OB ATI PROCTORED EXAM 2023
1. A nurse is assessing a newborn following a forceps assisted birth. Which of the following
clinical manifestations should the nurse identify as a complication of the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia
Answer: C. Facial Palsy
Most babies delivered by forceps suffer no long-term problems, but in rare cases an injury is
sustained to the facial nerve, due to the pressure of the forceps blade on the baby's head.
2. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor.
Which of the following statement by client indicates an understanding of the teaching?
A. "The medication could cause me to experience heart palpitation"
B. "This medication could cause me to experience blurred vision"
C. "This medication could cause me to experience ringing in my ears"
D. "This medication could cause me to experience frequent ..."
Answer: A. "The medication could cause me to experience heart palpitation"
This is a serious side effect of terbutaline and must be notifies to the physician immediately
4. A nurse is caring for a client who has hyperemesis gravidarum. Which of the following
laboratory tests should the nurse anticipate?
A. Urine Ketones
B. Rapid plasma regain
C. Prothrombin time
D. Urine culture
Answer: A. Urine Ketones
Hyperemesis gravidarum is a severe form of this 'morning sickness', experience by less than 1%
of pregnant women. It can cause dehydration and starvation and the production of compounds
called ketones that can be found in the blood and urine.
5. A nurse is caring for a client who is in labor and requests nonpharmacological pain
management. Which of the following nursing actions promotes client comfort?
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hr
Answer: A. Assisting the client into squatting position
This position can help with labor by promoting pelvic alignment and increasing the pelvic outlet,
which can aid in the labor process and potentially alleviate some discomfort.
6. A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Which of the following findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge
Answer: D. Malodorous Discharge
Trichomoniasis is a sexually transmitted infection caused by the protozoan Trichomonas
vaginalis. One of the characteristic symptoms of trichomoniasis is a malodorous vaginal
discharge. The discharge is often yellow-green and can be frothy. It typically has a strong,
unpleasant odor.
7. A nurse is caring for a client who is 14 weeks of gestation. At which the following locations
should the nurse place the Doppler device when assessing the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process
Answer: A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
At 14 weeks AOG this is where to place the doppler probe to note FHT
8. A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of
the following findings should the nurse report to the provider?
A. Urine protein concentration 200 mg/ 24 hr
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60.000/ mm3
Answer: D. Platelet Count 60.000/ mm3
Platelet count of less than 100,000 correlates with how severe the condition is.
9. A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Which of the following adverse effect should the nurse include?
A. Tinnitus - this is a documented adverse effect of this medication
B. Urinary Frequency
C. Breast Tenderness
D. Chills
Answer: A. Tinnitus
This is a documented adverse effect of this medication
10. A nurse is assessing a newborn upon admission to the nursery. Which of the following should
the nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
Answer: D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
Head circumference is always 2cm more than the chest in normal term babies
11. A nurse is planning care for a newborn who has neonatal abstinence syndrome.
Which of the following interventions should the nurse include in the plan of care.
A. Increase the newborn's visual stimulation
B. Weigh the newborn every other day
C. Discourage parental interaction until after a social evaluation
D. Swaddle the newborn in a flexed position
Answer: D. Swaddle the newborn in a flexed position
To increase comfort that newborn is receiving
12. A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65
mg/ dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions
should the nurse take?
A. Obtain a blood sample for a serum glucose level
B. Feed the newborn immediately
C. Administer 50 mL of dextrose solution IV
D. Reassess the blood glucose level prior to the next feeding
Answer: D. Reassess the blood glucose level prior to the next feeding
Newborn blood glucose is normal because it has separated from it's source of energy which is the
mother. Blood glucose for newborn to be considered hypoglycemic is 45mg/dl and below.
13. A nurse is providing teaching to a client about exercise safety during pregnancy. Which of the
following statements by the client indicates an understanding of the teaching? (Select all that
apply).
A. "I will limit my time in the hot tub to 30 minutes after exercise."
B. "I should consume three 8-ounce glasses of water after I exercise."
C. "I will check my heart rate every 15 minutes during exercise sessions."
D. "I should limit exercise sessions to 30 minutes when the weather is humid."
E. "I should rest by lying on my side for 10 minutes following exercise."
Answer: B. "I should consume three 8-ounce glasses of water after I exercise."
