ATI OB PROCTORED EXAM REVISION GUIDE- LATEST QUESTIONS, ANSWERS AND RATIONALES Guaranteed success
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ATI OB PROCTORED EXAM REVISION GUIDE- LATEST QUESTIONS, ANSWERS AND RATIONALES Guaranteed success
ATI OB PROCTORED EXAM REVIEW –LATEST CORRECT AND
VERIFIED GUIDE
1. A nurse in an infertility clinic is providing care to a couple who has been unable to conceive for 18 months. Which of the following data
should be included in the assessment? (select all that apply)
A. Occupation
B. Menstrual history
C. Childhood infectious diseases
D.History of falls
E. Recent blood transfusions
A. CORRECT: Occupational hazardsinclude exposure to teratogenic substancesin the workplace,such asradiation, chemicals, herbicides,
and pesticides.
B. CORRECT: Menstrual history can identify hormone-related patterns, such as anovulation, pituitary disorders, and endometriosis.
C. CORRECT: Childhood infectious diseases can identify the mail partner having the mumps.
D. A history of falls is not a consideration in the assessment. E. A recent blood transfusion is not a consideration in the assessments.
2. A nurse is caring for a client who is pregnant and statesthat her last menstrual period was April 1st. Which of the following isthe client's
estimated date of delivery?
A. January 8
B. January 15
C. February 8
D. February 15
A.CORRECT: April 1st minus 3 months plus 7days and 1 year equals an estimated date of delivery of January 8.
B. Thisisincorrect using Nagele's Rule.
C. Thisisincorrect using Nagele's Rule.
D. Thisisincorrect using Nagele's Rule.
3.A nurse in a prenatal clinic is caring for a client who isin the first trimester of pregnancy. The client's health record incudesthis data:G3 T1 PO A1
L1. How should the nurse interpret thisinformation? (select all that apply)
A. Client has delivered one newborn term
B. Client has experienced no preterm labor
C. Client has been through active labor twice
D. Client has had two prior pregnancies
E. Client has one living child
A. CORRECT: T1 indicatesthe client has delivered one newborn at term.
B. CORRECT: PO indicatesthe client has had no preterm deliveries.
C. A1 indicatesthe client has had one miscarriage.
D. CORRECT: G3 indicatesthe client has had two prior pregnancies and the client is currently pregnant.
E. CORRECT: L1 indicatesthe client has one living child.
4.A nurse isreviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy.
Which of the following findings should the nurse expect? (select all that apply)
A.Montgomery's glands
B.Goodell's sign
C. Ballottement
D.Chadwick's Sign
E. Quickening
A. Montgomery's glands are a presumptive sign of pregnancy.
B. CORRECT: Goodell'ssign is a probable sign of pregnancy.
C. CORRECT: Ballottement is a probable sign of pregnancy.
D. CORRECT: Chadwick's'sign is a probable sign of pregnancy.
E. Quickening is a presumptive sign of pregnancy.
5.A nurse isteaching a client who is at 8 weeks of gestation about nutrition during pregnancy. Which of the following statementsshould the
nurse include in the teaching?
A. "You should consume 2 cups of milk daily."
B. "You should consume 4 ounces of grains each day."
C. "You should consume 2 cups of vegetables each day."
D. "You should consume 6 ounces of protein foods daily."
A. The nurse should instruct the client to consume 3 cups of dairy daily. It is best to select fat free or low fat dairy products.
B. The nurse should instruct the client to consume 6 to 8 ounces of grains daily. The client should consume at least half of the servings as
whole grains.
C. The nurse should instruct the client to consume 2.5 to 3 cups of vegetables daily. The clientshould vary the type of vegetablesto obtain
various amounts of different nutrients.
D. CORRECT: The nurse should instruct the client to consume 5.5 to 6.5 ounces of protein foods each day. The client should select highprotein foods, such as legumes, nuts, eggs and lean meat or poultry.
6.A nurse isteaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the
client indicates an understanding of the teaching?
