OB ATI

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Sample questions from OB ATI

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a labor unit, a 19-year-old client at 39 weeks has recurrent late fetal heart rate decelerations. Which action should the nurse take first?

   • A.Encourage pushing with each contraction
   • B.Reposition the client to a lateral position
   • C.Prepare the client for discharge
   • D.Increase the oxytocin infusion

   Rationale: Lateral repositioning can improve uteroplacental perfusion and is an immediate response to late decelerations. Increasing oxytocin can worsen fetal intolerance, and discharge is unsafe while the tracing is abnormal. Pushing is inappropriate before assessing fetal status and labor progress.

2. 2.In a labor unit, a 21-year-old client receiving magnesium sulfate for preeclampsia has a respiratory rate of 10/min, patellar reflexes absent, and urine output of 20 mL in the past hour. Which actions should the nurse take? Select all that apply.

   • A.Continue the infusion and reassess in 30 minutes
   • B.Place the client supine
   • C.Stop the magnesium sulfate infusion
   • D.Prepare to administer calcium gluconate as prescribed
   • E.Assess oxygenation and support respirations as needed
   • F.Notify the provider immediately

   Rationale: Stopping the infusion and promptly notifying the provider are indicated by respiratory depression, absent reflexes, and oliguria, which suggest magnesium toxicity. Calcium gluconate is the antidote, and respiratory support may be needed. Continuing the infusion risks worsening toxicity, while supine positioning can impair venous return and does not address the emergency.

3. 3.During a home visit, a 23-year-old client 5 days after birth reports soaking one pad in 20 minutes and feeling faint. Which instruction is the priority?

   • A.Increase oral fluids and recheck tomorrow
   • B.Schedule a routine postpartum visit
   • C.Call emergency services now
   • D.Rest and count pads for the next 2 hours

   Rationale: Heavy postpartum bleeding with faintness can indicate hemorrhage and requires emergency evaluation. Waiting to count pads or arranging routine follow-up could delay lifesaving care. Fluids do not treat acute blood loss.

4. 4.On a postpartum unit, a 24-year-old client with a third-degree perineal laceration asks for pain relief before walking. Which action best supports safe mobility?

   • A.Withhold pain medication until after walking
   • B.Ask an unlicensed assistive personnel to assess the laceration
   • C.Tell the client to walk quickly to reduce stiffness
   • D.Give the prescribed analgesic and reassess before ambulation

   Answer and rationale are in the full material.

5. 5.A 25-year-old client at 30 weeks is admitted with preterm contractions and intact membranes. Which task is appropriate to delegate to an experienced unlicensed assistive personnel?

   • A.Obtain and record routine vital signs
   • B.Interpret the fetal heart tracing
   • C.Teach signs of preterm labor
   • D.Assess cervical dilation

   Answer and rationale are in the full material.