ATI OB PROCTORED EXAM REVIEW-LATEST GUIDE

ATI OB PROCTORED EXAM REVIEW-LATEST 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 2. 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 nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record incudes this data: G3 T1 PO A1 L1. How should the nurse interpret this information? (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 nurse is reviewing 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 nurse is teaching a client who is at 8 weeks of gestation about nutrition during pregnancy. Which of the following statements should 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 nurse is teaching 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. "I should increase my protein intake to 60 grams each day." B. "I should drink 2 liters of water each day." C. "I should increase my overall daily caloric intake by 300 calories." D. "I should take 600 micrograms of folic acid each day." 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 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 is in her first trimester. B. 3.6 kg (8 lb) weight gain and is in 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 first second & third trimester. 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 reports tingling 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 noses for the past week. A nurse is caring for a client who is pregnant and is to 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 nurse is caring for a client who is 15 weeks gestation, is Rh negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following this procedure? A. Check the client's temperature 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 is in the 8th week of gestation. The client states that 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 nurse is reviewing a new prescription for ferrous sulfate 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 foods to my diet while taking this medication" 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 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 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 nurse is providing care for a client who is 32 weeks gestation and who has placenta previa. The nurse notes that 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 nurse is caring for a client who has diagnosis of ruptured ectopic pregnancy. Which of the following findings is seen with this condition? A. No alteration in menses. B. Transvaginal ultrasound indicating a fetus in the uterus. C. Serum progesterone greater that the expected reference range. D. Report of severe shoulder pain. A nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis. The nurse should evaluate which of the following tests to assess fetal lung maturity? A. Alpfa fetoprotein(AFP) B. Lecithin/sphingomy elin (L/S) ratio C. Kleinhauer-Betke test D. Indirect Coombs' test A nurse is assessing a client who is at 36 weeks of gestation Which of the following findings should the nurse report to the provider? A. Report of urinary frequency B. Report of tingling of the fingers C. Report of visual disturbances D. Report of increase cramping in the legs A nurse is reviewing the laboratory findings of a client who is 37 weeks of gestation and has hypertension. With which of the following results should the nurse notify the provider? A. BUN 19 mg/dL B. Hematocrit 37% C. Creatinine 0/9 mg/dl D. Platelets 50,000/mm3 A nurse is administering magnesium sulfate IV to a client who has severe preeclampsia for seizure prophylaxis. Which of the following indicates magnesium sulfate toxicity? (select all that apply) A. Respirations less than 12/min B. Urinary output less than 30 ml/hr C. Hyperreflexic deep tendon reflexes D. Decreased level of consciousness E. Flushing and sweating A nurse is caring for a client who reports indications of preterm labor Which of the following findings are risk factors of this condition? (select all that apply) B. Multifetal pregnancy C. Oligohydramnios D. Diabetes mellitus E. Uterine abnormalities A nurse is caring for a client who has disseminated intravascular coagulation (DIC). Which of the following antepartum complications should the nurse understand is a risk factor for this condition? A. Preeclampsia B. Thrombophlebitis C. Placenta previa D. Hyperemesis gravidarum A nurse is reviewing the electronic monitor tracing of 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 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? (select all that apply) A. "it is considered a noninvasive procedure" B. "it can detect abnormal 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 be measure uterine contraction intensity" A nurse is caring for a client who is at 40 weeks of gestation and experiencing contractions every 3 to 5 min apart and becoming stronger. A vaginal exam reveals that the client's cervix is 3 cm dilated, 80% effaced, and -1 station. The client asks for pain medication. Which of the following actions should the nurse take? (select all that apply) A. Encourage the use of patterned breathing techniques. B. Insert an indwelling urinary catheter. C. Administer opioid analgesic medication. D. Suggest application of cold. E. Provide ice chips. A nurse is caring for a clien who is in active labor. The client reports lower back pain. The nurse suspects that this pain is related to persistent occiput posterior fetal position. Which of the following nonpharmacological nursing interventions should the nurse recommend to the client? A. Abdominal effleurage counterpressure B. Sacral C. Showering is not contraindicated D. Back rub and massage A nurse is caring for a client following the administration of an epidural block and is preparing to administer an IV fluid bolus. The client's partner asks about the purpose of the IV fluids. Which of the following is an appropriate response for the nurse to make? A. "It is needed to promote increased urine output" B. "It is needed to counteract respiratory depression" C. "It is needed to counteract hypotension" D. "It is needed to prevent oligohydramnios" The nurse's understanding of fetal position is that when the baby's head is at station 0 it means that the? A. Sagittal sutures can be felt in the left posterior position. B. Biparietal diameter of the head has passed the outlet. C. Posterior fontanels are first palpable. D. Level of the head is felt at the ischial spines. A client who is 34 weeks pregnant has just been admitted to the labor room in the first stage of labor. Which of the following clinical manifestations would be considered abnormal and would be reported to the physician immediately? A. Expulsion of a blood tinged mucous plug. B. Continuous contraction of 2 minutes duration. C. Feeling of pressure on perineum causing her to bear down. D. Expulsion of clear fluid from the vagina. A nurse is providing teaching to a client who is at 40 weeks gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching? A. "I can administer oxytocin 4 hours after the insertion of the medication." B. "You will need a full bladder prior to the insertion of the medication." C. "Remain in a side-lying position for 15 minutes after the medication is inserted." D. "You can take some antacids if needed after I give you this medication.' A nurse is caring for a client who is receiving oxytocin and has an IUPC placed to monitor uterine contractions. For which of the following contraction patterns 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 .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 is at risk for developing? A. Intrauterine growth restriction B. Hyperglycemia C. Meconium aspiration D. Polyhydramnios A nurse is completing a newborn assessment and observes small white nodules on the roof of the newborn's mouth. This finding is a characteristic of which of the following conditions? A. Mongolian spots B. Milia spots C. Erythema toxicum D. 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