This is a good practice to stay hydrated, especially during pregnancy. Proper hydration is
important for overall health and exercise safety.
D. "I should limit exercise sessions to 30 minutes when the weather is humid."
This is a prudent approach because high humidity can increase the risk of overheating and
dehydration. Shortening exercise sessions in such conditions is a good safety measure.
E. "I should rest by lying on my side for 10 minutes following exercise."
Resting on the side, particularly the left side, is recommended to optimize blood flow and reduce
pressure on the vena cava, which can be beneficial during pregnancy.
14. A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which
of the following findings should the charge nurse instruct the staff members to report to the
provider?
A. Contraction durations of 95 to 100 seconds maybe this true also
B. Contraction frequency of 2 to 3 min apart - labor is progressing and might deliver soon
C. Absent early deceleration of fetal heart rate
D. Fetal heart rate is 140/min
Answer: A. Contraction durations of 95 to 100 seconds maybe this true also
Contractions lasting longer than 90 seconds are considered abnormal and can lead to decreased
oxygenation for the fetus. Prolonged contractions can indicate uterine hyperstimulation, which
can compromise fetal well-being and should be reported to the provider.
15. A nurse in a woman's health clinic is obtaining a health history from a client. Which of the
following findings should the nurse identify as increasing the client's risk for developing pelvic
inflammatory disease (PID)?
A. Recurrent Cystitis
B. Frequent Alcohol Use
C. Use of Oral Contraceptives
D. Chlamydia Infection
Answer: D. Chlamydia Infection
STDs can cause PID
16. A nurse is teaching a prenatal class about immunizations that newborns receive following
birth. Which of the following immunizations should the nurse include in the teaching?
A. Hepatitis
B. Rotavirus
C. Pneumococcal
D. Varicella
Answer: A. Hepatitis B
Part of the EINC and immunizations is Hepa B which follows just when the baby is born
17. A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet.
The client asks the nurse which foods she should eat to ensure adequate calcium intake. The
nurse should instruct the client that which of the following foods has the highest amount of
calcium?
A. ½ cup cubed avocado
B. 1 large banana
C. 1 medium potato
D. 1 cup cooked broccoli
Answer: D. 1 cup cooked broccoli
There are 47mg of calcium in a 100 grams of broccoli.
18. A nurse in a provider's office is assessing a client at her first antepartum visit. The client
states that the first day of her last menstrual period was March 8. Use Nagele's rule to calculate
the estimated date of delivery.
Answer: = December 15,
19. A nurse is caring for a client who is in the second stage of labor. Which of the following
manifestations should the nurse expect?
A. The client expels the placenta
B. The client experiences gradual dilation of the cervix
C. The client begins have regular contractions.
D. The client delivers the newborn
Answer: D. The client delivers the newborn
Delivering the fetus is the second stage, first is the labor stage, third is delivering the placenta.
20. A nurse is assessing a client who is at 37 weeks of gestation. Which of the following
statement by the client requires immediate intervention by the nurse?
A. "It burns when I urinate
B. "My feet are really swollen today".
C. "I didn't have lunch today, but I have breakfast this morning".
Answer: A. "It burns when I urinate
Sign of a UTI
21. A nurse is providing discharge teaching to a new parent about car seat safety. Which of the
following statements by the parent indicates an understanding of the teaching?
A. "I should position my baby's car seat at a 45 degree angle in the car."
B. "I should place the car seat rear facing until my baby is 12 months old."
C. "I should place the harness snugly in a slot above my baby's shoulders."
D. "I should position the retainer clip at the top of my baby's abdomen."
Answer: B. "I should place the car seat rear facing until my baby is 12 months old."
Always put your infant in a rear-facing child safety seat in the back of your car. A baby riding in
the front seat can be fatally injured by a passenger side air bag. The shoulder straps must be at or
below your baby's shoulders.
22. A nurse is developing an educational program about hemolytic diseases in newborns for a
group of newly licensed nurses. Which of the following genetic information should the nurse
include in the program as a cause of hemolytic disease?
A. The mother is Rh-positive and the father is Rh negative
B. The mother is Rh-negative and the father is Rh positive
C. The mother and the father are both Rh positive
D. The mother and the father are both Rh negative
Answer: B. The mother is Rh-negative and the father is Rh positive
Can cause sensitization from RH + from the father causing complications to the next conception
23. A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the
following clients should the nurse assess first?
