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OB Final, Maternal Newborn ATI, Exams of Nursing

University of Colorado - Colorado Springs (UCCS)Nursing

OB Final, Maternal Newborn ATI

Typology: Exams

2024/2025

Available from 07/03/2025

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OB Final, Maternal Newborn ATI

The nurse has learned that cultural rituals and practices during pregnancy seem to have

one purpose in common. What statement best describes this purpose?

A. They provide family unity

B. They ward off the evil eye.

C. They protect the mother and fetus

D. They appease the god of fertility

- A. They provide family unity

C. They protect the mother and fetus

The nurse is caring for a patient who is 8 weeks pregnant and is not happy about being

pregnant. What is an appropriate nursing response?

A. "You need to talk this over with the doctor"

B. "Aren't you happy about this new life?"

C. "Your feelings are normal at this time."

D. "Tell me more about how you are feeling"

- D. "Tell me more about how you are feeling"

The nurse recognizes the most significant barrier encountered by pregnant women in

accessing care is:

A. Lack of transportation

B. Other child care responsibilities

C. Inability to pay

D. Deficient knowledge about benefits of prenatal care

- C. Inability to pay

The nurse has just finished teaching a class on weight gain during pregnancy. Which

statement by one of the mothers indicates she understands the teaching?

A. "My baby will make up most of my weight gain."

B. "Since I am overweight, I don't need to gain any weight."

C. "The fat I gain during pregnancy will disappear right after birth."

D. "My breasts will probably shrink and lead to weight loss."

- A.

The nurse is caring for a patient who is scheduled for an amniocentesis to determine

fetal lung maturity. When the nurse checks the chart for results, which test result will

she be looking for?

A. Lecithin/ Sphingomyelin (L/S ratio)

B. Indirect Coombs test

C. Kleinhaur-Berke Test

D. Alpha-fetoprotein

- A.

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OB Final, Maternal Newborn ATI

The nurse has learned that cultural rituals and practices during pregnancy seem to have one purpose in common. What statement best describes this purpose? A. They provide family unity B. They ward off the evil eye. C. They protect the mother and fetus D. They appease the god of fertility

A. They provide family unity C. They protect the mother and fetus The nurse is caring for a patient who is 8 weeks pregnant and is not happy about being pregnant. What is an appropriate nursing response? A. "You need to talk this over with the doctor" B. "Aren't you happy about this new life?" C. "Your feelings are normal at this time." D. "Tell me more about how you are feeling"
D. "Tell me more about how you are feeling" The nurse recognizes the most significant barrier encountered by pregnant women in accessing care is: A. Lack of transportation B. Other child care responsibilities C. Inability to pay D. Deficient knowledge about benefits of prenatal care
C. Inability to pay The nurse has just finished teaching a class on weight gain during pregnancy. Which statement by one of the mothers indicates she understands the teaching? A. "My baby will make up most of my weight gain." B. "Since I am overweight, I don't need to gain any weight." C. "The fat I gain during pregnancy will disappear right after birth." D. "My breasts will probably shrink and lead to weight loss."
A. The nurse is caring for a patient who is scheduled for an amniocentesis to determine fetal lung maturity. When the nurse checks the chart for results, which test result will she be looking for? A. Lecithin/ Sphingomyelin (L/S ratio) B. Indirect Coombs test C. Kleinhaur-Berke Test D. Alpha-fetoprotein
A.

The nurse provides instructions to a malnourished pregnant client regarding Iron supplementation. Which client statement indicates an understanding of the instructions? A. "Iron supplements will give me diarrhea." B. "Meat does not provide Iron and should be avoided." C. "Iron is absorbed best if taken on an empty stomach." D. "On the days I eat liver, I don't have to take my iron supplement."

C. A nurse is caring for a pregnant patient needs to be aware that physical abuse during pregnancy can result in? A. Excessive weight gain due to stress B. Use of alcohol or tobacco as a means of coping C. Hypertension of pregnancy D. Premature delivery or spontaneous abortion
D. The nurse who assesses the FHR is expecting to find the heart rate within which range? A. 100-130 bpm B. 110-160 bpm C. 120-180 bpm D. 130-160 bpm
B. A nurse determines a pregnant patient needs further instruction about amniocentesis when the patient states: A. "I must report cramping or signs of infection to my doctor" B. "I should drink lots of fluids for 24 hours following this procedure." C. "I need to have a full bladder for this procedure." D. "My amniotic fluid can be examined to tell me if my baby has downs syndrome"
C. A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1st. Which of the following is the client's estimated date of delivery? a. January 8 b. January 15 c. February 8 d. February 15
a A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (SATA) a. client has delivered one newborn at term b client has experienced no preterm labor c. client has been through active labor d. client has had two prior pregnancies

