial formula to the guardian of a newborn. Which of
the following pieces of information should the nurse include?
Soy-based formula is recommended to decrease colic
Amino acid formula is recommended to increase the newborn's protein intake
Cow's milk-based formula is recommended for healthy newborns
Low-iron formula is recommended to prevent excess iron intake
(correct answer)Cow's milk-based formula is recommended for health newborns
6. A nurse is providing care to a client who is in labor and experienced SROM. Which of the following findings require
intervention by the nurse?
Intense contractions lasting less than 30 seconds
Rest periods between contractions lasting longer than 90 seconds
Fetal heart rate decreased by 15/min
Maternal temperature of 37.8C (100F) after ruptured membrane
(correct answer)Fetal heart rate decreased by 15/min
Indicative of variable decelerations
7. A nurse in labor & delivery is teaching a newly licensed nurse about performing the McRoberts maneuver to relieve
shoulder dystocia. Which of the following pieces of information should the nurse include?
Position the client on her hands & knees while in bed
Flex the client's legs apart & raise her knees to her abdomen
Apply gentle pressure on the clients fundus while she is lying supine
Push the fetus's anterior shoulder under the symphysis pubis externally
, (correct answer)Flex the client's legs apart and raise her knees to her abdomen
8. A nurse is caring for a client who is nulliparous and experiencing hypertonic uterine dysfunction. An assessment
indicates 3 cm dilation. Which of the following actions should the nurse take?
Encourage the client to bear down with contractions
Request a prescription to initiate oxytocin
Offer the client hydrotherapy
Assist the client with ambulation
(correct answer)Offer the client hydrotherapy
Therapy rest measures should be initiated, such as hydrotherapy
9. A nurse is caring for a client who has an epidural for pain relief. Which of the following is a complication of the
epidural block?
Nausea & vomitng
Tachycardia
Hypotension
Respiratory depression
(correct answer)Hypotension
10. A nurse is planning care for a client who is scheduled to have prostaglandin E2 gel inserted for cervical ripening.
Which of the following actions should the nurse take?
Assess FHR & contraction pattern every 15 min after insertion
Thaw the frozen gel in a warm water bath prior to insertion
Maintain the client in a side-lying position for 30 min after insertion
Initiate an oxytocin infusion for induction 1 hr after gel insertion
(correct answer)Maintain the client in a side-lying position for 30 min after insertion
11. A nurse is assessing a client who is pregnant & reports increased nasal stuffiness. The nurse should inform the
client that which of the following hormones is responsible for this discomfort?
