ATI OB EXAM 1 PRACTICE QUESTIONS WITH
A COMPLETE STUDY GUIDE EXAM
QUESTIONS WITH CORRECT ANSWERS
a nurse is reviewing care of the umbilical cord w/ the parent of a NB. Which of
the following instructions should the nurse include in the teaching ?
a. cover the cord w/ small gauze square
b. trickle clean water over the cord w/ each diaper change
c. apply hydrogen peroxide to the cord twice a day
d. keep the diaper folded below the cord --CORRECT ANSWER--D
folding the diaper below the cord prevents urine from the diaper penetrating the
cord site
a nurse is reviewing contraindications for circumcision w/ a newly hired nurse.
Which of the following conditions are contraindications? (SATA)
a. hypospadias
b. hydrocele
c. hx. of hemophilia
d. hyperbilirubinemia
e. epispadias --CORRECT ANSWER--A, C, E
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a. hypospadias involves defect in location of the urethral opening and is a
contraindication to circumcision
c. a family hx. of hemophilia is a contraindication to circumcision
e. epispadias involves a defect in the location of the urethral opening and is a
contraindication to circumcision
a nurse is providing discharge teaching to the parents of a NB regarding
circumcision care. Which of the following statements made by a parent
indicates an understanding of the teaching?
a. his circumcision will heal within a couple days
b. i should remove the yellow mucus that will form
c. I will clean his penis w/ each diaper change
d. I will give him a tub bath within a couple days --CORRECT ANSWER--C
the penis should be cleaned w/ warm water w/ each diaper change
a nurse is caring for a NB immediately following a circumcision using a Gomco
procedure. Which of the following actions should the nurse implement?
a. apply gelfoam powder to the site
b. place the NB in prone position
c. apply petroleum gauze to the site
d. avoid changing the diaper until the first void --CORRECT ANSWER--C
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petroleum gauze is applied to the site for 24 hr to prevent the skin edges from
sticking to the diaper
a nurse is caring for a pt. who is 42 wks. gestation and in labor. The pt. asks the
nurse what should the nurse expect because her baby is post-mature. Which of
the following statements should the nurse make?
a. your baby will have excess body fat
b. your baby will have flat areola w/o breast buds
c. your baby heels will easily move to the ears
d. your baby's skin will have a leathery appearance ` --CORRECT ANSWER--
D
leathery, cracked, wrinkled skin is seen in a NB who is postmature due to
placental deficiency
a nurse is caring for an infant who has high bilirubin level and is receiving
phototherapy. Which of the following is the priority finding in the newborn?
a. conjunctivitis
b. bronze skin discolorations
c. sunken fontanels
d. maculopapular skin rash --CORRECT ANSWER--C
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using safety and risk reduction framework, sunken fontanels are priority
finding. Infants receiving phototherapy are at risk for dehydration from loose
stools due to increased bilirubin excretion
a nurse is called to the birthing room to assist w/ the assessment of a newborn
who was born at 32 weeks gestation. The newborn birth weight is 1,100g.
Which of the following are expected findings in the newborn (SATA)
a. lanugo
b. long nails
c. weak grasp reflex
d. translucent skin
e. plump face --CORRECT ANSWER--A, C, D
a. characteristics of a preterm NB include the presence of abundant lanugo
c. a weak grasp reflex is characteristic of a preterm NB
d. skin that is thin, smooth, shiny, and translucent is a finding in a preterm NB
a nurse is caring for a newborn who is preterm and has resp. distress syndrome.
Which of the following should the nurse monitor to evaluate the newborn's
condition following administration of synthetic surfactant?
a. oxygen saturation
b. body temp.
c. serum bilirubin
d. HR --CORRECT ANSWER--A