A nurse is caring for a client who is pregnant and reviewing signs of complications the client should promptly report to the provider. Which of the following complications should the nurse include in the teaching? a. vaginal bleeding b. swelling of the ankles c. heartburn after eating d. lightheadedness when lying on back

a A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include in the teaching? a. eat crackers or plain toast before getting out of bed b. awaken during the night to eat a snack c. skip breakfast and eat launch after nausea has subsided d. eat a large evening meal
a A nurse is teaching a client who is at 6 weeks of gestation about common discomforts of pregnancy. Which of the following findings should the nurse include in the teaching? (SATA) a. breast tenderness b. urinary frequency c. epistaxis d. dysuria e. epigastric pain
a b c A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being pregnant. Which of the following responses should the nurse make? a. "I will inform the provider that you are having these feelings." b. "It is normal to have these feelings during the first few months of pregnancy." c. "You should be happy that you are going to bring new life into the world." d. "I am going to make an appointment with the counselor for you to discuss these thoughts."
b A nurse in a prenatal clinic is providing education to a client who is in the 8th week of gestation. The client states that she does not like milk. Which of the following foods should the nurse recommend as a good source of calcium? a. dark green leafy vegetables b. deep red or orange vegetables c. white breads and rice d. meat, poultry, and fish
a

A nurse in a prenatal clinic is caring for four clients. Which of the following clients' weight fain should the nurse report to the provider? a. 1.8kg (4lb) weight gain and is in her first trimester b. 3.6kg (8lb) weight gain and is in her first trimester c. 6.8kg (15lb) weight gain and is in her second trimester d. 11.3kg (25lb) weight gain and is in her third trimester

b A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? a. iron deficiency anemia b. poor bone formation c. macrosomic fetus d. neural tube defects
d A nurse is reviewing a new prescription for iron supplements with a client who is in the 8th week gestation and has iron deficiency anemia. Which of the following beverages should the nurse instruct the client to take the iron supplements with? a. ice water b. low-fat or whole milk c. tea or coffee d. orange juice
d A nurse is reviewing postpartum nutrition needs with a group of new mothers who are breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching? a. "I am glad I can have my morning coffee." b. "I should tai folic acid to increase my milk supply." c. "I will continue adding 330 calories per day to my diet." d. "I will continue my calcium supplements because I don't like milk."
d A nurse is reviewing findings of a client's biophysical profile (BPP). The nurse should expect which of the following variables to be included in this test? (SATA) a. fetal weight b. fetal breathing movement c. fetal tone d. fetal position e. amniotic fluid volume
b c e

b A nurse is providing care for a client who is diagnosed with a marginal abruptio placentae. The nurse is aware that which of the following findings are risk factors for developing the condition? (SATA) a. fetal position b. blunt abdominal trauma c. cocaine use d. maternal age e. cigarette smoking
b c e A nurse is providing care for a client who is at 32 weeks of gestation and who has a placenta previa. The nurse notes that the client is actively bleeding. Which of the following types of medications should the nurse anticipate the provider will prescribe? a. betamethasone b. indomethacin c. nifedipine d. methylergonovine
a A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea and vomiting and scant, prune-colored discharge. She has experienced no weight loss and has a fundal height large than expected. Which of the following complications should the nurse suspect? a. hyperemesis gravidarum b. threatened abortion c. hydatidiform mole d. preterm labor
c A nurse is caring for a client who has a diagnosis of ruptured ectopic pregnancy. Which of the following findings is seen with this condition? a. no alteration in meses b. transvaginal ultrasound indicating a fetus in the uterus c. serum progesterone greater than the expected reference range d. report of severe shoulder pain
d A nurse is admitting a client who is in labor and has HIV. Which of the following interventions should the nurse identify as contraindicated for this client? (SATA) a. episiotomy b. oxytocin infusion c. forceps

