proctor OB ATI questions
- ANS-a nurse is caring for a client who just had a spontaneous rupture of membranes. the
nurse observes fetal bradycardia on the FHR tracing and a prolapsed umbilical cord. which of
the following actions should the nurse take first?
a. place the client in an extreme trendlenburg position
b. increase the IV fluid infusion rate
c. manually apply upward pressure intravaginally on the presenting part
d. administer 8-10 l of oxygen
3 cm below - ANS-A nurse is assessing a client who is two days postpartum period in which of
the following location should the nurse expect to locate the clients fundus? 3 cm above the
umbilicus, 1 cm above, 3 cm below, 1 cm below
3+ dtr - ANS-A nurse is caring for a client who just delivered 24 hours ago. Which of the
following findings should the nurse report to provider? Urinary output of more than 2000 mL, 3+
deep tendon reflexes, soft breast
480 mL urinary output - ANS-A nurse is assessing a client who is at 35 weeks of gestation and
has preeclampsia without severe features. Which of the following findings should the nurse
identify as a priority? 480 mL of an output in 24 hours, Blood pressure 144/92, +2 Adema of the
feet, plus one protein in urine
8-12 x a day - ANS-a nurse is providing education to a client who delivered 12 hours ago. which
of the following client statements indicates an understanding of the teaching?
i should have less cramping while im breast feeding
i should breast feed 8-12 times in 24 hours
i should wait to breastfeed until my baby awakens from her nap
i should switch breasts after 5 minutes
A client who is breast-feeding a seven month old - ANS-A nurse is caring for several clients.
Which of the following clients are the nurse identify as a candidate for oral contraceptives? A
client who smokes 2 packs of cigarettes per week, claims breast-feeding a seven month
year-old baby, a client who is taking an anti-convulsant, a client who is taking an anti-HIV
medication
A fetal heart rate of 180 per minute for 15 minutes - ANS-The nurse is assisting with fetal heart
monitoring during labor for a client who is at 40 weeks gestation. The nurse should identify that
which of the following findings on the fetal monitoring tracing requires intervention?
A fetal heart rate of 180 per minute for 15 minutes
a deceleration that returns to baseline at the end of the contraction
acceleration of 20 minutes for 18 seconds during a contraction
,A progesterone only pill or injection is available for use while you are breast-feeding - ANS-A
nurse is providing postpartum discharge teaching for a client who is breast-feeding. The client
states I've heard that I can't use any birth control until I stop breast-feeding. Which of the
following responses should the nurse make? You will not get pregnant while you're
breast-feeding so you will not need any birth control, a birth control pill that contains only
estrogen is available for use while you breast-feed, condoms are the only method of
contraception that is appropriate while you're breast-feeding, a progesterone only pill or injection
is available for use while you're breast-feeding
A reduction in sexual interest could indicate postpartum depression - ANS-A nurse is teaching a
client who is postpartum and breast-feeding which of the following statements should the nurse
include? He will need to wait three months before resuming sexual intercourse, you don't need
to use contraception until you are for months postpartum, as long as you're breast-feeding will
experience an overproduction of vaginal lubrication, a reduction in sexual interest could indicate
postpartum depression
a. i will place my baby on his back when putting him to sleep - ANS-a nurse is providing
teaching to the parents of a newborn about home safety. which of the following statements by
the parents indicates an understanding of the teaching?
a. i will place my baby on his back when putting him to sleep
b. i will keep my baby's crib close to heat vents to keep him warm
c. i will use an infant carrier when i drive to places close to my house
d. i will tie my baby's pacifier around his neck with piece of yarn
a. these exercises should be done for 15 minutes each day to strengthen perineal muscles -
ANS-a nurse is teaching a client about squatting exercises during pregnancy, which of the
following statements should the nurse include?
a. these exercises should be done for 15 minutes each day to strengthen perineal muscles
b. squatting exercises can tone your abdomen helping you lose weight faster following delivery
c. practicing squatting exercises during pregnancy will reduce lower back pain during labor
d. doing squatting exercises 3 times per week will improve your overall fitness
a. you should plan to gain no more than 20 pounds during your pregnancy - ANS-a nurse is
caring for a client at 12 weeks gestation who has a BMI of 45. which of the following pieces of
information should the nurse provide for the client regarding the recommended weight gain
during her pregnancy?
