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太好了！以下是根据你提供的 study guide 内容整理的 第1–10题：ATI风格产科模拟考题 （中英⽂双语讲解） ：
✅ 1. A nurse is caring for a client who reports painless vaginal bleeding at 32
weeks of gestation. Which of the following actions should the nurse take first?
A. Perform a sterile vaginal exam B. Prepare for an emergency cesarean delivery C. Assess fetal heart tones D. Apply an external fetal monitor ✅ Correct Answer: D. Apply an external fetal monitor 解析： ⾸要任务是 评估胎⼉状况 ，应⽤胎⼼监护器快速判断胎⼼率和变异性。 A选项（内 诊）应避免 ，因怀疑前置胎盘可能导致⼤出⾎。
✅ 2. A client at 36 weeks gestation is diagnosed with placenta previa. Which
of the following instructions should the nurse reinforce?
A. Monitor fetal movements twice per week B. Avoid vaginal exams C. Expect spontaneous vaginal delivery D. Limit fluid intake to reduce edema ✅ Correct Answer: B. Avoid vaginal exams 解析： 前置胎盘禁忌阴道检查，以防损伤胎盘导致出⾎。
✅ 3. A nurse is reviewing laboratory results of a client who is at 30 weeks
gestation. Which of the following findings should the nurse report?
A. Hgb 11.2 g/dL B. Hct 34% C. Platelets 220,000/mm³ D. Proteinuria +
✅ Correct Answer: D. Proteinuria + 解析： 孕中期出现+2蛋⽩尿应警惕 先兆⼦痫 ，需进⼀步评估⾎压与症状。
✅ 4. A nurse is assessing a newborn. Which of the following findings is
expected with caput succedaneum?
护⼠正在评估⼀位新⽣⼉。以下哪项体征提⽰为 胎头⽔肿 （caput succedaneum）？ A. Swelling that crosses the suture lines B. Soft, fluctuant swelling appearing after 24 hr C. Localized edema that does not cross sutures D. Hemorrhagic swelling on one parietal bone ✅ Correct Answer: A. Swelling that crosses the suture lines 解析： caput 是分娩过程中产⽣的头⽪下⽔肿，可 跨越颅⾻缝 ，出⽣时即存在。
✅ 5. A client is admitted with abruptio placentae. Which of the following
manifestations should the nurse expect?
A. Painless, bright red vaginal bleeding B. Soft, relaxed uterus C. Dark red vaginal bleeding with uterine tenderness D. Absence of contractions ✅ Correct Answer: C. Dark red vaginal bleeding with uterine tenderness 解析： 胎盘早剥典型表现包括 疼痛性阴道出⾎ 、 ⼦宫压痛和紧张 ，与前置胎盘区别明 显。
✅ 6. A nurse is caring for a client who is receiving magnesium sulfate IV.
Which of the following findings requires immediate intervention?
A. Deep tendon reflexes + B. Urine output 40 mL/hr
A. Administer oxytocin IV B. Massage the fundus C. Assist the client to void D. Notify the provider ✅ Correct Answer: C. Assist the client to void 解析： ⼦宫偏右通常是 膀胱充盈 造成的，应先协助排尿，⼦宫⾃然恢复居中并变硬。
✅ 10. A nurse is teaching a pregnant client about true labor. Which of the
following statements by the client indicates understanding?
A. “My contractions stop when I lie down.” B. “I only feel tightness in my lower abdomen.” C. “The contractions become stronger and closer together.” D. “My cervix is not changing.” ✅ Correct Answer: C. “The contractions become stronger and closer together.” 解析： 真正宫缩 规律增强 ，伴随⼦宫颈扩张和变薄；假性宫缩不规则，⽆宫颈变化。 要继续⽣成第11–20题吗？是否希望最后⼀并汇总成 Word 或 PDF ⽂件？ 好的！以下是第 11–20题 的 ATI 风格产科模拟考题（含中英⽂讲解）：
✅ 11. A nurse is reviewing the Apgar score of a newborn who has a heart rate
of 110/min, cries vigorously, has flexed extremities, a strong cry, and a pink
body with blue extremities. What is the newborn’s total score?