d. cesarean birth e. internal fetal monitoring

a c e A nurse in an antepartum clinic is assessing a client who has a TORCH infection. Which of the following findings should the nurse expect? (SATA) a. joint pain b. malaise c. rash d. urinary frequency e. tender lymph nodes
a b c e A nurse is caring for a client who has gonorrhea. Which of the following medications should the nurse anticipate the provider will prescribe? a. ceftiaxone b. fluconazole c. metronidazole d. zidovudine
a A nurse is caring for a client who is in labor. The nurse should identify that which of the following infections can be treated during labor or immediately following birth? (SATA) a. gonorrhea b. chlamydia c. HIV d. group B streptococcus beta-hemolytic e. TORCH infection
a b c d A nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by a nurse indicates understanding of the teaching? a. "Obtain an immunization against rubella early in pregnancy." b. "Seek prophylactic treatment if cyomegalovirus is detected during pregnancy." c. "A women should avoid crowded places during pregnancy." d. "A woman should avoid consuming undercooked meat while pregnant."
d

a. "I will take this pill with my breakfast." b. "I will take this medication with a glass of milk." c. "I plan to drink more orange juice while taking this pill." d. "I plan to add more calcium-rich foods to my diet while taking this medication."

c A nurse is caring for a client who reports indications of preterm labor. Which of the following findings are risk factors of this condition? (SATA) a. urinary tract infection b. multifetal pregnancy c. oliogohydramnios d. diabetes mellitus e. uterine abnormalities
a b d e A nurse in labor and delivery is providing care for a client who is in preterm labor at 32 weeks of gestation. Which of the following medications should the nurse anticipate the provider will prescribe to hasten fetal lung maturity? a. calcium gluconate b. indomethacin c. nifedipine d. betamethasone
d A nurse is caring for a client who is receiving nifedipine for prevention of preterm labor. The nurse should monitor the client for which of the following manifestations? a. blood-tinged sputum b. dizziness c. pallor d. somnolence
b A nurse is caring for a client who has a prescription for magnesium sulfate. The nurse should recognize that which of the following are contraindications for use of this medication? (SATA) a. fetal distress b. preterm labor c. vaginal bleeding d. cervical dilation greater than 6 cm e. severe gestational hypertension
a c d

A nurse is reviewing discharge teaching with a client who has premature rupture of membranes at 26 weeks of gestation. Which of the following instructions should the nurse include in the teaching? a. use a condom with sexual intercourse b. avoid bubble bath solution when taking a tub bath c. wipe from the back to the front when performing perineal hygiene d. keep a daily record of fetal kick counts

d A nurse in the labor and delivery unit receives a phone call from a client who reports that her contractions started about 2 hr ago, did not go away when she had two glasses of water and rested, and became stronger since she started walking. Her contractions occur every 10 min and last about 30 seconds. She hasn't had any fluid leak from her vagina. However, she saw some blood when she wiped after voiding. Based on this report, which of the following clinical findings should the nurse recognize that the client is experiencing? a. braxton hicks contractions b. rupture of membranes c. fetal descent d. true contractions
d A nurse in the labor and delivery unit is caring for a client in labor and applies an external fetal monitor and tocotransducer. The FHR is around 140/min. Contractions are occurring every 8 min and 30-40 seconds in duration. The nurse performs a vaginal exam and finds the cervix 2 cm dilated, 50% effaced, and the fetus is at a - 2 station. Which of the following stages and phases of labor is this client experiencing? a. first stage, latent phase b. first stage, active phase c. first stage, transition phase d. second stage of labor
a A client experiences a large gush of fluid from her vagina while walking in the hallway of the birthing unit. Which of the following actions should the nurse take first? a. check the amniotic fluid for meconium b. monitor FHR for distress c. dry the client and make her comfortable d. monitor uterine contractions
b A nurse in labor and delivery unit is completing an admission assessment for a client who is at 39 weeks of gestation. The client reports that she has been leaking fluid from her vagina for 2 days. Which of the following conditions is the client at risk for developing?

