ATI OB questions

A nurse is providing discharge teaching to the parents of a newborn regarding circumcision care. Which of the following statements made by a parents indicates an understanding of the teaching?

I will clean his penis with each diaper change

A nurse is caring for an infant who has a high bilirubin level and is receiving phototherapy. Which of the following is priority finding in the newborn?

Sunken fontanels

A nurse on the postpartum unit is caring for four clients. Which of the following clients should the nurse recognize as the greatest risk for development of postpartum infection?

A client who had premature rupture of membranes and prolonged labor

A nurse is reviewing breastfeeding positions with the mother of a newborn. Which of the following positions should the nurse discuss?

cradle

A nurse is reviewing contraindications with a newly hired nurse. Which of the following conditions are contraindicated?

hypospadias family history of hemophilia epispadias

A nurse is caring for a client who is postpartum. The nurse should identify which of the following findings as an early indicator of hypovolemia caused by hemorrhage?

increasing pulse and decreasing blood presure

A nurse is reviewing formula preparation with parents who plan to bottle feed their newborn. Which of the following information should the nurse include in the teaching?

place used bottles in dishwasher check the nipple for appropriate flow to formula use tap water to dilute concentrated formula

A nurse is completing postpartum discharge teaching to a client who had no immunity to varicella and was given varicella vaccine. Which of the following statements by the client indicates understanding of the teaching?

"I need a second vaccination at my postpartum visit"

A nurse is reviewing postpartum nutrition needs with a group of new mothers who are breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching?

"I will continue my calcium supplements because I don't like milk"

A nurse is reviewing discharge teaching with a client that has a UTI. Which of the following statements made by the client indicates understanding of the teaching?

"I will drink my cranberry and prune juice to make my urine more acidic" "I will drink large amounts of fluids to flush bacteria from my urinary tract" "I will take Tylenol for any discomfort"

A nurse in a clinic is caring for a client who is to be seen by the provider for a postoperative appointment following a postoperative appointment following a salpingectomy due to an ectopic pregnancy. Which of the following statements by the client requires clarification?

"It is good to know that I won't have a tubal pregnancy in the future"

A nurse is caring for a couple who is being evaluated for infertility. Which of the following statements by the nurse indicates understanding of the infertility assessment process

"The man is easier to assess, and the provider will usually begin there"

A nurse is teaching a newly licensed nurse how to bathe a newborn and observes a bluish marking across the newborn's lower back. The nurse should include which of the following in the teaching?

"This is frequently seen newborns who have dark skin"

A nurse in a clinic is teaching a client about her new prescription for medroxyprogesterone. Which of the following information should the nurse include in the teaching?

"You should increase your intake of calcium" "Irregular vaginal spotting can occur"

A nurse is caring for a client who is at 42 weeks gestation and in labor. The client asks the nurse what should she expect because her baby is postmature. Which of the following statements should the nurse make?

"Your baby's skin will have a leathery appearance"

A nurse in the delivery room is planning to promote maternal-infant bonding for a client who is just delivered. Which of the following is the priority action by the nurse?

Position the neonate skin to skin on the client's chest

A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and is feeling let down. Which of the following conditions are associated with these clinical findings?

Postpartum blues

A nurse is caring for a client who has mastitis. Which of the following is the typical causative agent of mastitis?

Staphylococcus aureus

A nurse is teaching a newly licensed nurse about neonatal abstinence syndrome. Which of the following statements by the newly licensed nurse indicate understanding of the teaching?

The newborn will have continuous high-pitched cry

A nurse in a clinic is caring for a group of female clients who are being evaluated for infertility. Which of the following clients should the nurse anticipate the provider will refer to a genetic counselor?

Von Willebrand disease is a genetic bleeding disorder and warrants a client to a genetic counselor

A nurse is giving instructions to a mother about how to breastfeed her newborn. Which of the following actions by the mother indicates understanding of the teaching?

When latched on, the infant's nose, cheek, and chin are touching the breast

A nurse is caring for a client who is 2 days postpartum. The client states, "My 4-year old was toilet trained and now he is frequently wetting himself." Which of the following statements should the nurse provide to the client?

Your son is showing an adverse sibling response

a nurse in an obstetrical clinic is teaching a client about using an IUD for contraception. Which of the following statements by the client indicates an understanding of the teaching?

a change in the length of the string of the IUD can indicate expulsion and should be reported to the provider

A nurse is providing care to four clients on the postpartum unit. Which of the following clients is at greatest risk for developing a postpartum infection?

a client who does not wash her hands between perineal care and breastfeeding.

During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. On assessment, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus. Which of the following findings should the nurse interpret this data as being?

a normal postural discharge of lochia

A nurse is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client reports breast engorgement. Which of the following recommendations should the nurse make?

apply cold compresses between feedings

A nurse is caring for a newborn who was born at 38 weeks gestation, weighs 3,200 g, and is in the 60th percentile for weight. Based on the weight and gestation age, the nurse should classify this neonate as which of the following?

appropriate for gestational age

A nurse is caring for a newborn. Which of the following actions by the nurse indicates readiness to feed?

attempts to place his hand in his mouth

A nurse on the postpartum unit is performing a physical assessment of a client who is being admitted with a suspected DVT. Which of the following clinical findings should the nurse expect?

calf tenderness to palpation elevated temperature area of warmth

A nurse is caring for a client who is 1 hour postpartum following a vaginal examination and experiencing uncontrollable shaking. The nurse should understand that the shaking is due to which of the following factors

change in body fluids and metabolic effort of labor

A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Which of the following statements by an adolescent reflects an understanding of the teaching?

condoms should be used with water soluble lubricant

A nurse is caring for a newborn immediately following birth. Which of the following nursing interventions is the highest priority?

