ATI Capstone OB

ATI Capstone OB a nurse is caring for a postmenopausal pt prescribed the aromatase inhibitor, anastrozole for the tx of breast cancer, what should the nurse inform the pt she may experience Ans- muscle and joint pain a nurse is caring for a pt who reports unrelieved episiotomy pain 8hr following a vaginal birth, what action should the nurse take Ans- apply an ice pack to the affected area T/F, for breast engourgement, fresh cabbage leaves placed inside the bra can help alleviate pain Ans- F apply cold compress cabbage leaves must be cold a nurse is caring for a pt 2 hours after a spontaneous vaginal birth and the pt has saturated 2 perineal pads with blood in a 30 min period, what priority nursing intervention should be given at this time Ans- palpate the pt's uterine fundus a nurse is caring for a newborn with hyperbilirubinemia, what intervention should be taken during phototherapy Ans- maintain an eye mask over the newborn's eyes a laboring pt received meperidine IV one hour prior to delivery, what med should the nurse have available to counteract this med Ans- naloxone a nurse is caring for a pt who is 1 day postpartum and is taking a sitz bath, determine the pt's tolerance of the procedure, what assessment should the nurse perform Ans- pulse rate prior to an amniocentesis, what action by the pt will need to be completed Ans- empty the bladder a nurse in a clinic is caring for a pt who is 3 weeks postpartum following the birth of a healthy newborn, the pt reports feeling down and sad, having no energy, and wanting to cry, what priority action should be taken by the nurse Ans- ask the client if she has considered harming the newborn a nurse is teaching the parent of a newborn about bottle feeding, what indicates need for further instruction Ans- i will tip the nipple so air is present as my baby sucks a nurse is caring for a laboring client and notes that the fetal heart rate begins to decelerate after the contraction has started, the lowest point of decel occurs after the peak of the contraction, what is the priority nursing action Ans- change the pt's position a nurse is assessing a newborn following a vaccum assisted delivery, what finding should the nurse report Ans- poor sucking a postpartum pts fundus is firm, 3cm above the umbilicus and displaced to the right, what interventions should the nurse take? Ans- assist the pt to void then reassess the fundus a nurse is caring for a pt who is experiencing urinary incontinence, what recommendations should the nurse plan to teach Ans- reduce intake of caffeinated and carbonated beverages a nurse is caring for a pt who has just delivered her first newborn, the nurse anticipates hyperbilirubinemia due to the incompatibility, the nurse should understand that hyperbilirubinemia occurs with Rh incompatability for which of the following reasons? Ans- the client's blood does not contain the Rh factor, so she produces anti-Rh antibodies that cross the placental barrier and cause hemolysis of red blood cells in newborns which of the following would increase a client's risk of ovarian cancer Ans- endometriosis during a breast examination on a 24 year old pt the nurse notes the following findings, what is of most concern and should be reported to the provider Ans- an irregularly shaped, nontender lump is palpable in the right breast a pregnant client's last menstrual period was May4th 2018, what is this client's estimated delivery date using Naegeles Rule Ans- February 11th, 2019 a pt has been prescribed raloxiphine, as the nurse you know that raloxiphine is used to treat Ansosteoporosis a home care nurse is following up with a postpartum pt, what is a risk factor that places this client at risk for postpartum depression Ans- hormonal changes with a rapid decline in estrogen and progesterone levels a nurse is planning care for a newborn who is small for gestational age (SGA), what is the priority intervention the nurse should include in the newborn's plan of care Ans- monitor blood glucose levels a nurse is providing discharge instructions to parents of a circumcised newborn, to prevent diaper adherence to the penis, what will be recommended to apply during diaper changes Ans- petroleum jelly a nurse is assessing a pt who is in active labor and notes that the presenting part is at 0 station, what is the correct interpretation of this clinical finding? Ans- the lowermost portion of the fetus is at the level of the ischial spine the nurse is caring for a pt with uncomplicated gestational hypertension what are expected findings of the disorder? SATA Ans- BP of 140/90 or above the BP will return to normal after pregnancy following delivery, the nurse places the newborn under a radiant heat warmer, what action is this doing Anspreventing cold stress a nurse is caring for a pt who is at 37 weeks of gestation and has placenta previa, the pt asks the nurse why the provider does not do an internal examination, what explanation of the primary reason should the nurse provide Ans- this could result in profound bleeding a nurse is providing education to a pt in the first trimester of pregnancy, what info should the nurse include regarding the cause of indigestion and heartburn Ans- progesterone causes relaxation of the cardiac sphincter allowing acid to reflux a laboring pt's membranes have just ruptured, what is the nurse's next action Ans- assess the fetal HR pattern a postpartum complication a client is at risk for is DVT, what following factor is strongly associated with this complication Ans- c. section a nurse has provided education to a pt who has been