A. "Ishould increase my protein intake to 60 grams each day."
B. "Ishould drink 2 liters of water each day."
C. "Ishould increase my overall daily caloric intake by 300 calories."
D. "I should take 600 micrograms of folic acid each day."
A. A client who is pregnant should increase protein intake to 71 grams each day during the second and third trimesters.
B. A client who is pregnant should consume 3 liters of water each day.
C. A client who is pregnant should increase caloric intake by 340 calories during the second trimester and 452 calories during the third
trimester.
D. CORRECT: A client who is pregnantshould increase folic acid intake to 600mcg daily. Folic acid assists with preventing neural tube birth
defects.
7.A nurse is caring for a client who is at 14 weeks gestation and has hyperemesis gravidarum. The nurse should identify that which of the
following are risk factors for the client? (select all that apply)
A. Obesity
B. Multifetal pregnancy
C. Maternal age greater than 40
D. Migraine headache
E. Oligohydramnios
A. CORRECT: Obesity is a risk factorfor hyperemesis gravidarum.
B. CORRECT: Multifetal pregnancy is a risk factorfor hyperemesis gravidarum.
C. Maternal age lessthan 30 is a risk factor for hyperemesis gravidarum.
D. CORRECT: Migraine headache is a risk factorfor hyperemesis gravidarum.
E. Oligohydramniosis not a risk factor for hyperemesis gravidarum.
8.A nurse in a prenatal clinic is caring for four clients. Which of the following clients' weight gain should the nurse report to the provider?
A. 1.8 kg (4 lb) weight gain and isin her first trimester.
B. 3.6 kg (8 lb) weight gain and isin her first trimester.
C. 6.8 kg (15 lb) weight gain and in her first & second trimester.
D. 11.3 kg (25 lb) weight gain and in her firstsecond & third trimester.
A. This client has gained the appropriate weight of 2 to 6 lb for a clientin her first trimester.
B. CORRECT: The nurse should be concerned about this client because she has exceeded the expected 2 to 6 Ib weight gain of a client in
her first trimester.
C. The client has gained the appropriate weight of 6 to 6 lb in the firsttrimester and approximately 1-1 1/2 lb per week in the second
trimester.
D. The client is within the recommended weight gain of 25 to 35 lb during the third trimester.
9.A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?
A. A client how is 11 weeks if gestation and reports abdominal cramping.
B. A client who is at 15 weeks of gestation and reportstingling and numbness in the right hand.
C. A client who is at 20 weeks of gestation and reports constipation for the past 4 days.
D. A client who is at 8 weeks of gestation and reports having bloody nosesfor the past week.
A. CORRECT: When using the urgent vs nonurgent approach to client care, the nurse should determine that he priority finding is a client
who is at 11 weeks of gestation and reports abdominal cramping. Abdominal cramping can indicate ectopic pregnancy or manifestations
of spontaneous abortion. The nurse should request that the provider see this client first.
B. Tingling and numbness of the 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.
C. Constipation is nonurgent because it is a common discomfort related to pregnancy for a client who is at 20 weeks gestation. Therefore,
there is another client that the provider should see first.
D. Epitasis is nonurgent because it is a common discomfort related to pregnancy for a client who is at 8 weeks gestation. Therefore, there
is another client that the provider should see first.
10.A nurse is caring for a client who is pregnant and isto undergo a CST Which of the following findings are indications of this procedure?
(select all that apply)
A. Decreased fetal movement
B. Intrauterine growth restriction (IUGR)
C. Post maturity
D. Placenta previa
E. Amniotic fluid emboli
A. CORRECT: Decreased fetal movement is an indication for a CST.
B. CORRECT: IUGR is an indication for a CAT.
C. CORRECT: Postmaturity is an indication of a CST.
D. Placenta previa is a contraindication of a CST.
E. Amniotic fluid emboli are a complication of an amniocentesis, trauma or post labor.
11.A nurse is caring for a client who is 15 weeks gestation, is Rh negative, and hasjust had an amniocentesis. Which of the following
interventions isthe nurse's priority following this procedure?
A. Check the client'stemperature
B. Observe for uterine contractions
C. Administer Rho(D) immune globulin
D. Monitor the FHR
12.A nurse in a prenatal clinic is providing education to a client who isin the 8th week of gestation. The client statesthat she does not like
milk. Which of the following food 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. CORRECT: Good sources of calcium for bone and teeth formation include low-oxalate, dark green leafy vegetables, such as kale, artichokes, and turnip
greens.
