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ATI OB Proctored Exam Practice Questions, Exams of Nursing

University of Toronto Nursing

ATI OB Proctored Exam Practice Questions and correct and verified answers for 2025/2026 graded A+,exams

Typology: Exams

2024/2025

Available from 07/02/2025

kennedy-wanjiru 🇨🇦

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ATI OB Proctored Exam Practice

Questions

A charge nurse is providing teaching to a newly hired nurse about the potential side

effects of an epidural anesthetic for a laboring client. Which of the following effects

should the charge nurse include in the teaching?

Newborn respiratory depression at birth

Impaired ability of the neonate to maintain body temperature

Impaired placental perfusion

Decreased fetal heart rate (FHR) variability

- Impaired placental perfusion

A nurse is teaching a postpartum client how to swaddle her newborn. Which of the

following statements by the parent demonstrates an understanding of the teaching?

"I should stop swaddling my baby once she is able to roll over by herself"

"My baby's legs should be extended straight out when I swaddle her"

"I should be able to slide just 1 finger between my baby's chest and the swaddled

blanket"

"After swaddling, I should place my baby on her side in her crib or bassinet"

- "I should stop swaddling my baby once she is able to roll over by herself"

Rolling over can tighten swaddle and make it hard to baby to breathe

A nurse is performing a physical assessment of a newborn. Which of the following

actions should the nurse take?

Measure the newborn's length from the anterior fontanel to the heel

Measure the newborn's weight while he is wearing a clean diaper

Measure the circumference of the newborn's head with a tape measure just above the

eyebrows

Measure the circumference on the newborn's chest with a tape measure 2 cm below the

nipple line

- Measure the circumference of the newborn's head with a tape measure just above the

eyebrows

A nurse is discussing diaphragm use with a client. Which of the following statements by

the client indicates an understanding of the teaching?

"I should clean my diaphragm with alcohol each time I use it"

"I should leave the diaphragm in for 4 hours after intercourse"

"I should replace my diaphragm every 2 years"

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ATI OB Proctored Exam Practice

Questions

A charge nurse is providing teaching to a newly hired nurse about the potential side effects of an epidural anesthetic for a laboring client. Which of the following effects should the charge nurse include in the teaching? Newborn respiratory depression at birth Impaired ability of the neonate to maintain body temperature Impaired placental perfusion Decreased fetal heart rate (FHR) variability

Impaired placental perfusion A nurse is teaching a postpartum client how to swaddle her newborn. Which of the following statements by the parent demonstrates an understanding of the teaching? "I should stop swaddling my baby once she is able to roll over by herself" "My baby's legs should be extended straight out when I swaddle her" "I should be able to slide just 1 finger between my baby's chest and the swaddled blanket" "After swaddling, I should place my baby on her side in her crib or bassinet"
"I should stop swaddling my baby once she is able to roll over by herself" Rolling over can tighten swaddle and make it hard to baby to breathe A nurse is performing a physical assessment of a newborn. Which of the following actions should the nurse take? Measure the newborn's length from the anterior fontanel to the heel Measure the newborn's weight while he is wearing a clean diaper Measure the circumference of the newborn's head with a tape measure just above the eyebrows Measure the circumference on the newborn's chest with a tape measure 2 cm below the nipple line
Measure the circumference of the newborn's head with a tape measure just above the eyebrows A nurse is discussing diaphragm use with a client. Which of the following statements by the client indicates an understanding of the teaching? "I should clean my diaphragm with alcohol each time I use it" "I should leave the diaphragm in for 4 hours after intercourse" "I should replace my diaphragm every 2 years"

"I should use a vaginal lubricant to insert my diaphragm"

