OB ATI
A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching?
"I can administer oxytocin 4 hours after the insertion of the medication."
A nurse is teaching a client who is at 1o weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
"I should take 600 micrograms of folic acid each day."
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 statement indicates an understand of the teaching?
"I will likely need to use alternative positions for sexual intercourse."
A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include?
"You can still become pregnant while breastfeeding"
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a non-stress test. Which of the following instructions should the nurse include?
"You should press the handheld button when you feel your baby move."
A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is ini preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water. The nurse should set the IV infusion pump to administer how many mL/he?
50 mL
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?
A client who is at 11 weeks gestation and reports abdominal cramping
A nurse is assessing 4 newborns. Which of the following findings should the nurse report to the provider?
A newborn who is 18 hr old and has an axillary temperature if 37.7 C or 99.9 F
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 reduction in respiratory distress in the newborn
A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complication should the nurse assess for?
Abruption placenta
A nurse is caring for a client who has hyperemesis gravid arum and is receiving iV fluid replacement. Which of the following findings should the nurse report to the provider?
BUN 25
A nurse is admitting a client to the labor and delivery unit when the client states, "My waiter just broke." Which of the following intervention is the nurse's priority?
Begin FHRR monitoring
A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests?
Biophysical profile
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
Depression
A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect. of this medication?
HTN
A nurse is caring for a client who is at 24 weeks gestation and has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe?
Kleihaur-Betke test
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
A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of the following actions by the parent should the nurse recognize as a positive parenting behavior?
Lays the newborn across her lap and gently sways
A nurse is caring of a postpartum client who is receiving heparin via a continuous infusion for thrombophlebitis in her left calf. Which of the following actions should the nurse take?
Maintain the client on bed rest
A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse's priority?
Massage the client's fundus
A nurse is developing a plan of care for a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following interventions should the nurse include in the plan?
Monitor the FHR continuously
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a cesarean birth. The nurse notes a respiratory rate of 8/min. Which of the following medications should the nurse administer?
Naloxone
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?
Petechiae over the head
A nurse is preparing to collect a blood specimen form a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure?
Place the newborn skin to skin on the mother's chest
A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of pregnancy. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia?
Pregestional diabetes mellitus
A nurse is caring for a client who is at 32 weeks gestation and has gonorrhea. The nurse should identify that the client is at an increased risk for which of the following complications?
Premature rupture of membranes
A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in the plan of care?
Protect the client's head and feet from cold air
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
Remove all clothing from the newborn expect the diaper
A nurse is assessing a client who has a gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect?
Reports increased urine output
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Respiratory depression
A nurse is caring for a client who is at 30 weeks gestation and has a prescription for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects?
Respiratory rate 10 bpm
Fundal height measurement should be plus or minus 2 weeks from:
The gestational age during weeks 18-32
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 locate a pocket of fluid
A nurse is providing teaching for a client who have birth 2 hr ago about the facility policy for newborn safety. Which of the following client statement indicates an understand of the teaching.
"The person who comes to take my baby's pictures will be wearing a photo identification badge."
A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the following manifestations should the nurse expect?
Vaginal pressure
A nurse is teaching newly listened nurse about collecting a specimen for the universal newborn screening. Which of the following statement should the nurse include in the teaching?
"Ensure that the newborn has been receiving feeding for 24 hrs prior to obtaining the specimen"
A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the flowing manifestations should the nurse expect?
Acrocyanosis, positive babinski reflex, two umbilical arteries visible
A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect?
Blurred vision
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
FHR 152/min
A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take?
Insert two gloved fingers into the vagina and apply pressure to the presenting part
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopold maneuvers. What describes the first step of Leopold maneuvers?
Palpate the client's abdomen wit the palms to determine which fetal part is in the uterine funds. The step also identifies the lie (transverse or longitudinal) and presentation (cephalic or breech) of the fetus
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client's head to one side, which of the following actions should the nurse take immediately after the seizure?
Administer rO2 via a non rebreather mask
A nurse is caring for a client who is experiencing preeclampsia and has a new prescription for IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if the client develops magnesium toxicity?
Calcium gluconate
A nurse is providing teaching about non pharmacological pain management to a client who is breastfeeding and has engorgement. The nurse should recommend the application of which of the following items?
Cold cabbage leaves
A nurse is caring for a client is at 35 weeks of gestation and is undergoing a non stress test that reveals a variable declaration in the FHR. Which of the following actions should the nurse take?
Have the client change positions
A nurse is reviewing the prenatal laboratory results for a client who is at 12 weeks of gestation following an initial prenatal visit. Which of the following laboratory findings should the nurse report to the provider?
Hemoglobin 10 (should be greater than 11 for a pregnant client)
A nurse is assessing a newborn who was born at 26 weeks of gestations using the New Ballard Score. Which of the following findings should the nurse expect?
Minimal arm recoil
A nurse is caring for a. client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurses priority following the procedure?
Monitor FHR
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?
Obtain a gift from the newborn to present to the sibling.
A nurse is caring for a client who is at 38 weeks gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?
Perform Leopold maneuvers
A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider?
Report of decreased fetal movement
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the nurse report to the provider?
Report of visual disturbances related to HTN
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Report the client's condition to the local health department
A nurse is caring for a prenatal client who has parvovirus. B19 (fifth disease). Which of the following actions should the nurse take?
Schedule an ultrasound examination
A nurse is demonstrating to a client how to bathe their newborn. In which ordered should the nurse perform the following actions?
Start by wiping the newborn's eyes from the inner cantos outward using plain water. Then wash the newborns neck by lifting the newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump followed by washing the legs and feet and then diaper area
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. indicating neontal infection or respiratory distress
A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take?
Verify that the parent's identification band match sth newborn's identification band
A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider?
Weight gain of 2.2 kg (4.8 lb)
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Jaundice
A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect?
hr 154 bpm, rr 58 bpm, and weight 2.6 kg o 5 lb 12 oz