a. you should plan to gain no more than 20 pounds during your pregnancy
b. you should plan to gain between 25 and 35 lbs
c. you should not plan to gain any weight
d. since you have higher energy needs than an average size pregnant client so you should plan
to gain 45-50 lbs
,administer immune globulin to the client to prevent fetal isoimmunization - ANS-a nurse is
assisting with an amniocentesis for a client who is RH negative. which of the following actions
should the nurse take following the procedure?
a. send a sample of amniotic fluid to the lab to screen the client for chlamydia
b. send a sample of amniotic fluid to laboratory to test for an elevated rh negative titer
c. administer immune globulin to the client to prevent fetal isoimmunization
d. administer IV antibiotics to prevent an infection
administer vit k in the newborn's thigh - ANS-a nurse is preparing to administer routine
medications to a newborn following birth. which of the following actions should the nurse take?
a. administer vitamin K subq
b. administer erythromycin eye ointment within 12 hours
c. administer erythromycin eye ointment from the outer to inner
d. administer vitamin k in the newborn's thigh
an epidural given to early can prolong labor - ANS-a nurse is discussing epidural anesthesia
with a client who is receiving oxytocin to induce labor. which of the following statements should
the nurse make?
a. an epidural given to early during labor can cause maternal hypertension
b. an epidural given too early during labor will not be effective in active labor
c. an epidural given too early can cause fetal depression
d. an epidural given to early can prolong labor
Ask the client to drink orange juice - ANS-A nurse is caring for a client and third term master
pregnancy who is scheduled to undergo a nonstress test. Which of the following actions should
the nurse take prior to the test?
Ask the client to drink a glass of orange juice
prepare the client for a vaginal exam
request a serum hemoglobin level obtain a clean catch urine specimen
Assess the fetal heart rate before and after the procedure - ANS-A nurse is assisting with an
amniotomy for a client in active labor. Which of the following action should the nurse take?
assess fhr
monitor temp every 4 hours
medicate the client for 30 mins prior to procedure
perform cervical assessment every 2 hours
assist the client to a lateral position - ANS-a nurse is caring for a client who is at 38 weeks of
gestation and is in the active phase of the first stage of labor. the nurse notes 2 late
decelerations of the fetal heart rate during the last 5 contractions. which of the following actions
should the nurse take?
a. slow the IV infusion rate
b. assist the client to a lateral position
c. assess the bladder for urinary retention
, d. initiate oxytocin infusion
assist the client to ambulate in the hallway - ANS-a nurse is caring for a client who reports
intestinal gas pain following a c section. which of the following actions should the nurse take?
a. assist the client to ambulate in the hallway
b. instruct the client to splint the incision with a pillow
c. have the client drink fluids through a straw
d. encourage the client to drink carbonated beverages
assist the client to the bathroom - ANS-a nurse is caring for a client who is postpartum and is
having difficulty voiding. which of the following actions should the nurse take first?
a. place the client's hand in warm water
b. administer an analgesic to the client
c. pour water from a squeeze bottle over the client's perineum
d. assist the client to the bathroom
autosomal recessive - ANS-The parents of a child of P can you ask the nurse if their second
unborn child could I have the same condition. The nurse should base the response on which of
the following inheritance patterns responsible for pku?
X-linked recessive
X-linked dominant
autosomal recessive
autosomal dominant
Avoid eye contact during feedings - ANS-A nurse is caring for an infant begins displaying
manifestations of NAS. Which of the following action should the nurse take? Swaddle the infant
with arms and legs extended, administer naloxone, avoid eye contact during feedings,
discourage the mother from handling the infant during withdrawal
avoid using diaper wipes on the site during diaper changes - ANS-a nurse is teaching a parent
of a newborn about circumcision care. which of the following instructions should the nurse
include?
a. wash the site with soap and warm water once daily
b. gently remove the yellow exudate that forms around the site
c. avoid using diaper wipes on the site during diaper changes
d. apply the diaper tightly to apply pressure
axillary - ANS-A nurse is preparing to obtain a newborn's temperature. Which of the following
message to the nurse use? Auxiliary
temporal
Tympanic
rectal
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