covering the newborns head with a cap

A newborn was not dried completely after birth. Which of the following mechanisms should the nurse understand causes heat loss?

evaporation

A nurse is reviewing care of the umbilical cord with the parent of a newborn. Which of the following instructions should the nurse include in the teaching?

keep the diaper folded below the cord

A nurse is taking a newborn to a mother following a circumcision. Which of the following actions should the nurse take for security purposes?

match the mother's identification band with the newborns band

A nurse on the the postpartum unit is planning care for a client who has thrombophlebitis. Which of the following nursing interventions should the nurse include in the plan of care?

measure leg circumferences

A nurse is performing a fundal assessment for a client who is 2 days postpartum and observes the perineal pad for lochia. She notes the pad to be saturated approximately 12 cm with lochia that is bright red and contains small clots. Which of the following findings should the nurse document?

moderate lochia rubra

A nurse in a infertility clinic is providing care to a couple who has been unable to conceive for 18 months. Which of the following data should be included in the assessment?

occupation, menstrual history, childhood infectious diseases

A nurse is caring for a newborn who is preterm and has respiratory distress syndrome. Which of the following should the nurse monitor to evaluate the newborn's condition following administration of synthetic surfactant?

oxygen saturation

A nurse educator on the postpartum unit is reviewing risk factors for postpartum hemorrhage with a group of nurses. Which of the following factors should the nurse include in the teaching?

precipitous delivery, inversion of uterus, retained placental fragments

A nurse is caring for a client who has disseminated intravascular coagulation (DIC). Which of the following antepartum complications should the nurse understand is a risk factor for this condition?

preeclampsia

A nurse is caring for a client who is 1 day postpartum. The nurse is assessing for maternal adaptation and mother-infant bonding. Which of the following behaviors by the client indicates a need for the nurse to intervene?

Demonstrate apathy when the infant cries Views the infant's behavior as uncooperative during diaper changing

A nurse concludes that the father of an infant is not showing positive signs of parent-infant bonding. He appears very anxious and nervous when the infant's mother asks him to bring her the infant. Which of the following actions should the nurse use to promote father-infant bonding?

provide education about the infant care when the father is present

A nurse is instructing a client who is taking an oral contraceptive about danger signs to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the following?

shortness of breath. it can indicate a pulmonary embolus or myocardial infarction and should be reported to the provider immediately

A nurse is providing discharge instructions to a client. At 4 weeks postpartum, the client should contact her provider for which of the following client findings?

sore nipples with cracks and fissures

A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus is noted to be displaced laterally to the right, and there is uterine atony. The nurse should identify which of the following conditions as the cause of uterine atony?

urinary retention

A nurse is providing discharge teaching for nonlactating client. Which of the following instructions should the nurse include in the teaching?

wear a supportive bra continuously for the first 72 hours

a nurse in the emergency department is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The client states that she missed one menstrual cycle and cannot be pregnant because she has an IUD. The nurse should suspect the following?

Ectopic pregnancy

A nurse is discussing risk factors for urinary tract infections with a newly licensed nurse. Which of the following conditions should the nurse include in the teaching?

Epidural anesthesia Urinary bladder catheterization Frequent pelvic examinations History of UTI's

A nurse is preparing to administer prophylactic eye ointment to a newborn to prevent ophthalmia neonatorum. Which of the following medications should the nurse anticipate administering?

Erythromycin

A nurse is completing a newborn assessment and observes small white nodules on the roof of the newborn's mouth. This finding is a characteristic of which of the following conditions?

Espstein's pearls

A nurse is caring for a postpartum client who delivered her third infant 2 days ago. The nurse recognizes that which of the following findings are suggestive of postpartum depression?

Fatigue Insomnia Flat affect

A nurse is reviewing findings of a client's biophysical profile (BPP). The nurse should expect which of the following variables to be included in the test?

Fetal breathing movements Fetal tone Amniotic fluid volume

A client in the early postpartum period is very excited and talkative. She is repeatedly telling the nurse every detail of the labor and birth. Because the client will not stop talking, the nurse is having difficulty completing the postpartum assessment. Which of the following action should the nurse take?

Give the client time to express her feelings

A nurse is assessing the reflexes of a newborn. In checking for the Moro reflex, the nurse should perform which of the following?

Hold the newborn in semi-sitting position, then allow the newborn's head and trunk to fall backward

A nurse is teaching a client about the potential adverse effects of implantable progestins. Which of the following adverse effects should the nurse include?

Irregular vaginal bleeding Weight gain Breast changes

A nurse is teaching a group of new parents about proper techniques for bottle feeding. Which of the following instructions should the nurse provide?

Keep the nipple full of formula throughout the feeding

A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client reports leaking urine every time she sneezes or coughs. Which of the following interventions should the nurse suggest?

Kegel exercises

A nurse is called to the birthing room to assist with the assessment of a newborn who was born at 32 weeks gestation. The newborn's birth weight is 1,100 g. Which of the following are expected findings in this newborn.

Lanugo Weak grasp reflex Translucent skin

A nurse is completing an assessment. Which of the following data indicates the newborn is adapting to extrauterine life?

Apnea for 10 seconds periods Obligatory nose breathing

A nurse is caring for a newborn immediately following a circumcision using a Gomco procedure. Which of the following actions should the nurse implement?

Apply petroleum gauze to the site

A nurse is caring for a client who has postpartum psychosis. Which of the following actions is the nurse's priority?

Ask the client if she has thoughts of harming herself or the infant

A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following responses should the nurse make?

Completely empty each breast at each feeding or use a pump

A nurse is assessing a client who has postpartum depression. The nurse should expect which of the following findings?

Concerns about lack of income to pay bills Anxiety about assuming new role as a mother Rapid decline in estrogen and progesterone Feeling inadequacy with the role as a new mother