OB ATI questions

thumb and forefinger forming C. Legs extending before pullin upward.

A nurse collecting data from a full term newborn who is demonstrating the moro reflex which of the following movements are expected

platelets count 135,000/mm platelet range:150,000-450,000 Hbg <11g/dl WBC > 15,000 Hct <33%

A nurse in a prenatal clinic is reviewing the laboratory results of a clients who is at 33 week of gestation. for which of the following results should the nurse notify the provider.

accepting the pregnancy

A nurse in a providers office is caring for a client who is in the first trimester of pregnancy. which psychological tasks should the nurse expect

Administer immune globulin to the client to prevent fetal isoimmunization.

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.

Abundant Lanugo

A nurse is assisting with obtaining a new Ballard score for a new born. which of the following manifestation indicated prematurity?

Dry the new born on the mothers chest.

A nurse is assisting with the care of a newborn immediately after birth. The newborn is pink and crying and has a heart rate of 108/min. Which of the following actions should the nurse take?

dry the newborn

A nurse is assisting with the care of a newborn immediately following birth. what actions should the nurse take first.

retinopathy

A nurse is assisting with the care of a preterm newborn receiving oxygen therapy. which of the following finding should the nurse identify as a potential complication from the oxygen therapy

fetal asphyxia oxytocin can cause tachysystole

A nurse is assisting with the care of client who is in labor and is receiving oxytocin. the nurse should monitor the client for which of the following potential adverse effects?

ensure the newborn's eyes are closed before applying the eye shield.

A nurse is assisting with the plan of care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following actions should actions should the nurse include in the plan of care?

the true contractions will begin with irregularly and then become regular in timing.

A nurse is caring for a client who asks, " how will I know of I'm having true or false labor contractions? which of the following responses should the nurse make?

instruct the client to apply compresses

A nurse is caring for a client who is 3 days postpartum and has chosen to bottle feeding to the newborn. During examination of the clients breast the nurse notes that they are warm and firm. which of the following actions should the nurse plan to take.

present the older children with a small gift and say its from the baby.

A nurse is caring for a client who is 48 hrs postpartum. the client expresses distress about the older children's acceptance of the new baby. which statements should the nurse make?

a foul-smelling lochia rational endometritis is an infection of the lining of the uterus. s/s chills, anorexia fatigue, pelvic pain, uterine tenderness, and foul smelling lochia.

A nurse is collecting data from a client who is postpartum. the nurse should identify which of the following finding as a manifestation of endometritis?

auscultation of a fetal hear is a positive (conclusive) sign of pregnancy.

A nurse is collecting data from a client who missed 2 menstrual cycles and states that she might be pregnant which of the following finding is a positive sign of pregnancy?

extended extremities 32 week gestation the baby has poorly developed muscle tone.

A nurse is collecting data from a new born at birth who was delivered at 32 weeks of gestation. which of the following findings should the nurse anticipate?

decreased temperature

A nurse is collecting data from a new born who has hypoglycemia. which of the following finding should the nurse except.

apply the ointment in the lower conjunctival sac of each eye

A nurse is preparing to administer erythromycin ophthalmic ointment 0.5% to a new born. which of the following actions should the nurse plan to take?

the newborn's skin will appear completely pink.

A nurse is preparing to provide care of a newborn who was recently assigned to Apgar score of 2 for color. which of the following finding should the nurse expect to observe in the newborn?

i will apply petroleum jelly to my baby's penis for the first few days.

A nurse is reinforcing discharge teaching about circumcision care for the parent of a new born who has undergone a gomco clamp procedure. which of the following statements would indicate an understanding.

i should use my elbow to check the temperature of the babys bath water.

A nurse is reinforcing discharge teaching the the parents of a newborn about home safety. what statement indicates understanding.

gaffian follicle

A nurse is reinforcing education with a client who is in the childbearing age. the nurse should state that which of the following structures expells on its own ?

avoid using wipes on the site during diaper changes.

A nurse is reinforcing teaching about circumcision care with a parent of a newborn. which of the following instructions should the nurse include.

mix 1 scoop of powdered formula with 2 oz of water.

A nurse is reinforcing teaching about formula feeding with the guardian of a newborn. which pieces of information should the nurse include?

i should be careful to avoid becoming pregnant within the next month

A nurse is reinforcing teaching about the rubella immunization with a client who is 24 hrs postpartum. which of the following client statement indicates an understanding of the teaching.

don't eat swordfish, shark, or king macherel while your are pregnant.

A nurse is reinforcing teaching with a client about nutrition during pregnancy which of the following instruction should the nurse include in the teaching?

studies show no evidence that essential oils improve labor outcomes

A nurse is reinforcing teaching with a client who asks about using essential oils for labor and delivery to occur next month. which of the following responses should the nurse make?

clean the cord stump with tap water

A nurse is teaching a parent of a newborn how to care for the newborns umbilical cord stump. Which of the following instructions should the nurse include?

a 12 hr old newborn who has a heart rete of 70/min while sleeping. sleeping 80-100 crying up to 180

The nurse is caring for 4 newborns. which of the following finding should the nurse report to the provider?

carbs should make 55% of diet only simple carbs should be limited

The nurse is reinforcing teaching about dietary changes with a client who is pregnant and has a presentational diabetes. Which of the following statements should the nurse include in the teaching

progesterone

The nurse is reinforcing teaching with a client about. The nurse should identify that which of the following hormones plays a key role in preventing misarrange.

refer the client to a community resource that could assist with providing nutrition

a client who is pregnant tells the nurse that she is financially unable to buy the food and vitamins recommended during pregnancy. which of the following actions should the nurse suggest when contributing to the plan of care for the client?

use additional pillows to support extremities.

a nurse if reinforcing teaching with a client in the third trimester of pregnancy who reports difficulty sleeping. Which of the following instructions should the nurse provide?

frequent headaches

a nurse in an antepartum clinic is assisting with the care of a client who is 24 weeks of gestation. which of the following findings should the nurse report to the provider?

this test will assist in determining if my baby is okay by monitoring the heart rate.

a nurse is assisting with discussing nonstress test with a client who is 39 weeks of gestation. which of the following statements indicated an understanding of the information.

late decelerations with fetal bradycardia

a nurse is assisting with monitoring a fetal hear rate tracing for a client who is in labor. which of the following findings should the nurse report to the provider

we will need your consent prior to administering the vaccine.

a nurse is assisting with prenatal class for a group of antepartum clients. which of the following pieces of information should the nurse include about hepatitis B immunization

prolonged labor

a nurse is assisting with the care of a client in active labor whose fetus is in an occipital brow presentation. which of the following complications should the nurse anticipate as a result of this fetal presentation

clean the clients perennial area with warm sterile water.

a nurse is assisting with the care of a client in the third stage of labor who is receiving IV oxytocin. which of the following actions should the nurse take

allow the parents to keep the child in the room for as long as they wish

a nurse is assisting with the care of a client who delivered a still born child. which of the following actions should the nurse take?

elevate the clients leg 30 degree angle

a nurse is assisting with the care of a client who is 2 hrs postpartum and is exhibiting sign of hypovolemic shock. which of the following action should the nurse take.

the bleeding is minimal until i discontinue your IV medication.

a nurse is assisting with the care of a client who is 2 hrs postpartum and receiving an oxytocin IV. the client asks the nurse, why is there so little bleeding? which of the following Reponses should the nurse make.

massage the fundus administer oxytocin with IV fluids Insert an indwelling urinary catheter Place the client in lateral position with the legs elevated 30 degree

a nurse is assisting with the care of a client who is 8 hrs postpartum and is experiencing hemorrhage. which of the following actions should the nurse implement after notifying the provider.

prepare the client for an emergency cesarean delivery.

a nurse is assisting with the care of a client who is attempting a trial labor (TOL) after several cesarean births. the clients reports a sudden onset of constant abdominal pain, and the nurse observes a prolonged decelerations of the fetal heart rate tracing. which of the following actions should the nurse take?

assist the client into a side lying position and continue to monitor

a nurse is assisting with the care of a client who is in active labor receiving and oxytocin infusion. The nurse notes tachysystole with a category 1 fetal heart-rate tracing. which of the following actions should the nurse take

change the clients position

a nurse is assisting with the care of a client who is in labor. the client speaks a different language than the nurse and is grimacing. which of the following actions should he nurse take while waiting for an interpreter?

check the newborn's sucking for the newborn rational: newborns large for gestational age are at risk for hypoglycemia

a nurse is assisting with the care of a newborn who is large for gestational age, appears restless, and has tremors. Which actions should the nurse take first.

assess the newborns glucoses level

a nurse is assisting with the care of a recently delivered newborn whos mother had gestational diabetes. which of the following actions should the nurse take within the first hour after birth?

your baby wasn't susceptible to substances during the first 2 weeks of pregnancy, implantation takes 6-10 days after conception. blastocyst is not susceptible to teratogens in the first 2 weeks

a nurse is caring for a client at her first prenatal visit about the health of her fetus because she drank alcohol and smoked in the first weeks of pregnancy, before she knew she was pregnant. which of the following responses should the nurse make?

Collard Greens

a nurse is caring for a client during her first prenatal visit and notes that she is lactose intolerant. which of the following food the nurse recommend as calcium source for client?

you and your partner need to take the medication and use a condom during sex until cultures are negarive

a nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. which of the following instructions should the nurse reinforce with the client about the treatment plan?

im here for you if you would like to talk.

a nurse is caring for a client who is experienced a fetal loss. which of the following statements should the nurse make?

assist the client to the bathroom

a nurse is caring for a client who is postpartum and is having difficulty voiding. which of the following actions should the nurse take first.

assist the client to ambulate in the hallway

a nurse is caring for a client who is postpartum and reports abdominal pain due to flatus. which of the following actions should the nurse take?

provide a sitz bath wtih warm water

a nurse is caring for a client who is postpartum and reports that her episiotomy incision is pulling and stinging which of the following actions should the nurse take.

ask the client about the family's cultural beliefs

a nurse is caring for a client who is postpartum. after bringing the newborn back to the parent following an assessment, the parent give the infant to the grandparent. which of the following actions should the nurse take?

breast feeding can cause uterine contractions

a nurse is caring for a client who reports cramping while trying to breast feed her newborn. which of the following instructions should the nurse provide to the client

exaggerated reflexes

a nurse is caring for a newborn with neonatal abstinence syndrome. which of the following clinical findings should the nurse expect?

barrel shaped chest rational: the abdominal organs have shifted to the chest.

a nurse is collecting data from a newborn who has congenital diaphragmatic hernia, which of the followings should the nurse expect?

absent vernix

a nurse is collecting data on a newborn who was born at 43 weeks of gestation. which of the following finding should the nurse expect?

assist the client to a warm shower

a nurse is contributing to the plan of care for a client who is in the active stage of labor and expresses a desire to use nonpharmacological methods of pain relief. which of the following interventions should the nurse include?

Monitor the client for bleeding from intravenous insertion sites because of the risk for bleeding from anticoagulant therapy

a nurse is contributing to the plan of care for a client who is pregnant and has DVT

persistent vomiting

a nurse is discussing the expected changes of pregnancy with a client who is at 8 weeks of gestation. which of the following findings should the nurse tell the client to report during the first trimester?

I should avoid waiting too long between feedings.

a nurse is evaluating client who has just received instructions about breastfeeding. which of the following statements should the nurse identify as and indication that the client understands how to prevent mastitis.

time of the clients last void

a nurse is preparing a client who is pregnant for an ultrasound. which of the following pieces of information is the most important for the nurse to collect?

administer vitamin K in the newborns thigh

a nurse is preparing to administer routine medications to a new born. which of the following actions should the nurse take?

withdraw the needle quickly after administration.

a nurse is preparing to administer vitamin k IM to a new born. Which of the following actions should the nurse plan to take?

validate the monitor tracing by palpating for contractions frequency.

a nurse is preparing to apply an external uterine activity monitor for a client who is 36 weeks of gestation. which of the following actions should the nurse take?

I will discard any unused breastmilk that is left in the bottle

a nurse is providing postpartum discharge teaching about proper storage of breast milk for a client who is breast feeding. which of the following client statements indicated understanding of the teaching.

citrus fruits

a nurse is reinforcing discharge instructions with a client who had a cesarean birth 4 days ago. the hemo is 9.2 g/dL and has a prescription for irons suppliment. which of the following foods increases iron intake.

the newborn should appear satisficed after each feeding

a nurse is reinforcing discharge teaching with a client about breast feeding her new born

I should wear a supportive bra for a few days

a nurse is reinforcing teaching about lactation suppression with a client whose newborn will be bottle fed. which of the following client statements indicated and understanding of the teaching?

wash the newborns face with warm plain water.

a nurse is reinforcing teaching about new born baths. what information should the nurse include?

liver

a nurse is reinforcing teaching about nutrition with a client who is 6 week of gestation. which of the food contains the highest folate.

the fundus is not palpable adnominally at weeks postpartum

a nurse is reinforcing teaching about the process of involution with a client who is postpartum. which following information should the nurse provide

you should avoid gardening during your pregnancy to decrease the risk of contracting toxoplasmosis

a nurse is reinforcing teaching about toxoplasmosis with a client who is pregnant. which of the following instructions should the nurse include.

you will need to use a reliable form of contraception while on warfarin therapy. can cause teratogenic effects

a nurse is reinforcing teaching to a client who is postpartum and has been prescribed warfarin therapy for DVT. what instructions should the nurse include?

stress incontinences

a nurse is reinforcing teaching with a client about phycological changes that occur with menopause. which of the following changes include

I should have a small snack before bedtime

a nurse is reinforcing teaching with a client at 7 weeks of gestation who is experiencing nausea and vomiting. which of the following client statement indicates to the nurse an understanding of teaching?