A. A client who has diabetes mellitus and an HbA1c of 5.8%
B. A client who has preeclampsia and a creatinine level of 1.1 mg/ dL
C. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L
D. A client who has placenta previa and a hematocrit of 36%
E. "I have been seeing spot this morning"
Answer: C. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L
A sodium level of 110 mEq/L is significantly low (normal range is approximately 135-145
mEq/L) and indicates severe hyponatremia. This condition can be life-threatening and requires
immediate assessment and intervention.
24. A nurse is assessing a newborn immediately following a vaginal birth. For which of the
following findings should the nurse intervene?
A. Molding
B. Vernix
Caseosa
C. Acrocyanosis
D. Sternal retractions
Answer: D. Sternal retractions
Sign of respiratory distress
25. A nurse on the postpartum unit is caring for four clients. For which of the following clients
should the nurse notify the provider?
A. A client who has a urinary output of 300 ml in 8 hr
B. A client who reports abdominal cramping during breastfeeding
C. A client who is receiving magnesium sulfate and has absent deep tendon reflexes
D. A client who reports lochia rubra requiring changing perineal pads every 3 hr
Answer: C. A client who is receiving magnesium sulfate and has absent deep tendon reflexes
This is a sign of early MgSO4 toxicity that if not treated may lead to death
26. A nurse is caring for a client who has active genital herpes simplex virus type 2. Which of the
following medications should the nurse plan to administer?
A. Metronidazole
B. Penicillin
C. Acyclovir
D. Gentamicin
Answer: C. Acyclovir
Viral infection requires an antiviral medication
27. A nurse is caring for a client following an amniocentesis. The nurse should observe the client
for which of the following complications?
A. Hyperemesis
B. Proteinuria
C. Hypoxia
D. Hemorrhage
Answer: D. Hemorrhage
Bleeding is sometimes noted after the procedure
28. A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for
labor induction. Which of the following interventions should the nurse include in the plan?
A. Increase the infusion rate every 30 to 60 min.
B. Maintain the client in a supine position.
C. Titrate the infusion rate by 4 milliunits/min.
D. Limit IV intake to 4 L per 24 hr.
Answer: C. Titrate the infusion rate by 4 milliunits/min.
The infusion rate may be increased by 1-5mU/min (6- 30ml/hour) every 15-30 minutes up to a
maximum of 30mU/min (180 ml/hour). The oxytocin infusion rate should be titrated against the
fetal heart rate, frequency of uterine contractions and progress in labour.
29. A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of
the following actions should the nurse the nurse takes? (Click on the "Exhibit" Button for
additional information about the newborn. There are three tabs that contain separate categories of
date.)
A. Administer nitric oxide inhalation therapy to the newborn
B. Insert an orogastric decompression tube with low wall suction.
C. Provide the newborn with an iron-rich formula containing vitamin B12 every 2 hr.
D. Measure the abdominal circumference at the level of the newborn's umbilicus every 2 hr.
Answer: A. Administer nitric oxide inhalation therapy to the newborn
This is used for managing pulmonary hypertension or severe respiratory distress in preterm
infants. It helps improve oxygenation and blood flow in the lungs.
30. A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late
decelerations of the fetal heart rate on the monitor tracing. Which of the following action should
the nurse take?
A. Decrease maintenance IV solution infusion rate.
B. Place the client in lateral position.
C. Administer misoprostol 25 mcg vaginally
D. Administer oxygen via face mask at 2 L/min
Answer: A. Decrease maintenance IV solution infusion rate. - too much contraction is happening
due to the oxytocin hence decreasing the dose is the correct answer
31. A nurse is planning care for a client who is pregnant and has HIV. Which of the following
actions should the nurse include in the plan of care?
A. Instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation.
B. Use a fetal scalp electrode during labor and delivery.
C. Administer a pneumococcal immunization to the newborn within 4 hr following birth.
D. Bathe the newborn before initiating skin-to-skin contact
Answer: C. Administer a pneumococcal immunization to the newborn within 4 hr following
birth.
This is given after testing the baby for reaction to HIV antigen and if negative, vaccine will be
given after 4 hours of birth to baby
32. A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr
postpartum and has a boggy uterus. For which of the following assessment findings should the
nurse withhold the medication?