"I should replace my diaphragm every 2 years" A nurse is providing teaching about the selection of commercial formula to the guardian of a newborn. Which of the following pieces of information should the nurse include? Soy-based formula is recommended to decrease colic Amino acid formula is recommended to increase the newborn's protein intake Cow's milk-based formula is recommended for healthy newborns Low-iron formula is recommended to prevent excess iron intake
Cow's milk-based formula is recommended for health newborns A nurse is providing care to a client who is in labor and experienced SROM. Which of the following findings require intervention by the nurse? Intense contractions lasting less than 30 seconds Rest periods between contractions lasting longer than 90 seconds Fetal heart rate decreased by 15/min Maternal temperature of 37.8C (100F) after ruptured membrane
Fetal heart rate decreased by 15/min Indicative of variable decelerations A nurse in labor & delivery is teaching a newly licensed nurse about performing the McRoberts maneuver to relieve shoulder dystocia. Which of the following pieces of information should the nurse include? Position the client on her hands & knees while in bed Flex the client's legs apart & raise her knees to her abdomen Apply gentle pressure on the clients fundus while she is lying supine Push the fetus's anterior shoulder under the symphysis pubis externally
Flex the client's legs apart and raise her knees to her abdomen A nurse is caring for a client who is nulliparous and experiencing hypertonic uterine dysfunction. An assessment indicates 3 cm dilation. Which of the following actions should the nurse take? Encourage the client to bear down with contractions Request a prescription to initiate oxytocin Offer the client hydrotherapy Assist the client with ambulation
Offer the client hydrotherapy Therapy rest measures should be initiated, such as hydrotherapy

Female will be carrier, male will have it A nurse is providing teaching about calcium intake to a client who is breastfeeding. Which of the following is the recommended daily calcium intake for a client who is breastfeeding? 800 mg 400 mg 1,000 mg 2,000 mg

1,000 mg A nurse is assessing a postpartum client who reports strong contractions whenever she breastfeeds her newborn. The nurse should respond with which of the following statements? "Prolactin in increasing the blood supply to your uterus, and you are feeling blood vessel engorgement" "You probably have a small blood clot in your uterus, which is causing the uterus to contract in order to expel it" "Your breasts are secreting a hormone that enters the bloodstream & causes your abdominal muscles to contract" "The same hormone that is released in response to the baby's sucking & causes milk to flow also makes the uterus contact"
"The same hormone that is released in response to the baby's sucking & causes milk to flow also makes the uterus contact" Oxytocin A nurse is caring for a client who is in labor & asks her partner to perform effleurage. The client has on a monitor for belt electronic fetal monitoring. Which of the following instructions should the nurse provide to the client's partner? "Lightly stroke the upper thighs" Steadily apply pressure to the sacrum" "Gently massage the mid-abdominal area" "Firmly squeeze both hips"
"Lightly stroke the upper thighs" A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following clinical findings should the nurse expect?

Extended periods of sleep Poor muscle tone Respiratory rate 50/min Exaggerated reflexes

Exaggerated reflexes CNS hyperactivity r/t neonatal abstinence syndrome A nurse is preparing to administer routine medications to a newborn following birth. Which of the following actions should the nurse take? Administer vitamin K subcutaneously Administer erythromycin eye ointment within 12 hrs Administer erythromycin eye ointment from the outer canthus toward the inner canthus Administer vitamin K in the newborn's thigh
Administer vitamin K in the newborn's thigh Vastus lateralis A nurse at a clinic is preparing to teach the process of involution to a group of antenatal clients. Which of the following information should the nurse provide? The fundus if approximately 2 cm above the level of the umbilicus at the end of the third stage of labor The fundus is approximately 3 cm above the umbilicus within 12 hours after delivery The fundus is located halfway between the umbilicus & the mons pubis on the sixth day postpartum The fundus is not palpable abdominally at 2 wks postpartum
The fundus is not palpable abdominally at 2 wks postpartum 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? Send a sample of amniotic fluid to the laboratory to screen the client for chlamydia Send a sample of amniotic fluid to the laboratory to test for an elevated Rh-negative titer Administer immune globulin to the client to prevent fetal isoimmunization Administer intravenous antibiotics to prevent an infection
Administer immune globulin to the client to prevent fetal isoimmunization A nurse is caring for a newborn who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect & report to the provider? Weak cry Absent Moro reflex Constipation

A nurse is preparing to perform Leopold's maneuvers on a client who is in labor. Which of the following actions should the nurse plan to take? Ensure the client has a full bladder Stand at the client's right side if the nurse is right-handed Assist the client onto her back w/ knees extended Palpate the outline of the fetus's head with palms of the hands