护⼠正在评估⼀名新⽣⼉的 Apgar 评分，该婴⼉⼼率 110 次/分钟，⼤声哭泣，四肢屈曲， ⾝体红润但四肢发青，总评分是多少？ A. 10 B. 9 C. 8 D. 7 ✅ Correct Answer: B. 9 解析： 除了 ⽪肤颜⾊（末梢发青得 1 分） ，其他项⽬均为 2 分，总分 9 。
✅ 12. Which of the following findings should the nurse expect in a client with
a hydatidiform mole?
A. Fetal heart tones detected B. Hyperemesis gravidarum C. Uterus smaller than expected D. Low hCG levels ✅ Correct Answer: B. Hyperemesis gravidarum 解析： 葡萄胎患者 hCG 升⾼显著，易引发 妊娠剧吐 ，且⽆胎⼼⾳，⼦宫常⼤于孕周。
✅ 13. A client at 39 weeks gestation has ruptured membranes. The nurse
observes meconium-stained amniotic fluid. Which of the following is the
priority action?
A. Notify the provider B. Prepare for cesarean section C. Evaluate fetal heart rate pattern D. Monitor temperature every hour ✅ Correct Answer: C. Evaluate fetal heart rate pattern 解析： 胎粪染⾊提⽰胎⼉可能窘迫， 应⽴即评估胎⼼ ，确认是否有减速或缺氧。
✅ 14. A postpartum client reports nipple soreness while breastfeeding.
Which of the following instructions should the nurse provide?
A. Use soap and water to clean nipples after each feeding B. Alternate breasts every 10 minutes C. Ensure proper infant latch-on technique D. Apply cold compresses to nipples after feeding
C. Blood glucose 45 mg/dL D. Axillary temperature 36.1°C (97°F) ✅ Correct Answer: D. Axillary temperature 36.1°C (97°F) 解析： 正常腋温应为 36.5–37.5°C ， 36.1°C属低温 ，可能提⽰热丧失、感染或代谢异常。
✅ 18. A nurse is assessing a postpartum client’s fundus and notes that it is
deviated to the right and boggy. Which of the following actions should the
nurse take first?
A. Notify the provider B. Administer oxytocin C. Assist the client to the bathroom D. Perform fundal massage ✅ Correct Answer: C. Assist the client to the bathroom 解析： 膀胱充盈 会推移⼦宫，造成收缩不良与出⾎。应先 协助排尿 ，再复查⼦宫收缩情 况。
✅ 19. A nurse is preparing to administer Rho(D) immune globulin to a
postpartum client. Which of the following actions should the nurse take prior
to administration?
准备给Rh阴性产妇注射Rh免疫球蛋⽩前，护⼠应先做什么？ A. Confirm the infant’s blood type B. Obtain maternal antibody titer C. Assess fundal height D. Monitor maternal BP ✅ Correct Answer: A. Confirm the infant’s blood type 解析： 仅在婴⼉Rh阳性时才需要注射Rh免疫球蛋⽩，因此必须 先确认新⽣⼉⾎型 。
✅ 20. A nurse is caring for a client in labor. Which of the following would
indicate the client is in the transition phase of labor?
护⼠评估产妇已进⼊分娩 过渡期（transition phase） ，以下哪项表现最符合？ A. Cervical dilation 4 cm B. Strong urge to push C. Client feels the need to defecate D. Mild, irregular contractions ✅ Correct Answer: C. Client feels the need to defecate 解析： 过渡期宫⼜约8–10 cm，胎头压迫直肠会产⽣ 排便感 ，是临近第⼆产程的重要表 现。 📚 要继续第21–30题吗？我也可以在完成每 30 或 50 题后为你打包成复习⽤ PDF/Word ⽂ 档。是否继续？ 明⽩了！下⾯是第 21–30题 的 ATI 风格模拟题（含中英⽂解析）：
✅ 21. A nurse is reviewing discharge teaching with a client who had a
miscarriage. Which of the following statements indicates a need for further
teaching?
A. “I will avoid pregnancy for at least 3 months.” B. “I can have sex once bleeding stops.” C. “I will call my provider if I have a fever.” D. “I will begin oral contraceptives immediately.” ✅ Correct Answer: D. “I will begin oral contraceptives immediately.” 解析： 抗⽣素和避孕需在 评估感染排除后进⾏ ，⽴即开始可能遮蔽感染征象。
✅ 22. Which of the following is a probable sign of pregnancy?
A. Amenorrhea B. Nausea and vomiting C. Chadwick’s sign D. Quickening
✅ Correct Answer: A. Encourage frequent position changes 解析： 初期⿎励体位改变可促进宫颈扩张与胎头下降。推宫时机应在第⼆产程。
✅ 26. A nurse is preparing to administer vitamin K to a newborn. Which site
is appropriate?
准备给新⽣⼉注射维⽣素K，以下哪⼀注射部位正确？
A. Deltoid B. Gluteus maximus C. Vastus lateralis D. Abdomen ✅ Correct Answer: C. Vastus lateralis 解析： 新⽣⼉肌⾁注射应选择 ⼤腿外侧肌（vastus lateralis） ，此处肌⾁最发达、安全。
✅ 27. A nurse is assessing a newborn and notes a large cephalhematoma.
Which of the following should the nurse monitor for?
A. Hypothermia B. Hyperbilirubinemia C. Hypoglycemia D. Apnea ✅ Correct Answer: B. Hyperbilirubinemia 解析： 头⾎肿中的⾎液分解产物会增加胆红素， 需监测黄疸 发展。
✅ 28. A nurse is assessing a client in active labor. Cervix is 8 cm, 100%
effaced, station 0. Which phase of labor is this?
孕妇宫⼜开8cm，宫颈展平100%，先露为 0 位。此为哪⼀产程阶段？ A. Latent phase B. Active phase C. Transition phase D. Second stage
✅ Correct Answer: C. Transition phase 解析： 8–10cm 宫⼜开⼤属过渡期 ，常伴焦躁不安、恶⼼、排便感等症状。
✅ 29. A nurse is caring for a newborn who is small for gestational age (SGA).
Which of the following findings is expected?
新⽣⼉为孕周⼩型⼉（SGA），以下哪项为常见表现？
A. Excessive subcutaneous fat B. Wide anterior fontanel C. Loose, dry skin D. Macrosomia ✅ Correct Answer: C. Loose, dry skin 解析： SGA 婴⼉ ⽪下脂肪减少 ，易见⽪肤松弛、皱缩、低⾎糖等。
✅ 30. A nurse is assessing a client at 28 weeks gestation during a nonstress
test (NST). The fetal heart rate shows moderate variability and accelerates
with fetal movement. Which of the following interpretations is appropriate?
孕 28 周孕妇进⾏NST检查，胎⼼有中度变异，胎动后⼼率加速，如何判断？
A. Nonreactive NST B. Reactive NST C. Negative contraction test D. Positive contraction test ✅ Correct Answer: B. Reactive NST 解析： 有 加速 （15 bpm 持续 15 秒）与 变异性良好 ，为 反应良好（Reactive）NST ，提⽰ 胎⼉健康。 是否继续⽣成第31–40题？每完成 30 题我也可以同时汇总成复习⽂档（Word 或 PDF）⽅ 便你整理。是否⼀起导出？ ⾮常好！下⾯是第 31–40题 的 ATI 风格产科模拟题（含中英⽂解析）：
✅ 34. A nurse is caring for a postpartum client who is receiving oxytocin to
control postpartum bleeding. Which of the following is a priority assessment?