A. Blood pressure 142/92 mm Hg
B. Urine output 100 mL in hr
C. Pulse 58/min
D. Respiratory rate 14/min
Answer: A. Blood pressure 142/92 mm Hg
This medication is contraindicated for hypertension
33. A nurse is reviewing laboratory results for client who is pregnant. The Nurse should expect
which of the following laboratory values to increase?
A. RBC count
B. Bilirubin
C. Fasting blood glucose
D. BUN
Answer: A. RBC count
The RBC normally increasing during pregnancy due to hormonal changes
34. A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4
doses of dexamethasone 6 mg IM 12 hr. Available in dexamethasome 10 mg/mL. How many mL
of dexamethasome should the nurse administer per dose? (Round the answer to the nearest tenth.
Use a leading zero if it applies. Do not use trailing zero.) mL.
Answer:
D/H × V
6mg/10mg × 1mL = 0.6mL per dose
35. A nurse is caring for four clients. For which of the following clients should the nurse
auscultate the fetal heart rate during the prenatal visit?
A. A client who has an ultrasound that confirms a molar pregnancy
B. A client who has a crown-rump length of 7 weeks gestation
C. A client who has a positive urine pregnancy test 1 week after missed menses
D. A client who has felt quickening for the first time
Answer: D. A client who has felt quickening for the first time
FHT can’t be fully appreciated at 7 weeks AOG, pregnancy test just confirmed after missed
menses and there's no FHT by an embryo, there is no fetus in h-moles to auscultate FHT hence
letter D.
36. A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the
following actions should the nurse include in the plan of care?
A. Dress the newborn in lightweight clothing.
B. Avoid using lotion or ointment on the newborn skin.
C. Keep the newborn supine throughout treatment
D. Measure the newborn's temperature every 8hr
Answer: B. Avoid using lotion or ointment on the newborn skin.
This is important because lotions or ointments can interfere with the phototherapy process and
may cause the skin to absorb more heat, increasing the risk of burns.
37. A nurse is receiving laboratory results for a term newborn who is 24 hr old. Which of the
following results require intervention by the nurse?
A. WBC count 10,000/mm3
B. Platelets 180,000/mm3
C. Hemoglobin 20g/dL
D. Glucose 20 mg/dL
Answer: D. Glucose 20 mg/dL
This is neonatal hypoglycemia and should be treated promptly
38. A nurse is assessing a client following an amniocentesis. Which of the following findings
should the nurse recognize as complications? (select all that apply).
A. Amnionitis
B. Urinary tract infection
C. Polyhydramnios
D. Leakage of amniotic fluid
E. Preterm labor
Answer:
A. Amnionitis
D. Leakage of amniotic fluid
E. Preterm labor
39. A nurse on a labor and delivery unit is receiving infection control standards with a newly
licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the
following procedures?
A. Assisting a mother with breastfeeding
B. Performing a newborn's initial bath
C. Administering the measles, mumps, rubella vaccine
D. Performing umbilical cord care
Answer: B. Performing a newborn's initial bath
Fluids from mother is still present from the delivery hence gloves should be used
40. A nurse is providing teaching to a client who has mild preeclampsia and will be caring for
herself at home during the last 2 months of pregnancy. This of the following statements by the
client indicates an
understanding of the teaching.
A. "I will count baby's kicks every other day.
B. "I will alternate the arm use to check my blood pressure.
C. I will consume 50 grams of protein daily
D. I will check my urine for protein daily
Answer: A. "I will count baby's kicks every other day.
For mild preeclampsia, fetal kick counts should be done daily, not every other day, to monitor
fetal well-being. The correct understanding involves regular monitoring of urine for protein, not
just kick counts.
41. A nurse is caring for four newborns. Which of the following newborns should the nurse
assess first?
A. newborn who has nasal flaring
B. newborn who has subconjunctival hemorrhage of the left ey
C. A newborn who has overlapping suture lines
D. A newborn who has not rust-stained urine
Answer: A. newborn who has nasal flaring
Sign of respiratory distress
42. A nurse is reviewing the electronic medical record of a postpartum client. The nurse should
identify that which of the following factors places the client at risk for infection.
A. Meconium–stained fluid
B. placenta previa
C. Midline episiotomy
D. Gestational hypertension
Answer: A. Meconium–stained fluid
Can cause both maternal and fetal infections
43. A nurse is caring for a client who is 4hr postpartum and is experiencing hypovolemic shock.
Which of the following actions should the nurse take?
