2024 ATI Maternity OB Proctored Exam New Latest Version with All Questions and 100% Correct Answers and Rationale

Question 1:
A nurse is collecting data from a client who is postpartum. Which of the
following findings should alert the nurse to the possibility of a postpartum
complication?
A. Urinary output 2,000 mL/12 hr
B. Temperature 100.4 F for two days
C. Chills shortly following delivery
D. Fundus at umbilicus level
Show correct answer and explanation
Explanation
Choice A reason:
A urinary output of 2,000 mL/12 hr is normal for a postpartum client, as the body
eliminates excess fluid accumulated during pregnancy.
Choice B reason:
A temperature of 100.4 F for two days indicates a possible infection, such as
endometritis or mastitis, and requires further evaluation and treatment.
Choice C reason:
Chills shortly following delivery are common and benign and are caused by
hormonal changes and fluid shifts.
Choice D reason:
A fundus at the umbilicus level is expected for a postpartum client and indicates
that the uterus is involuting properly.
Question 2:
A nurse is caring for a client who has unrelieved episiotomy pain 8 hr following
delivery. Which of the following actions should the nurse take?
A. Prepare a warm sitz bath.
B. Apply an ice pack to the perineum.
C. Place a soft pillow under the client's butocks.
D. Position a heating lamp toward the episiotomy.
Show correct answer and explanation
Explanation
Choice A reason:
A warm sitz bath can promote healing and comfort, but it is not recommended
until 24 hr after delivery, as it can increase swelling and bleeding.
Choice B reason:
An ice pack can reduce inflammation and pain by causing vasoconstriction and
numbing the area. It should be applied for 20 minutes at a time, with a cloth
barrier between the skin and the ice.
Choice C reason:
A soft pillow under the client's butocks can increase pressure on the perineum
and worsen the pain. The client should be encouraged to lie on her side or sit in a
semi-Fowler's position.
Choice D reason:
A heating lamp can dry out the wound and delay healing. It can also cause burns
and discomfort. It should be avoided for episiotomy care.
Question 3:
A nurse is assisting with the care of a client who is multigravid and in active
labor with 7 cm of cervical dilation and 100% effacement. The fetus is at +1
station, and the client's amniotic membranes are intact. The client suddenly
states that she needs to push. Which of the following is the appropriate nursing
response?
A. Have the client pant during the next few contractions.
B. Assess the perineum for signs of crowning.
C. Assist the client into a comfortable position.
D. Help the client to the bathroom to empty her bladder.
Show correct answer and explanation
Explanation
Choice A reason: