OB ATI Pracitce tests
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider? A BUN 25 mg/dL B Serum creatinine 0.8 mg/dL C Urine output of 280 mL within 8 hr D Urine negative for ketones
A
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring? A Determine progression of dilatation and effacement. B Perform Leopold maneuvers. C Complete a sterile speculum exam. D Prepare a Nitrazine paper test.
B
A nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching? A "I will not gain more than 15 to 20 pounds during my pregnancy." B "I will likely need to use alternative positions for sexual intercourse." C "I'm glad I had a breast reduction years ago, so they will not enlarge with my pregnancy." D "I'm glad I have a light complexion and will not get any stretch marks."
B
A nurse is assessing a newborn who was delivered vaginally and experienced a tight nuchal cord. Which of the following findings should the nurse expect? A Bruising over the buttocks B Hard nodules on the roof of the mouth C Petechiae over the head D Bilateral periauricular papillomas
C
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the following outcomes should the nurse expect? A Decreased uterine contractions B An increase in the client's hemoglobin levels C A reduction in respiratory distress in the newborn D Increased production of antibodies in the newborn
C
A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect? A 2+ deep tendon reflexes B Proteinuria of 200 mg in a 24-hr specimen C Polyuria D Blurred vision
D
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia? A Hypertonia B Increased feeding C Hyperthermia D Respiratory distress
D
A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect? (Select all that apply.) Heart rate 154/min Axillary temperature 36° C (96.8° F) Respiratory rate 58/min Length 43 cm (16.9 in) Weight 2,600 g (5 lb 12 oz)
HR RR Weight
A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? Late decelerations Moderate variability of the FHR Cessation of uterine dilation Prolonged active phase of labor
Late decelerations
A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old child in accepting the new family member? Allow the sibling to hold the newborn during a bath. Make sure the sibling kisses the newborn each night. Obtain a gift from the newborn to present to the sibling. Switch the sibling's room with the nursery.
Obtain a gift from the newborn to present to the sibling.
A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? Apply a cool pack for 10 min to the heel prior to the puncture. Request a prescription for IM analgesic. Use a manual lance blade to pierce the skin. Place the newborn skin to skin on the mother's chest.
Place the newborn skin to skin on the mother's chest.
A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? Administer antiviral medication. Schedule an ultrasound examination. Administer Haemophilus influenzae type b vaccine. Schedule an indirect Coombs' test.
Schedule an ultrasound examination.
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider? Substernal retractions Acrocyanosis Overlapping suture lines Head circumference 33 cm (13 in)
Substernal retractions
A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound? To estimate the fetal weight To locate a pocket of fluid To determine multiparity To prescreen for fetal anomalies
To locate a pocket of fluid