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OB ATI Study Guide Questions with 100% Verified Correct Answers 2024

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OB ATI Study Guide Questions with 100% Verified Correct Answers 2024 A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform leopold maneuvers. Which images indicates the first step of leopold maneuvers? ANS: 1st - During this step, the nurse palpates the clie...

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  • August 18, 2024
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OB ATI Study Guide Questions with 100% Verified
Correct Answers 2024
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform
leopold maneuvers. Which images indicates the first step of leopold maneuvers? ANS: 1st - During
this step, the nurse palpates the client's abdomen with the palms to determine which fetal part is in
the uterine fundus. This step also identifies the lie (transverse or longitudinal) and presentation
(cephalic or breech) of the fetus.



2nd step of Leopold maneuvers:

- During this step, the nurse uses the palms of the hands to determine the location of the smooth
fetal back and the irregularly shaped, smaller fetal parts.



3rd step of Leopold maneuvers:

- During this step, the nurse determines which fetal part is presenting in the pelvic inlet. The nurse
gently grasps the lower uterine segment between the thumb and forefingers, pressing in slightly.



4th step of Leopold maneuvers:

- During this step, the nurse faces the client's feet and uses the fingertips to palpate the cephalic
prominence. This assessment allows the nurse to determine the attitude of the fetal head.



A nurse in a prenatal clinic is assessing a group of patients. Which of the following clients should the
nurse see first?



A client who is at 11 weeks of gestation and reports abdominal cramping

A client who is at 15 weeks of gestation and reports tingling and numbness in right hand

A client who is at 20 weeks of gestation and reports constipation for the past 4 days

A client who is at 8 weeks of gestation and reports having three bloody noses in the past week
ANS: A client who is at 11 weeks of gestation and reports abdominal cramping:

- When using the urgent vs nonurgent approach to client care, the nurse should determine that the
priority finding is a client who is at 11 weeks of gestation and reports abdominal cramping.
Abdominal cramping can indicate an ectopic pregnancy or manifestations of spontaneous abortion.
The nurse should request that the provider see this client first.



A client who is at 15 weeks of gestation and reports tingling and numbness in right hand:

,- is nonurgent because it is a common discomfort related to pregnancy for a client who is at 15 weeks
of gestation. Therefore, there is another client that the provider should see first.



A client who is at 20 weeks of gestation and reports constipation for the past 4 days:

- nonurgent because it is a common discomfort related to pregnancy for a client who is at 20 weeks
of gestation. Therefore, there is another client that the provider should see first.



A client who is at 8 weeks of gestation and reports having three bloody noses in the past week

- Epistaxis is nonurgent because it is a common discomfort related to pregnancy for a client who is at
8 weeks of gestation. Therefore, there is another client that the provider should see first.



A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following
findings contraindicates the initiation of the oxytocin infusion and should be reported to the
provider?



Late decelerations

Moderate variability of the FHR

Cessation of uterine dilation

Prolonged active phase of labor ANS: Late decelerations

- indicative of uteroplacental insufficiency. Therefore, this is a contraindication for the administration
of oxytocin and should be reported to the provider.



Moderate variability of the FHR

- an expected assessment finding associated with normal fetal acid-base balance. It is not a
contraindication to the administration of oxytocin.



Cessation of uterine dilation

- an indication for the initiation of an oxytocin infusion to augment the client's labor progression.



Prolonged active phase of labor

- an indication for the initiation of an oxytocin infusion to augment the client's labor progression.



A nurse is caring for a patient that's 32 weeks gestation and has gonorrhea. The nurse should identify
that the client is at an increased risk for which of the following complications?

,Excessive bleeding

Oligohydramnios

Premature ROM

Proteinuria ANS: Premature rupture of membranes

- The nurse should identify that a client who is pregnant and has gonorrhea is at an increased risk for
premature rupture of membranes, chorioamnionitis, preterm birth, neonatal sepsis, and intrauterine
growth restriction.



Excessive bleeding

- A client who is pregnant and has gonorrhea is not at an increased risk for excessive bleeding.



Oligohydramnios

- A client who is pregnant and has gonorrhea is not at an increased risk for oligohydramnios.
Oligohydramnios is a decrease in amniotic fluid and is associated with congenital anomalies such as
renal agenesis and intrauterine growth restriction.



Proteinuria

- A client who is pregnant and has gonorrhea is not at an increased risk for proteinuria. Proteinuria is
associated with preeclampsia.



A nurse is caring for a patient that's 38 weeks gestation. Which actions should the nurse take prior to
applying an external transducer for fetal monitoring?



Determine progression of dilatation and effacement.

Perform Leopold maneuvers.

Complete a sterile speculum exam.

Prepare a Nitrazine paper test. ANS: Perform Leopold maneuvers:

- The nurse should perform Leopold maneuvers to assess the position of the fetus to best determine
the optimal placement for the external fetal monitoring transducer.



Determine progression of dilatation and effacement.

- The nurse should determine the client's dilation and effacement prior to applying an internal
monitor. This action is not required prior to applying an external transducer for fetal monitoring.

, Complete a sterile speculum exam.

- should be performed by the provider and is not required prior to applying an external transducer
for fetal monitoring.



Prepare a Nitrazine paper test:

- performed to assess the components (pH level) of vaginal fluid to determine if the membranes have
ruptured. This action is not required prior to applying an external transducer for fetal monitoring.



Nurse assessing a patient who has severe preeclampsia. Which manifestations should the nurse
expect?



2+ deep tendon reflexes

Proteinuria of 200 mg in a 24-hr specimen

Polyuria

Blurred vision ANS: Blurred vision:

- The nurse should identify that a client who has severe preeclampsia can have arteriolar vasospasms
and decreased blood flow to the retina which can lead to visual disturbances, such as blurred vision,
double vision, or dark spots in the visual field.



2+ deep tendon reflexes:

- The nurse should identify that a client who has severe preeclampsia can have hyperactive reflexes
of 3+ or 4+. DTRs of 2+ is indicative of an active or expected response.



Proteinuria of 200 mg in a 24-hr specimen:

- The nurse should identify that a client who has severe preeclampsia can have increased amount of
urinary protein that is >500 mg in a 24-hr specimen.



Polyuria:

- The nurse should identify that a client who has severe preeclampsia can have decreased UO or
oliguria of 20 mL/hr or less than 400 to 500 mL in 24 hr. This is related to decreased perfusion of the
kidneys and possible glomerular damage.

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