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Exam (elaborations)

OB CMS ATI Exam with precise detailed answers

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OB CMS ATI Exam with precise detailed answers

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2



OB CMS ATI Exam with precise detailed
|| || || || || || ||




answers


1. A nurse is caring for a client who is pregnant and states that her last
|| || || || || || || || || || || || || || || ||




menstrual period was April 1, 2013. Which of the following is the || || || || || || || || || || || ||




client's estimated date of delivery? || || || || ||




A. Jan. 8, 2014
|| || || ||




B. Jan. 15, 2014
|| || || ||




C. Feb. 8, 2014
|| || || ||




D. Feb. 15, 2014 - ✔✔A
|| || || || ||




2. A nurse in a prenatal clinic is caring for a client who is in the first
|| || || || || || || || || || || || || || || || ||




trimester of pregnancy. The client's health record includes this data:
|| || || || || || || || || ||




G3 T1 P0 A1 L1. How should the nurse interpret this information?
|| || || || || || || || || || || ||




(Select all that apply) || || || ||




A. Client has delivered one newborn at terms.
|| || || || || || || ||




B. Client has experienced no preterm labor.
|| || || || || || ||




C. Client has been through active labor.
|| || || || || || ||




D. Client has had two prior pregnancies.
|| || || || || || ||




E. Client has one living child. - ✔✔A B D E
|| || || || || || || || || ||

,2



3. A nurse is reviewing the health record of a client who is pregnant.
|| || || || || || || || || || || || || ||




The provider indicated the client exhibits probable signs of pregnancy.
|| || || || || || || || || ||




Which of the following would be included? (Select all that apply)
|| || || || || || || || || || ||




A. Montgomery's glands
|| || ||




B. Goodall's sign
|| || ||




C. Ballottement
|| ||




D. Chadwick's sign
|| || ||




E. Quickening - ✔✔B C D
|| || || || ||




4. A nurse in a prenatal clinic is caring for client who is pregnant and
|| || || || || || || || || || || || || || ||




experiencing episodes of maternal hypotension. The client asks the || || || || || || || || ||




nurse what causes these episodes. Which of the following is an
|| || || || || || || || || || ||




appropriate response by the nurse? || || || || ||




A. "This is due to an increase in blood volume."
|| || || || || || || || || ||




B. "This is due to pressure from the uterus on the diaphragm"
|| || || || || || || || || || || ||




C. "This is due to the weight of the uterus on the vena cava."
|| || || || || || || || || || || || || ||




D. "This is due to increased cardiac output." - ✔✔C
|| || || || || || || || ||




5. A nurse in a clinic receives a phone call from a client who believes
|| || || || || || || || || || || || || || ||




she is pregnant and would like to be tested in the clinic to confirm her
|| || || || || || || || || || || || || || ||




pregnancy. Which of the following information should the nurse || || || || || || || || ||




provide to the client? || || || ||




A. "You should wait until 4 weeks after conception to be tested."
|| || || || || || || || || || || ||

,2



B. "You should be off any medication for 24 hours prior to the test."
|| || || || || || || || || || || || || ||




C. "You should be NPO for at least 8 hours prior to the test."
|| || || || || || || || || || || || || ||




D. "You should collect urine from the first morning void." - ✔✔D
|| || || || || || || || || || ||




6. A nurse is teaching a group of women who are pregnant about
|| || || || || || || || || || || || ||




measures to relieve backache during pregnancy. The nurse should || || || || || || || || ||




should teach the women which of the following? (Select all that apply)
||
|| || || || || || || || || || ||




A. Avoid any lifting
|| || || ||




B. Perform Kegel exercises twice a day.
|| || || || || || ||




C. Perform the pelvic rock exercise every day.
|| || || || || || || ||




D. Use proper body mechanics.
|| || || || ||




E. Avoid constrictive clothing. - ✔✔C D
|| || || || || ||




7. A client who is at 8 weeks of gestation tells the nurse that she isn't
|| || || || || || || || || || || || || || || ||




sure she is happy about being pregnant. Which of the following is an
|| || || || || || || || || || || || ||




appropriate response by the nurse to the client's statement? || || || || || || || || ||




A. "I will inform the provider that you are having these feelings."
|| || || || || || || || || || || ||




B. "It is normal to have these feelings during the first few months of
|| || || || || || || || || || || || || ||




pregnancy." ||




C. "You should be happy that you are going to bring new life into the
|| || || || || || || || || || || || || || ||




world." ||




D. "I am going to make an appointment with the counselor for you to
|| || || || || || || || || || || || || ||




discuss these thoughts." - ✔✔B || || || ||

, 2




8. A nurse is caring for a client who is pregnant and reviewing signs of
|| || || || || || || || || || || || || || ||




complications that should be promptly reported to the provider. || || || || || || || || ||




Which of the following should be included?|| || || || || || ||




A. Vaginal bleeding
|| || ||




B. Swelling
|| ||




C. Heartburn after eating
|| || || ||




D. Lightheadedness when lying on back - ✔✔A
|| || || || || || ||




9. A client who is at 7 weeks of gestation is experiencing nausea and
|| || || || || || || || || || || || || ||




vomiting in the morning. The nurse in the prenatal clinic provides
|| || || || || || || || || || ||




teaching that should include which of the following? || || || || || || || ||




A. Eat crackers or plain toast before getting out of bed.
|| || || || || || || || || || ||




B. Awaken during the night to eat a snack
|| || || || || || || || ||




C. Skip breakfast and eat lunch after nausea has subsided
|| || || || || || || || || ||




D. Eat a large evening meal. - ✔✔A
|| || || || || || ||




10. A nurse is teaching a group of clients who are pregnant about
|| || || || || || || || || || || || ||




behaviors to avoid during pregnancy. Which of the following || || || || || || || || ||




statements by a client indicates a need for further instruction? || || || || || || || || || ||




A. "I can have a glass of wine with dinner."
|| || || || || || || || || ||




B. "Smoking is a cause of low birth weight in babies."
|| || || || || || || || || || ||

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