c A nurse is caring for a client who is in the second stage of labor. The client's labor has been progressing, and she is expected to deliver vaginally in 20 min. The provider is preparing to administer lidocaine for pain relief and perform an episiotomy. The nurse should know that which of the following types of regional anesthetic block is to be administered? a. pudendal b. epidural c. spinal d. paracervical
a A nurse is caring for a client who is using patterned breathing during labor. The client reports numbness and tingling of the fingers. Which of the following actions should the nurse take? a. administer oxygen via nasal cannula at 2 L/min b. apply a warm blanket c. assist the client to a side-lying position d. place an oxygen mask over the client's nose and mouth
d A nurse is providing care for a client who is in active labor. Her cervix is dilated to 5 cm, and her membranes are intact. Based on the use of external electronic fetal monitoring the nurse notes a FHR of 115 to 125/min with occasional increases up to 150 to 155/min that last for 25 seconds, and have beat-to-beat variability of 30/min. There is no slowing of FHR from the baseline. The nurse should recognize that this client is exhibiting signs of which of the following? (SATA) a. moderate variability b. FHR accelerations c. FHR decelerations d. normal baseline FHR e. fetal tachycardia
a b d A nurse is teaching a client about the benefits of internal fetal heart monitoring. Which of the following statements should the nurse include in the teaching? (SATA) a. "It is considered a noninvasive procedure." b. "It can detect abnormal fetal heart tones early." c. "It can determine the amount of amniotic fluid you have." d. "It allows for accurate readings with maternal movement." e. "It can measure uterine contraction intensity."
b d

e A nurse is reviewing the electronic monitor tracing for a client who is in active labor. The nurse should know that a fetus receives more oxygen when which of the following appears on the tracing? a. peak of the uterine contraction b. moderate variability c. FHR acceleration d. relaxation between uterine contractions

d A nurse is caring for a client who is in labor and observes late decelerations on the electronic fetal monitor. Which of the following is the first action the nurse should take? a. assist the client into the left-lateral position b. apply a fetal scalp electrode c. insert an IV catheter d. perform a vaginal exam
a A nurse is performing Leopold maneuvers on a client who is in labor. Which of the following techniques should the nurse use to identify the fetal lie? a. apply palms of both hands to sides of uterus b. palpate the funds of the uterus c. grasp lower uterine segment between thumb and fingers d. stand facing client's feet with fingertips outlining cephalic prominence
b A nurse is caring for a client and her partner during their second stage of labor. The client's partner asks the nurse to explain how he will know when crowning occurs. Which of the following responses should the nurse make? a. "The placenta will protrude from the vagina." b. "Your partner will report a decrease in the intensity of contractions." c. "The vaginal area will bulge as the baby's head appears." d. "Your partner will report less rectal pressure."
c A nurse is caring for a client who is in the transition phase of labor and reports that she needs to have a bowel movement with the peak of contractions. Which of the following actions should the nurse make? a. asset the client to the bathroom b. prepare for an impending delivery c. prepare to remove a fecal impaction d. encourage the client to take deep, cleansing breaths
b

c. fetal attitude d. fetal position

a A nurse is caring for a client who had no prenatal care, is Rh-negative, and will undergo an external version at 37 weeks of gestation. Which of the following medication should the nurse plan to administer prior to the version? a. prostaglandin gel b. magnesium sulfate c. Rho(D) immune globulin d. oxytocin
c A nurse is caring for a client who is receiving oxytocin for induction of labor and has an intrauterine pressure catheter (IUPC) placed to monitor uterine contractions. For which of the following contraction patters should the nurse discontinue the infusion of oxytocin? a. frequency of every 2 min b. duration of 90 to 120 seconds c. intensity of 60 to 90 mm Hg d. resting tone of 15 mm Hg
b A nurse educator in the labor and deliver unit is reviewing the use of chemical agents to promote cervical ripening with a group of newly hired nurses. Which of the following statements by a nurse indicates understudying of the teaching? a. "They are administered in an oral form." b. "They act by absorbing fluid from tissue." c. "The promote dilation of the os." d. "They include an amniotomy."
a A nurse is caring for a client who is in lair and experiencing incomplete uterine relaxation between hypertonic contractions. The nurse should identify that this contraction pattern increases the risk for which of the following complications? a. prolonged labor b. reduced fetal oxygen supply c. delayed cervical dilation d. increased maternal stress
b A nurse is caring for a client who is in active labor and reports severe back pain. During assessment, the fetus is noted to be in the occiput posterior positions. Which of the following maternal positions should the nurse suggests to the client to facilitate normal labor progress? a. hands and knees