护⼠为⼀名正在接受催产素（Oxytocin）以控制产后出⾎的产妇提供护理。⾸要评估是哪 ⼀项？ A. Pain level B. Urine output C. Bowel sounds D. Breast fullness ✅ Correct Answer: B. Urine output 解析： Oxytocin 可引起 ⽔潴留和抗利尿作⽤ ，需密切监测尿量预防⽔中毒。
✅ 35. Which of the following indicates the fetus is in vertex presentation?
下列哪项提⽰胎⼉为 头位（vertex presentation） ？ A. Sacrum is felt in the pelvis B. Brow is felt during vaginal exam C. Buttocks are presenting D. Occiput is palpated during Leopold’s maneuver ✅ Correct Answer: D. Occiput is palpated during Leopold’s maneuver 解析： 枕⾻（occiput）为头位标志 ，若触到枕⾻表⽰头位呈现；骶⾻/臀位为臀产式。
✅ 36. A nurse is reinforcing teaching to a postpartum client about mastitis.
Which of the following statements indicates understanding?
A. “I will stop breastfeeding until the infection clears.” B. “I will wear a tight-fitting bra.” C. “I should begin antibiotics and continue breastfeeding.” D. “I will clean my nipples with alcohol before each feeding.” ✅ Correct Answer: C. I should begin antibiotics and continue breastfeeding 解析： 乳腺炎时应 继续哺乳以促进乳管通畅 ，并使⽤抗⽣素。不能⽤酒精擦乳头。
✅ 37. Which of the following findings indicates the newborn is experiencing
pathologic jaundice?
A. Yellowing of skin at 72 hours after birth B. Bilirubin <12 mg/dL C. Appears within first 24 hours D. Resolves in 7–10 days ✅ Correct Answer: C. Appears within first 24 hours 解析： 病理性黄疸 常在出⽣ 24 ⼩时内出现 ，进展快，胆红素升⾼迅速，需及时处理。
✅ 38. A nurse is assessing a client with gestational diabetes. Which of the
following fetal complications is most concerning?
A. Macrosomia B. Hypoglycemia C. Hyperbilirubinemia D. Respiratory distress syndrome ✅ Correct Answer: D. Respiratory distress syndrome 解析： 虽然其他都是妊糖并发症，但 肺成熟延迟导致RDS 是最严重的危机之⼀。
✅ 39. Which of the following actions should the nurse take to prevent deep
vein thrombosis (DVT) in a postpartum client?
护⼠应如何预防产妇发⽣DVT？
A. Encourage early ambulation B. Apply cold compresses C. Limit oral intake D. Massage the lower extremities
✅ 42. A nurse is caring for a newborn whose mother had gestational
hypertension. Which of the following conditions should the nurse monitor for
in the newborn?
A. Hypoglycemia B. Hyperthermia C. Polycythemia D. Hypernatremia ✅ Correct Answer: A. Hypoglycemia 解析： 妊⾼症胎盘灌注下降，胎⼉营养供应受限，易出现 低⾎糖、宫内发育迟缓等问 题 。
✅ 43. A nurse is teaching a prenatal class about signs of labor. Which of the
following is a sign of true labor?
A. Relief of pressure under the ribcage B. Vaginal discharge thickens C. Contractions intensify with walking D. Fetal movements increase ✅ Correct Answer: C. Contractions intensify with walking 解析： 真正宫缩 会随着活动加重，⽽假性宫缩会减轻或消失。
✅ 44. A nurse is reinforcing discharge teaching with a postpartum client
about postpartum blues. Which of the following client statements indicates
understanding?
A. “This means I have postpartum depression.” B. “I should call my provider if I feel sad for more than 2 weeks.” C. “I will need medication to feel better.” D. “This means I’m a bad mother.”