B. Deep red or orange vegetables are good sources of vitamins C and A.
C. White breads and rice do not contain high levels of calcium.
D. Meat, poultry and fish are sources of protein but do not contain high levels of calcium.
13.A nurse isreviewing a new prescription for ferroussulfate with a client who is at 12 weeks of gestation Which of the following statements
by the client indicates understanding of the teaching?
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 foodsto my diet while taking this medication"
A. Ferrous sulfate should be taken on an empty stomach.
B. Milk will decrease the absorption of ferrous sulfate.
C. CORRECT: A diet with increased vitamin C improves the absorption of ferroussulfate.
D. Although a diet of calcium-rich foods is appropriate for the client during pregnancy, it does not improve the effectiveness of ferroussulfate.
14.A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Which of the following laboratory
tests should the nurse expect the provider to prescribe?
A. Kleihauer-Betke test
B. Progesterone serum level
C. Lecithin/sphingomyelin (L/S) ratio
D. Maternal Alpha fetoprotein (AFP)
A. CORRECT: The nurse should expect the providerto prescribe a Kleinhauer-Betke test for a client who hassuspected placental abruption
to determine if fetal blood is in the maternal circulation. This test is useful to determine if Rho-(D) immune globulin therapy should be
administered to a client who is Rh-negative.
B. A progesterone serum level helpsto determine if a client is pregnant and isthe pregnancy is ectopic.
C. Lecithin/sphingomyelin (L/S) ratio is done as part of an amniocentesisto evaluate fetal lung maturity.
D. Maternal Alpha-fetoprotein (AFP) is a laboratory test used to assessfor neural tube defects or chromosome disorders.
15.A nurse in the emergency department is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and
bright red vaginal bleeding. The client states she missed one menstrual cycle and cannot be pregnant because she has an intrauterine
device. The nurse should suspect which of the following?
A. Missed abortion
B. Ectopic pregnancy
C. Severe preeclampsia
D. Hydatidiform mole
A. A client who experiences a missed abortion would report brownish discharge and no pain.
B. CORRECT: Manifestations of an ectopic pregnancy include unilateral lower quadrant pain with or without bleeding. Use of an IUD is a
risk factor related to this condition.
C. A client who hassevere preeclampsia does not have vaginal bleeding and presents with right upper quadrant epigastric pain.
D. A client who has a hydatidiform mole usually has dark brown vaginal bleeding in the second trimester and is not associated with pain.
16.A nurse is providing care for a client who is diagnosed with a marginal abrutio placentae. The nurse is aware that which of the following
findings are risk factors for developing the condition? (select all that apply)
A. Fetal position
B. Blunt abdominal trauma
C. Cocaine use
D. Maternal age
E. Cigarette smoking
A. Fetal position is not a risk factor associated with abruptio placentae.
B. CORRECT: Blunt abdominal trauma is a risk factor associated with abruptio placentae.
C. CORRECT: Cocaine use is a risk factor associated with abruptio placentae.
D. CORRECT: Maternal age is a risk factor associated with abruptio placentae.
E. CORRECT: Cigarette smoking is a risk factor associated with abruptio placentae.
17.A nurse is providing care for a client who is 32 weeks gestation and who has placenta previa. The nurse notesthat the client is actively
bleeding and will need to be delivered. Which of the types of medications should the nurse anticipate the provider will prescribe?
A. Betamethasone
B. Indomethacin
C. Nifedipine
D. Methylergonovine
A. CORRECT: Betamethasone is given to premature lung maturity if delivery is anticipated.
B. Indomethacin is prescribed for the client in pretermlabor.
C. Nifedipine is prescribed for the client in preterm labor.
D. Methylergonovine is prescribed for the client experiencing postpartum hemorrhage, the patient is not hemorrhaging at thistime.
18.A nurse is caring for a client who has diagnosis of ruptured ectopic pregnancy. Which of the following findingsisseen with this condition?
A. No alteration in menses.
B. Transvaginal ultrasound indicating a fetusin the uterus.
C. Serum progesterone greater thatthe expected reference range.
D. Report of severe shoulder pain.
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