b. lithotomy c. trendelenburg d. supine with a rolled towel under one hip

a A nurse is caring for a client who is admitted to the labor and delivery unit. With the use of Leopold maneuvers, it is noted that the fetus is in a breech presentation. For which of the following possible complications should the nurse observe? a. preciptitous labor b. premature rupture of membranes c. postmaturity syndrome d. prolapsed umbilical cord
d A nurse is caring for a client who is at 42 weeks of gestation and in active labor. Which of the following findings is the fetus at risk for developing? a. intrauterine growth restriction b. hyperglycemia c. meconium aspiration d. polyhydramnios
c A nurse is caring for a client in active labor. When last examined 2 hr ago, the client's cervix was 3 cm dilated, 100% effaced, membranes intact and the fetus was at a - 2 station. The client suddenly states "My water broke." The monitor reveals a FHR of 80 to 85/min, and the nurse performs a vaginal examination, noticing clear fluid and a pulsing loop of umbilical cord in the client's vagina. Which of the following actions should the nurse perform first? a. place the client in the trendelenburg position b. apply pressure to the presenting part with her fingers c. administer oxygen at 10 L/min via a face mask d. call for assistance
d A nurse is performing a fundal assessment for a client who is 2 days postpartum and observes there perineal pad for lochia. She notes the pad to be saturated approximately 12 cm with lochia that is bright red and contains small clots. Which of the following findings should the nurse document? a. moderate lochia rubra b. excessive blood loss c. light lochia rubra d. scant lochia serosa
a During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. On assessment, a nurse finds the uterus to be firm, midline, and

d A client in the early postpartum period is very excited and talkative. She is repeatedly telling the nurse every detail of her labor and birth. Because the client will not stop talking, the nurse is having difficulty completing the postpartum assessments. Which of the following actions should the nurse take? a. come back later when the client is more cooperative b. give the client time to express her feelings c. tell the client she needs to be quiet so the assessment can be completed d. redirect the client's focus so that she will become quiet
b A nurse is caring for a client who is 1 day postpartum. The nurse is assessing for maternal adaptation and mother-infant bonding. Which of the following behaviors by the client indicates a need for the nurse to intervene? (SATA) a. demonstrates apathy when the infant cries b. touches the infant and maintains close physical proximity c. views the infant's behavior as uncooperative during diaper changing d. identifies and related infant's characteristics to those of family members e. interprets the infant's behavior as meaningful and a way of expressing needs
a c A nurse is caring for a client who is 2 days postpartum. The client states, "My 4-year old son was toilet trained and now he is frequently wetting himself." Which of the following statements should the nurse provide to the client? a. "Your son was probably not ready for toilet training and should wear training pants." b. "Your son is showing an adverse sibling response." c. "Your son may need counseling." d. "You should try sending your son to preschool to resolve the behavior."
b A nurse in the delivery room is planning to promote maternal-infant bonding for a client who just delivered. Which of the following is the priority action by the nurse? a. encourage the parents to touch and explore the neonate's features b. limit noise and interruption in the delivery room c. place the neonate at the client's breast d. position the neonate skin-to-skin on the client's chest
d A nurse is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client reports breast engorgement. Which of the following recommendations should the nurse make? a. "Apply cold compresses between feedings." b. "Take a warm shower right after feedings." c. "Apply breast milk to the nipples and allow them to air dry."

d. "Use the various infant positions for feedings."

a A nurse is providing discharge instructions for a client. At 4 weeks postpartum, the client should contact her provider for which of the following client findings? a. scant, non odorous white vaginal discharge b. uterine cramping during breastfeeding c. sore nipple with cracks and fissures d. decreased response with sexual activity
c A nurse is providing discharge teaching for a non lactating client. Which of the following instructions should the nurse include in the teaching? a. "Wear a supportive bra continuously for the firs 72 hours." b. "Pump your breast every 4 hours to relieve discomfort." c. "Use breast shells throughout the day to decrease milk supply." d. "Apply warm compresses until milk suppression occurs."
a A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client reports leaking urine every time she sneezes or coughs. Which of the following interventions should the nurse suggest? a. sit-ups b. pelvic tilt exercise c. kegel exercises d. abdominal crunches
c A nurse is providing care to four clients on the postpartum unit. Which of the following clients is at greatest risk for developing a postpartum infection? a. a client who has an episiotomy that is erythematous and has extended into a third- degree laceration b. a client who does not wash her hands between perineal care and breastfeeding c. a client who is not breastfeeding and is using measures to suppress lactation d. a client who has a cesarean incision that is well-approximated with no drainage
b A nurse is caring for a client who is postpartum. The nurse should identify which of the following findings as an early indicator of hypovolemia caused by hemorrhage? a. increasing pulse and decreasing blood pressure b. dizziness and increasing respiratory rate c. cool, clammy skin, and pale mucous membranes d. altered mental status and level of consciousness
a

OB Final, Maternal Newborn ATI, Exams of Nursing

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