ATI Capstone OB Exam (2023/2024
Update)
Questions and Verified Answers
1. A nurse is caring for a pt 2 hours after a spontaneous vaginal birth and the pt has
saturated 2 perineal pads with blood in a 30 min period, what priority nursing
intervention should be given at this time
✓ Answer: palpate the pt's uterine fundus
2. A nurse is caring for a newborn with hyperbilirubinemia, what intervention should be
taken during phototherapy
✓ Answer: maintain an eye mask over the newborn's eyes
3. A laboring pt received meperidine iv one hour prior to delivery, what med should the
nurse have available to counteract this med
✓ Answer: naloxone
4. A nurse is caring for a pt who is 1 day postpartum and is taking a sitz bath, determine the
pt's tolerance of the procedure, what assessment should the nurse perform
✓ Answer: pulse rate
,5. Prior to an amniocentesis, what action by the pt will need to be completed
✓ Answer: empty the bladder
6. A nurse in a clinic is caring for a pt who is 3 weeks postpartum following the birth of a
healthy newborn, the pt reports feeling down and sad, having no energy, and wanting to
cry, what priority action should be taken by the nurse
✓ Answer: ask the client if she has considered harming the newborn
7. A nurse is teaching the parent of a newborn about bottle feeding, what indicates need for
further instruction
✓ Answer: i will tip the nipple so air is present as my baby sucks
8. A nurse is caring for a laboring client and notes that the fetal heart rate begins to
decelerate after the contraction has started, the lowest point of decel occurs after the peak
of the contraction, what is the priority nursing action
✓ Answer: change the pt's position
9. A nurse is assessing a newborn following a vaccum assisted delivery, what finding
should the nurse report
✓ Answer: poor sucking
, 10. A postpartum pts fundus is firm, 3cm above the umbilicus and displaced to the right,
what interventions should the nurse take?
✓ Answer: assist the pt to void then reassess the fundus
11. A nurse is caring for a pt who is experiencing urinary incontinence, what
recommendations should the nurse plan to teach
✓ Answer: reduce intake of caffeinated and carbonated beverages
12. A nurse is caring for a pt who has just delivered her first newborn, the nurse anticipates
hyperbilirubinemia due to the incompatibility, the nurse should understand that
hyperbilirubinemia occurs with rh incompatability for which of the following reasons?
✓ Answer: the client's blood does not contain the rh factor, so she produces anti-
rh antibodies that cross the placental barrier and cause hemolysis of red blood
cells in newborns
13. Which of the following would increase a client's risk of ovarian cancer
✓ Answer: endometriosis
14. During a breast examination on a 24 year old pt the nurse notes the following findings,
what is of most concern and should be reported to the provider
Update)
Questions and Verified Answers
1. A nurse is caring for a pt 2 hours after a spontaneous vaginal birth and the pt has
saturated 2 perineal pads with blood in a 30 min period, what priority nursing
intervention should be given at this time
✓ Answer: palpate the pt's uterine fundus
2. A nurse is caring for a newborn with hyperbilirubinemia, what intervention should be
taken during phototherapy
✓ Answer: maintain an eye mask over the newborn's eyes
3. A laboring pt received meperidine iv one hour prior to delivery, what med should the
nurse have available to counteract this med
✓ Answer: naloxone
4. A nurse is caring for a pt who is 1 day postpartum and is taking a sitz bath, determine the
pt's tolerance of the procedure, what assessment should the nurse perform
✓ Answer: pulse rate
,5. Prior to an amniocentesis, what action by the pt will need to be completed
✓ Answer: empty the bladder
6. A nurse in a clinic is caring for a pt who is 3 weeks postpartum following the birth of a
healthy newborn, the pt reports feeling down and sad, having no energy, and wanting to
cry, what priority action should be taken by the nurse
✓ Answer: ask the client if she has considered harming the newborn
7. A nurse is teaching the parent of a newborn about bottle feeding, what indicates need for
further instruction
✓ Answer: i will tip the nipple so air is present as my baby sucks
8. A nurse is caring for a laboring client and notes that the fetal heart rate begins to
decelerate after the contraction has started, the lowest point of decel occurs after the peak
of the contraction, what is the priority nursing action
✓ Answer: change the pt's position
9. A nurse is assessing a newborn following a vaccum assisted delivery, what finding
should the nurse report
✓ Answer: poor sucking
, 10. A postpartum pts fundus is firm, 3cm above the umbilicus and displaced to the right,
what interventions should the nurse take?
✓ Answer: assist the pt to void then reassess the fundus
11. A nurse is caring for a pt who is experiencing urinary incontinence, what
recommendations should the nurse plan to teach
✓ Answer: reduce intake of caffeinated and carbonated beverages
12. A nurse is caring for a pt who has just delivered her first newborn, the nurse anticipates
hyperbilirubinemia due to the incompatibility, the nurse should understand that
hyperbilirubinemia occurs with rh incompatability for which of the following reasons?
✓ Answer: the client's blood does not contain the rh factor, so she produces anti-
rh antibodies that cross the placental barrier and cause hemolysis of red blood
cells in newborns
13. Which of the following would increase a client's risk of ovarian cancer
✓ Answer: endometriosis
14. During a breast examination on a 24 year old pt the nurse notes the following findings,
what is of most concern and should be reported to the provider