Stand at the client's right side if the nurse is right-handed A nurse is assessing a client who is receiving morphine via PCA pump following a cesarean birth. Which of the following findings should the nurse report to the provider? RR of 14/min Temperature of 37.8C (100F) Dizziness upon rising Urine output of 20mL/hr
Urine output of 20mL/hr Should have at least 30mL/hr Opioid analgesics can cause urinary retention A nurse is planning care for a client in labor who is positive for HIV. Which of the following actions should the nurse take after the baby is born? Encourage the mother to breastfeed Administer the hepatitis B vaccine prior to discharge Implement contact & droplet precautions when providing care for the infant Collect a cord blood specimen to test for presence of HIV
Administer the hepatitis B vaccine prior to discharge A nurse is caring for a preterm newborn who is receiving oxygen therapy. Which of the following findings should the nurse identify as a potential complication of the oxygen therapy? Atelectasis Retinopathy Interstitial emphysema Necrotizing enterocolitis
Retinopathy A nurse is teaching a client who has active genital herpes simplex virus, type 2. Which of the following statements should the nurse include in the teaching? "You will have a cesarean birth prior to the onset of labor" "Your baby with receive erythromycin eye ointment after birth to treat the infection" "You should take oral metronidazole for 7 days prior to 37 weeks"

"You should schedule a cesarean birth after your water breaks/

"You will have a cesarean birth prior to the onset of labor" A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33 weeks of gestation. For which of the following results should the nurse notify the provider? Hgb 11.3 g/dL Platelet count 135,000/mm^ WBC count 10,500/mm^ HCt 38%
Platelet count 135,000/mm^ A nurse is providing discharge teaching to a client following the removal of a hydatidiform mole. Which of the following statements should the nurse include in the teaching? "Do not become pregnant for at least 1 year" "Seek genetic counseling for yourself and your partner prior to getting pregnant again" "You should have an hCG level drawin in 6 weeks" "Have you blood pressure checked weekly for the next month"
"Do not become pregnant for at least 1 year" A nurse is discussing contraceptive choices with a client who has a history of thrombophlebitis. Which of the following methods on contraception should the nurse recommend? Copper intrauterine device Combination pill Vaginal ring Medroxyprogesterone injection
Copper intrauterine device A nurse is caring for a client who is 8 hr postpartum & ix experiencing hemorrhage. Which of the following actions should the nurse implement after notifying the provider? SATA Massage the fundus Give oxygen at 2L/min via nasal cannula Administer oxytocin w/ IV fluids Insert an indwelling urinary catheter Place the client in a lateral position with her legs elevated 30 degrees
Massage the fundus Administer oxytocin w/ IV fluids Insert an indwelling catheter Place the client in a lateral position w/ her legs elevated 30 degrees

Decreased blood glucose Rapid pulse rate Irritability

Decreased blood glucose A nurse is teaching a prenatal class about pain management during labor. Which of the following statements should the nurse identify as an indication that the client understands the instructions? "I can apply a heating pad to my back to relieve back pain" "I can have a low spinal block to help with labor pain" "I can have butorphanol every 2 hours during labor" "My time limit for staying in the hydrotherapy tub is 30 minutes"
"I can apply a heating pad to my back to relieve back pain" A nurse in a newborn nursery has received reports on 4 newborns. Which of the following newborns should the nurse identify as requiring intervention? A newborn who has acrocyanosis A newborn who has maculuar, papular, vesicular rash on the torso A newborn who has a blood glucose level of 54 mg/dL A newborn whose axillary temperature is 36.1C (96.9F)
A newborn whose axillary temperature is 36.1C (96.9F) A nurse is caring for a client who is in labor. The nurse decides to switch from intermittent auscultation to continuous fetal monitoring. Which of the following data can only be obtained from continuous electronic fetal monitoring? Determination of a baseline Determination of variability Presence of accelerations Presence of decelerations
Determination of variability A nurse is caring for a client who has experienced a SROM & has prolonged decelerations on the fetal monitor. Which of the following conditions should the nurse expect? Uterine rupture Placental abruption Prolapsed umbilical cord Amniotic fluid embolism
Prolapsed umbilical cord A nurse is assessing a newborn at birth who was delivered at 32 wks gestation. Which of the following findings should the nurse anticipate?