✅ Correct Answer: B. “I should call my provider if I feel sad for more than 2 weeks.” 解析： 产后忧郁 通常在 2 周内⾃⾏缓解 ，如症状持续超 2 周应排查抑郁症。
✅ 45. A nurse is assisting with the care of a client who is receiving IV
oxytocin. The nurse notes late decelerations on the fetal monitor. Which of the
following actions should the nurse take first?
A. Administer oxygen B. Turn client to left side C. Stop oxytocin infusion D. Notify provider ✅ Correct Answer: C. Stop oxytocin infusion 解析： 产素刺激可能导致胎盘灌注不⾜，出现 晚期减速 ，应 ⽴即停药 解除诱因。
✅ 46. Which of the following symptoms should the nurse expect in a client
with magnesium sulfate toxicity?
A. Increased respiratory rate B. Hyperactive reflexes C. Urine output <30 mL/hr D. Seizure activity ✅ Correct Answer: C. Urine output <30 mL/hr 解析： 镁经肾排出， 尿量减少会加剧中毒风险 ，同时也伴有呼吸抑制和DTR减弱。
✅ 47. A nurse is assessing a client at 36 weeks of gestation who has mild
preeclampsia. Which of the following findings should the nurse report to the
provider?
A. DTR +
B. Proteinuria +
A. Acrocyanosis B. Respiratory rate of 56/min C. Heart murmur D. Grunting with nasal flaring ✅ Correct Answer: D. Grunting with nasal flaring 解析： 呻吟声和⿐翼扇动是呼吸窘迫征象 ，应及时⼲预与转诊。 📘 已完成 50 道题！ 是否继续⽣成第 51–60题 ？或现在希望我为你整理成 Word 或 PDF ⽂件⽅便复习？ 好的，以下是第 51–60题 的 ATI 风格产科模拟考题（含中英⽂解析）：
✅ 51. A nurse is caring for a client who is in the latent phase of labor and
requests pain relief. Which of the following interventions is appropriate?
A. Administer general anesthesia B. Begin continuous epidural infusion immediately C. Provide breathing techniques and back massage D. Administer oxytocin for faster labor progression ✅ Correct Answer: C. Provide breathing techniques and back massage 解析： 潜伏期不建议过早使⽤⿇醉。⾮药物性⽌痛法（如按摩与呼吸法）是⾸选。
✅ 52. A nurse is monitoring a client in active labor with an external fetal
monitor and notes prolonged decelerations. What is the nurse’s priority
action?
护⼠发现⼀名产妇胎⼼监护出现 持续减速（prolonged deceleration） ，⾸要措施是什么？ A. Notify the provider B. Apply oxygen via nonrebreather mask C. Reposition the client D. Prepare for cesarean delivery
✅ Correct Answer: C. Reposition the client 解析： ⾸要是 左侧卧位或改变体位 ，改善胎盘灌注；若⽆改善再采取其他⼲预。
✅ 53. A nurse is caring for a client who is 6 hours postpartum. Which of the
following findings requires immediate attention?
A. Perineal discomfort B. Small clots in lochia rubra C. Fundus firm and midline D. Saturated perineal pad in 20 minutes ✅ Correct Answer: D. Saturated perineal pad in 20 minutes 解析： 20 分钟内垫⼦浸湿属活动性⼤出⾎ ，需⽴即评估并启动出⾎处理流程。
✅ 54. A client in active labor reports pressure and the urge to have a bowel
movement. Which action should the nurse take first?
A. Perform vaginal exam B. Provide bedpan C. Check fetal heart rate D. Administer pain medication ✅ Correct Answer: A. Perform vaginal exam 解析： 排便感常为胎头压迫直肠信号 ，提⽰宫⼜可能开全，需⽴即做阴道检查确认是否 进⼊第⼆产程。
✅ 55. A nurse is assessing a 2-day-old newborn who is being breastfed.
Which of the following findings should the nurse report?
A. Weight loss of 8% B. Yellowish seedy stool
