OB ATI Exam Questions With Verified Answers.

- answerInitiate early feeding Prevention of jaundice can be facilitated best by early and frequent feeding, which stimulates intestinal activity and passage of meconium. Jaundice occurs due to elevated serum bilirubin, which is excreted primarily in the newborn's stool. Physiologic jaundice manifests after 24 hr and is considered benign. However, bilirubin may accumulate to hazardous levels and lead to a pathologic condition. a nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. which of the following is the priority nursing action? - answerPosition the client on her side Late decelerations stem from decreased blood perfusion to the placenta or compression of the placenta. A position change should increase perfusion or decrease compression, and it is the first intervention the nurse should try. The greatest risk to the client is fetal hypoxia, so the priority action is the one that has the best chance of improving fetal perfusion. a nurse is assessing a client who is 8 hr postpartum and multiparous. which of the following findings should alert the nurse to the client's need to urinate? - answerFundus three fingerbreadths above the umbilicus A full bladder can raise the level of uterine fundus and possibly deviate it to the side. a nurse is admitting a term newborn following a cesarean birth. the nurse observes that the newborn's skin is slightly yellow. this finding indicates the newborn is experiencing a complication related to which of the following? - answerMaternal/newborn blood group imcompatibility Maternal/newborn blood group incompatibility is the most common form of pathologic jaundice and the jaundice appears within the first 24 hr of life. a nurse is assisting a client who is postpartum with her first breastfeeding experience. when the client asks how much of the nipple she should put into the newborn's mouth, which of the following responses should the nurse make? - answer"You should place your nipple and some of the areola into her mouth" Placing the nipple and 2 to 3 cm of areolar tissue around the nipple into the baby's mouth aids in adequately compressing the milk ducts. This placement decreases stress on the nipple and prevents cracking and soreness. a nurse is caring for a client who is 5 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). the nurse should recognize that this client is at risk for which of the following postpartum complications? - answerUterine atony A uterus that is over distended, such as from a macrosomic fetus, has an increased risk of uterine atony. a nurse is teaching a newborn's parent to care for the umbilical cord stump. which of the following instructions should the nurse include? - answerGive a sponge bath until the cord stump falls off Immersing the umbilical cord stump in water can delay the process of drying, separation, and healing. Sponge baths are appropriate until the stump falls off. a nurse is caring for a preterm newborn who is in an incubator to maintain a neutral thermal environment. the father of the newborn asks the nurse why this is necessary. which of the following responses should the nurse make? - answerPreterm newborns lack adequate temperature control mechanisms Preterm newborns have poor body control of temperature and need support to avoid losing heat. They require an external heat source, such as an incubator. a nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. the fundus is midline and firm at the umbilicus. which of the following actions should the nurse take? - answerDocument the findings and continue to monitor the client These are expected findings. At 1 hr postpartum, lochia rubra should be intermittent and associated with uterine contractions. The volume of lochia resembles that of a heavy menstrual