ATI OB PEDS NURSING STUDY GUIDE,
PRACTICE EXAM | QUESTIONS ON KEY
TOPIC (PREGNANCY, CHILDBIRTH,
PEDIATRICS, AND BIRTH DEVELOPMENT) |
100% PASS | 2026 UPDATE!
The nurse prepares to admit to the nursery a newborn whose mother
had meconium-stained amniotic fluid. The nurse knows this newborn
might require which of the following?
1. Initial resuscitation
2. Vigorous stimulation at birth
3. Phototherapy immediately
4. An initial feeding of iron-enriched formula - ANSWER 1. Initial
resuscitation
The presence of meconium in the amniotic fluid indicates that the fetus
may be suffering from asphyxia. Meconium-stained newborns or
newborns who have aspirated particulate meconium often have
respiratory depression at birth and require resuscitation to establish
adequate respiratory effort.
,The nurse caring for a woman in labor understands that the primary risk
associated with an amniotomy is?
a. maternal infection.
b. maternal hemorrhage.
c. prolapse of the umbilical cord.
d. separation of the placenta. - ANSWER c. prolapse of the umbilical
cord
- When the membranes are RUPTURED, the umbilical fluid may come
DOWNWARD with the flow of amniotic fluid and become trapped in
front of the presenting part.
A client in labor is found to have meconium-stained amniotic fluid upon
rupture of membranes. At delivery, the nurse finds the infant to have
depressed respirations and a heart rate of 80. What does the nurse
anticipate?
1. Delivery of the neonate on its side with head up, to facilitate
drainage of secretions.
2. Direct tracheal suctioning by specially trained personnel.
3. Preparation for the immediate use of positive pressure to expand the
lungs.
,4. Suctioning of the oropharynx when the newborn's head is delivered.
- ANSWER 2. Direct tracheal suctioning by specially trained personnel.
If the infant has absent or depressed respirations, heart rate less than
100 beats/min, or poor muscle tone, direct tracheal suctioning by
specially trained personnel is recommended.
Which of the following is the main concern with meconium stained
fluid?
1. Infection
2. The baby might not fit through the cervical cavity because of the
term baby
3. Neonatal respiratory distress
4. Maternal cervical progression
5. Bleeding - ANSWER 3. Neonatal respiratory distress
Normal newborn temp (in Celsius) - ANSWER 36.5°C and 37.5°C
occiput anterior (OA) position - ANSWER The head is down and facing
the mother's spine.
, occiput posterior (OP) position - ANSWER The head is down and
facing the mother's abdomen. AKA sunny side up
occiput posterior (OP) position is better than occiput anterior (OA)
position?
a. true
b. false - ANSWER b. false
occiput anterior (OA) position is better! Baby facing the back vs being
sunny side up
What are the immediate interventions to take with a category 2 FHR
tracing?
1. No interventions
2. Reposition the fetus
3. Administer Pitocin
4. Stop Pitocin - ANSWER 4. Stop Pitocin
Is a turtle sign is normal in labor?
a. False
PRACTICE EXAM | QUESTIONS ON KEY
TOPIC (PREGNANCY, CHILDBIRTH,
PEDIATRICS, AND BIRTH DEVELOPMENT) |
100% PASS | 2026 UPDATE!
The nurse prepares to admit to the nursery a newborn whose mother
had meconium-stained amniotic fluid. The nurse knows this newborn
might require which of the following?
1. Initial resuscitation
2. Vigorous stimulation at birth
3. Phototherapy immediately
4. An initial feeding of iron-enriched formula - ANSWER 1. Initial
resuscitation
The presence of meconium in the amniotic fluid indicates that the fetus
may be suffering from asphyxia. Meconium-stained newborns or
newborns who have aspirated particulate meconium often have
respiratory depression at birth and require resuscitation to establish
adequate respiratory effort.
,The nurse caring for a woman in labor understands that the primary risk
associated with an amniotomy is?
a. maternal infection.
b. maternal hemorrhage.
c. prolapse of the umbilical cord.
d. separation of the placenta. - ANSWER c. prolapse of the umbilical
cord
- When the membranes are RUPTURED, the umbilical fluid may come
DOWNWARD with the flow of amniotic fluid and become trapped in
front of the presenting part.
A client in labor is found to have meconium-stained amniotic fluid upon
rupture of membranes. At delivery, the nurse finds the infant to have
depressed respirations and a heart rate of 80. What does the nurse
anticipate?
1. Delivery of the neonate on its side with head up, to facilitate
drainage of secretions.
2. Direct tracheal suctioning by specially trained personnel.
3. Preparation for the immediate use of positive pressure to expand the
lungs.
,4. Suctioning of the oropharynx when the newborn's head is delivered.
- ANSWER 2. Direct tracheal suctioning by specially trained personnel.
If the infant has absent or depressed respirations, heart rate less than
100 beats/min, or poor muscle tone, direct tracheal suctioning by
specially trained personnel is recommended.
Which of the following is the main concern with meconium stained
fluid?
1. Infection
2. The baby might not fit through the cervical cavity because of the
term baby
3. Neonatal respiratory distress
4. Maternal cervical progression
5. Bleeding - ANSWER 3. Neonatal respiratory distress
Normal newborn temp (in Celsius) - ANSWER 36.5°C and 37.5°C
occiput anterior (OA) position - ANSWER The head is down and facing
the mother's spine.
, occiput posterior (OP) position - ANSWER The head is down and
facing the mother's abdomen. AKA sunny side up
occiput posterior (OP) position is better than occiput anterior (OA)
position?
a. true
b. false - ANSWER b. false
occiput anterior (OA) position is better! Baby facing the back vs being
sunny side up
What are the immediate interventions to take with a category 2 FHR
tracing?
1. No interventions
2. Reposition the fetus
3. Administer Pitocin
4. Stop Pitocin - ANSWER 4. Stop Pitocin
Is a turtle sign is normal in labor?
a. False