A. Administer indomethacin
B. Insert a second using a 22 gauge IV catheter
C. Insert an indwelling urinary catheter.
D. Administer oxygen at 4L/min via nasal cannula.
Answer: B. Insert a second using a 22 gauge IV catheter
To give blood products and IV bolus to help manage shock
44. A nurse is teaching a client who is 28 weeks of gestation and not up-to date on current
immunization. Which of the following immunizations should the nurse inform the client to
anticipate receiving following birth?
A. Pneumococcal
B. Hepatitis
C. Human papillomavirus
D. Rubella
Answer: C. Human papillomavirus
Although not recommended during pregnancy, the HPV vaccine is recommended postpartum for
patients 26 years of age or younger if not already immunized
45. A nurse is caring for a newborn who is 24 hr old. Which of the following Laboratory findings
should the nurse report to the provider?
A. Hgb 20 g/dL
B. Bilirubin 2mg/dL
C. Platelets 200 .000/mm3
D. WBC count 32.000/mm3
Answer: D. WBC count 32.000/mm3
Sign of a form of neonatal infection
46. A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart
rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions
should the nurse take?
A. Give the newborn a warm bath.
B. Apply a cap to the newborn head.
C. Reposition the newborn.
D. Obtain an oxygen saturation level
Answer: B. Apply a cap to the newborn head.
The newborn is slightly hypothermic, and a bath would likely cause the newborn to suffer
hypothermia more after the water has evaporated from newborn's skin
47. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp.
Which of the following actions should the nurse include in the plan?
A. Apply a thin layer of lotion to the newborn skin every 8 hrs.
B. Give the newborn 1oz of glucose water every 4 hrs
C. Ensure the newborn eyes are closed beneath the shield.
D. Dress the newborn in a thin layer of clothing during therapy
Answer: C. Ensure the newborn eyes are closed beneath the shield.
To reduce risk of retinopathies
48. A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the
following statement should the nurse make?
A. "You can bathe and dress your baby if you'd like to."
C. "You should name the baby so she can have an identity."
D. "I'm sure you will be able to have another baby when you're ready."
Answer: A. "You can bathe and dress your baby if you'd like to."
Allowing the mother to hold infant and maintain her parenting role will somehow foster better
outcome of finally accepting fetal demise
49. A nurse is providing teaching to a client who is at 38 weeks of gestation and has a
prescription to receive misoprostol intravaginally. Which of the following statement should the
nurse make?
A. "you will need to stay in a side-lying position for 30 minutes after each dose."
B. "You will receive an IV infusion of oxytocin 1 hour after your last dose."
C. " You will receive a magnesium supplement immediately following therapy."
D. " You will need to have a full bladder before the therapy begins."
Answer: B. "You will receive an IV infusion of oxytocin 1 hour after your last dose."
To help with uterine contraction
50. A nurse is assessing a newborn who was born Post term. Which of the following findings
should the nurse expect?
A. Nails extending over tips of fingers
B. Large deposits of subcutaneous fat
C. Pale, translucent skin
D. Thin covering of fine hair on shoulders and back
Answer: A. Nails extending over tips of fingers
Postterm babies are characterized to almost always have long fingernails
51. A nurse is planning to teach a group of clients who are about breastfeeding after returning to
work. Which of the following infections should the nurse include in the teaching?
A. "Thawed breast milk can be refrigerated for up to 72 hours."
B. "Breast milk can be stored in a deep freezer for 12 months."
C. Breast milk can be stored at room temperature for up to 12 hours."
D. "Thawed breast milk that is unused can be refrozen."
Answer: B. "Breast milk can be stored in a deep freezer for 12 months."
Freshly expressed breast milk can be stored in the back of a deep freezer for up to 12 months but
using the frozen milk within six months is optimal.
52. A nurse on postpartum unit caring for four clients. Which of the following clients should
receive Rh, (D) Immune globulin to prevent Rh- is immunization?
A. An Rh-negative mother who has an Rh- positive infant
B. An Rh -positive mother who has an Rh- negative infant
C. An Rh-positive mother who has an Rh- positive infant
D. An Rh- negative mother who has an Rh- negative infant
Answer: A. An Rh-negative mother who has an Rh-positive infant
Risk of RH incompatibility on next pregnancy is certain hence this case the mother should
receive this medication
53. A nurse is caring for an infant who has signs of neonatal abstinence syndrome.
Which of the following actions should the nurse take?