yes but be sure to get our of the car and walk around regularly so you don't develop blood clots in your legs,

a nurse is reinforcing teaching with a client who is 28 weeks of gestation. the client askes if it is safe to take a 12 hr drive with family? what responses should the nurse take?

you will be positioned in a semi-fowlers position

a nurse is reinforcing teaching with a client who is 38 weeks pregnant and scheduled for a nonstress test. which instructions should the nurse provide?

you should eat dry food that are high in carbs when you are awake.

a nurse is reinforcing teaching with a client who is at week of gestation and reports frequent nausea and vomiting. which of the following statements should the nurse make.

lactating clients ovulate in their sixth month post partum on average.

a nurse is reinforcing teaching with a group of clients about pregnancy prevention during the postpartum period. which of the following statements should the nurse include?

you should slightly increase your exposure to sunlight

a nurse is reinforcing teaching with a parent weeks of gestation who has pruritis gravidarum. which of the following information should the nurse provide.

pretend like you are urinating and stop your urine stream intermittently.

a nurse is reinforcing teaching with a postpartum client about the proper technique for preforming kegel exercises. which of the following statements should the nurse make?

discard opened cans of formula after 48 hrs of refrigeration.

a nurse is reinforcing teaching with new parents about formula feeding. which of the following instructions should the nurse include.

apply the diaper loosely over the penis

a nurse is reinforcing teaching with the guardian of a newborn who is scheduled to undergo a circumcision. which information should the nurse teach?

teach the parent to provide kangaroo care for the infant. (skin to skin)

a nurse is reinforcing teaching with the parent of a premature infant on interventions to promote optimal development, which of the following actions should the nurse instruct the parent to take?

you will have cesarean birth prior to the onset of labor

a nurse is reinfornicn teaching with a client who had active genital herpes

gonorrhea

a nurse is reviewing the laboratory findings for 4 clients. which should she report to the public health department?

preterm labor

a nurse is reviewing the laboratory values of a client who is pregnant and has a low progesterone level. which of the following complication should the nurse expect

talk to your doctor about a prescription for acyclovir to treat your symptoms

a nurse is teaching a client who is in the third trimester of pregnancy and has herpes genitalis. which of the following instructions should the nurse include?

total abstinence from alcohol is recommended

a nurse working in a clinic is reinforcing antenatal education about alcohol during pregnancy. what information should the nurse include?

apply cold ice packs to the clients perineum

a post partum nurse is caring for a client who is 4 hrs postpartum and has a painful third-degree perineal laceration. which of the following interventions should the nurse take?

tell me how you thing your life will be after the baby is born

nurse is caring for an adolescent who is in the second trimester of pregnancy. the client states" i have gotten used to the idea of this pregnancy. it will be fun to have a little baby around the house." which of the following is an appropriate response?

the blood-tinged mucus is a result of pseudomenstruation

the guardian of a 3 day old female newborn tells the nurse that he noticed a small amount of blood tinged mucus discharge on the newborn labia. which of the following responses should the nurse make?

decreased blood glucose

the nurse administers betamethasone to a client who is 33 weeks of gestation to stimulate fetal lung maturity. when assisting with the plan of care for the newborn, the nurse should identify which of the following conditions as an adverse effect of this medication.

the legs move in a similar pattern

the nurse is collecting data about the reflex responses of a newborn. which of the following findings should the nurse expect when assessing the Moro reflex

urine ketones. indicate the body is not using carbohydrates from food as fuel to break down fat correctly

the nurse is collecting data from a client with suspected hyperemesis gravidarum. which of the following laboratory tests should the nurse check first

measure the newborns head at the widest part.

the nurse is collecting data from a newborn. which of the following techniques should the nurse use?

" You should lie on your side when resting"

the nurse is collecting data week of pregnant client who is at 26 weeks of gestation. the client states" i felt dizzy yesterday when i was lying on my back" which of the following responses should the nurse make?

1000 for women 19 and older and women who are lactating

the nurse is reinforcing teaching about calcium intake with a client who is breast feeding. which of the following amounts of calcium is the daily recommended amount for a women who is breast feeding?

consume frequent snacks to decrease episodes of nausea

the nurse is reinforcing teaching with a client at 10 weeks of gestation about self-care management for common discomforts pregnancy. which of the following instructions should the nurse include?

you must not become pregnant for 28 days after receiving this immunization

the nurse is reinforcing teaching with a client who is postpartum about the rubella vaccine which of the following statements should the nurse include?

eating strawberries and oranges will help your body absorb the iron better.

the nurse is reinforcing teaching with a client who is pregnancy about how to take a prescribed iron supplement for anemia. which statements should the nurse make?

document the finding and continue to monitor.

while assisting with the care a client in labor, a nurse observes a pattern of early decelerations on the fetal monitor. which actions should the nurse take?