Heel creases over the entire sole of the foot Pendulous testes Extended extremities Leathery cracked skin

Extended extremities A nurse is assessing a newborn for hip dysplasia. Which of the following findings should the nurse expect? Legs that are shorter than the arms Temperature of one leg differing from that of the other Symmetrical gluteal folds Limited abduction of a hip
Limited abduction of a hip A nurse is caring for a client who is postpartum and reports that her episiotomy incision is pulling & stinging. Which of the following actions should the nurse take? Encourage the client to ambulate Provide a sitz bath with warm water for the client Instruct the client to perform Kegel exercises Apply anesthetic cream topically each hour while the client is awake
Provide a sitz bath with warm water for the client Decreases episiotomy discomfort A nurse is assisting with the care of a client who is in labor. The nurse observes late decels on the fetal monitor. Which of the following actions should the nurse take? Decrease the rate of client's maintenance IV fluid Place the client in a left lateral position Apply oxygen at 2 L/min via nasal cannula Prepare the client for an amniocentesis
Place the client in a left lateral position A nurse is assessing a client who is at 26 weeks of gestation & has mild preeclampsia. Which of the following findings should the nurse report to the provider? Platelet count 97,000/mm^ Deep tendon reflex 4+ Urine protein 1+ BUN 22 mg/dL
Deep tendon reflex 4+ Others are expected findings w/ mild preeclampsia

2,000 mL urine since delivery 3+ deep tendon reflexes Fundus at umbilicus Soft breasts

3+ deep tendon reflexes Can indicated preeclampsia A nurse is preparing care for a client who is in the second stage of labor. The fetal heart tracing indicates multiple variable decelerations. Which of the following actions should the nurse take? Prepare for an amnioinfusion Place the client in a supine position Administer oxygen 2 L/min via nasal cannula Give a glucocorticoid
Prepare for an amnioinfusion To decrease cord compression A nurse is teaching a client about physiological changes that can occur with menopause. Which of the following changes should the nurse include? Urinary hesitancy Hematuria Stress incontinence Increased vaginal moisture
Stress incontinence A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following situations should the nurse administer Rh(D) Immune Globulin? While the client is in labor Following an episode of influenza during pregnancy Prior to a blood transfusion At 28 weeks of gestation
At 28 weeks of gestation A nurse is caring for client who has a prescription for naloxone. Which of the following is the intended action of the medication in relation to the CNS? Accentuate effects of narcotics on the CNS Depress activity of the CNS Block effects of narcotics on the CNS Stimulate activity of the CNS
Block effects of narcotics on the CNS

A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the following findings is a contraindication for the use of this device? Hypertension Menorrhagia History of multiple gestations History of thromboembolic disease

Menorrhagia Period bleeding >7 days A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse provide to the client about the treatment plan? "Your partner needs to be cultured and be treated with metronidazole only if his cultures are positive" "Your and your partner need to take this medication and use a condom during intercourse until cultures are negative" "If both you and your partner are treat simultaneously, you may continue to engage in sexual intercourse." "Only you will need to take the metronidazole, but you should not have intercourse until your culture is negative."
"You and your partner need to take the medication and use a condom during intercourse until cultures are negative." A nurse is caring for a newborn who was born to a client who has narcotic use disorder. Which of the following nursing actions should the nurse identify as a contraindication for the care of the newborn? Promote maternal-newborn bonding Tight swaddling of the newborn Small frequent feedings Frequent stimulation
Frequent stimulation A nurse is caring for a client who is at 39 wks gestation & is in active labor. Which of the following actions should the nurse include in the plan of care? Keep four side rails up while the client is in bed Monitor FHR every hour Insert an indwelling catheter Check the cervix prior to analgesic administration
Check the cervix prior to analgesic administration

Percuss the maternal abdomen to verify the position of the fetus

Palpate and count the maternal while listening to the FHR A nurse is providing education to a female client of child-bearing age. The nurse should state that which of the following structures expels the mature ovum? Blastocyst Fallopian tube Corpus luteum Graafian follicle
Graafian follicle A nurse is caring for a client who has a precipitous delivery. Which of the following assessments in the priority during the fourth stage of labor? Obtaining the client's temperature Inspecting the client's perineum Palpating the client's fundus Checking the client for hemorrhoids
Palpating the client's fundus

ATI OB Proctored Exam Practice Questions, Exams of Nursing

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ATI OB Proctored Exam Practice

Questions