A. Provide a stimulating environment
B. Monitor blood glucose level every hr.
C. Initiate seizure precautions.
D. Place the infants on his back with legs extended.
Answer: C. Initiate seizure precautions.
Infants suffer from opioid withdrawal hence the seizures.
54. A nurse is reviewing signs of effective breathing with a client who is 5 days postpartum.
Which of the following information should the nurse include in the teaching?
A. "You should feel a tugging sensation when the baby is sucking.
B. You should expect your baby to have two to three wet diapers in 24hour period
C. "Your baby's urine should appear dark and concentrated".
D. "Your breast should stay firm after the baby breastfeeds".
Answer: A. "You should feel a tugging sensation when the baby is sucking.
Baby is effectively latching
55. A nurse is teaching a client who is at 41 weeks of gestation about a non-stress test. Which of
the following information should the nurse include in the teaching?
A. "This test will confirm fetal lung maturity ".
B. "This test will determine adequacy of placental perfusion".
C. "This test will detect fetal infection".
D. "This test will predict maternal readiness for labor".
Answer: A. "This test will confirm fetal lung maturity ".
The goal of a nonstress test is to provide useful information about your baby's oxygen supply by
checking his or her heart rate and how it responds to your baby's movement.
56. A nurse on the labor and delivery unit is assessing four clients. Which of the following clients
is a candidate for an induction of labor with misoprostol?
A. A client who has active genital herpes
B. A client who has gestational diabetes mellitus
C. A client who has a previous uterine incision
D. A client who has placenta previa
Answer: B. A client who has gestational diabetes mellitus
Pregnancy and labor complicated by Gestational DM can be safety treated with misoprostol to
induce labor
57. A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by
continuous IV infusion. Which of the following findings should the nurse reports to the provider?
A. Blood pressure 148/94mm Hg
B. Respiratory rate 14mm
C. Urinary output 20 mL/hr
D. 2+deep tendon reflexes
Answer: C. Urinary output 20 mL/hr
Urine output should be at least 30 mL/hour while administering magnesium sulfate. If less,
notify provider of decreased urine output.
58. A nurse is caring for a client who is in the transition phase of labor and reports a pain level of
7 on a scale of 0 to 10. Which of the following actions should the nurse take?
A. Instruct the client to use effleurage
B. Apply counter pressure to the client sacral.
C. Assist the client with patterned-paced breathing.
D. Teach the client the technique of biofeedback.
Answer: C. Assist the client with patterned-paced breathing.
Assist patient with pant-blow breathing to help manage pain
59. A nurse is caring for newborn immediately following birth and notes a large amount of
mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when
performing suction with a bulb syringe. (Move the streps into the box on the placing them in the
selected order of performance. Use all the streps.)
A. Assess the newborn for reflex bradycardia. (this time assessment comes last because if
effective bulb suctioning was done, assessment for reflex bradycardia would be negative)
B. Compress the bulb syringe
C. Place the bulb syringe in the newborn's mouth.
D. Use the bulb syringe to suction the newborn's nose.
Answer: B, C, D, A
60. A community health nurse is providing education on gestational diabetes mellitus (GDM) to
a group of clients who are pregnant when discussing risk factors, which of the following
ethnicities should the nurse
identify as having the lowest incidence of GDM?
A. Asian - both asians and hispanics are at risk but asians rank higher
B. Non-Hispanic White American
C. Hispanic
D. African American
61. A nurse is assessing a client who is at 37 weeks of gestation. Which of the following
statement by the client requires immediate intervention by the nurse?
A. "It burns when I urinate
B. "My feet are really swollen today".
C. "I didn't have lunch today, but I have breakfast this morning".
D. "I have been seeing spot this morning"
Answer: D. "I have been seeing spot this morning"
Patient might be undergoing labor and should be managed
62. A nurse is providing teaching about expected changes during pregnancy to a client who is at
24 weeks of gestation. Which of the following information should the nurse include?
A. "Your stomach will empty rapidly"
B. "You should expect your uterus to double in size"
C. "You should anticipate nasal stuffiness."
D. "Your nipples will become lighter in color".
Answer: B. "You should expect your uterus to double in size"
Due to rapid fetal growth due to starting of 3rd trimester
63. A nurse is teaching a prenatal class regarding false labor. Which of the following information
should the nurse include?
A. "your contraction will become more intense when walking"
B. "you will have dilation and effacement of the cervix"
C. You will have bloody show"
D. "Your contraction will become temporally regular"
Answer: D. "Your contraction will become temporally regular"
64. A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The
nurse should monitor for which of the following findings as an adverse effect of the medication?
A. Hypnosis
B. Polyuria
C. Bilateral crackles
D. Hyperglycemia
Answer: C. Bilateral crackles
Respiratory functions should be monitored when administering medications with any opioid
analgesics
65. A nurse is caring for a client who is receiving prenatal care and is at her 24-week
appointment. Which of the following laboratory tests should the nurse plans to conduct?
A. Group B strep culture
B. 1-hr glucose tolerance test
C. Rubella titer
D. Blood type and Rh
Answer: B. 1-hr glucose tolerance test
Most pregnant women have a glucose screening test between 24 and 28 weeks of pregnancy. The
test may be done earlier if you have a high glucose level in your urine during your routine
prenatal visits, or if you have a high risk for diabetes
66. A nurse is caring for a client who has bacterial vaginosis. Which of the following medication
should the nurse expect to administer?
A. Metronidale
B. Fluconazole
C. Acyclovir
Answer: A. Metronidale
Protozoan infection requires an anti-protozoan medication
67. A nurse is caring for a client who is experiencing sore nipples from breastfeeding. Which of
the following actions should the nurse take?
A. Place a snug dressing on the client's nipple when not breastfeeding.
B. Ensure the newborn's mouth is wide open before latching to the breast.
C. Encourage the client to limit the newborn's feeding to 10 min on each breast.
D. Instruct the client to begin the feeding with the nipple that is most tender.
Answer: A. Place a snug dressing on the client's nipple when not breastfeeding.
To help alleviate pain felt due to tenderness
68. A nurse is assessing a preterm newborn who is at 32 weeks of gestation. Which of the
following finding should the nurse expect?
A. Minimal arm recoil
B. Popliteal angle of less than 90
C. Creases over the entire sole
D. Sparse lanugo
Answer: A. Minimal arm recoil
Preterm babies are less reactive
69. A nurse on a labor and delivery unit is providing teaching to a client who plans to use
hypnosis to control labor pain. Which of the following information should the nurse include?
A. Focusing on controlling body functions
B. "Synchronized breathing will be required during hypnosis"
C. "Hypnosis can be beneficial in you practiced it during the prenatal period"
D. "Hypnosis does not work for controlling pain associated with labor".
Answer: B. "Synchronized breathing will be required during hypnosis"
This helps patient achieve hypnosis as form of pain control
70. A nurse is caring for client who is in active labor. Following epidural placement, the nurse a
maternal blood pressure of 98/58 mmHg and minimal FHR variability on the fetal monitor.
Which of the following images? indicates the action the nurse should take.
Answer: In this scenario, the nurse should take the following actions:
1. Position the client on her left side. This can help improve uterine blood flow and alleviate
pressure on the inferior vena cava, which can improve both maternal blood pressure and fetal
heart rate variability.
2. Administer IV fluids if ordered. This can help stabilize maternal blood pressure and ensure
adequate hydration.
3. Monitor maternal and fetal status closely. Continuous assessment of blood pressure and fetal
heart rate is important to respond promptly to any changes.
4. Notify the healthcare provider if necessary. If the maternal blood pressure remains low or fetal
heart rate variability does not improve, the provider should be informed for further evaluation
and intervention.
These actions are aimed at improving both maternal hemodynamics and fetal well-being
following the placement of an epidural.
71. A nurse is assessing a client who is 6hr postpartum and has endometritis. Which of the
following findings should the nurse expect?
A. Temperature 37.4 C (99.3F)
B. Scant lochia
C. WBC count 9,000/mm3
D. Uterine tenderness
Answer: D. Uterine tenderness
72. A nurse is providing prenatal teaching to a client who practice a vegan diet and is trying to
increase intake of vitamin B12 which of the following foods should be nurse recommend?
A. Fresh citrus fruits
B. fortified soy milk
C. Brown rice
D. raw carrot
Answer: B. fortified soy milk