OB Exam 2 Questions ATI With Correct
Answers
A nurse in the newborn nursery is caring for a group of newborns.
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Which of the following newborns requires immediate intervention?
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A. A newborn who is 24 hr post-delivery and has not voided.
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B. A newborn who is 18 hr post-delivery and has acrocyanosis
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C. A newborn who is 24 hr post-delivery and has not passed meconium
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D. A newborn who is 12 hr post-delivery and has a temperature of 37.5C
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(99.5F) - CORRECT ANSWER✔✔-D. A newborn who is 12 hr post-
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delivery and has a temperature of 37.5C (99.5F)
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Hyperthermia in the newborn requires immediately intervention.
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Hyperthermia is typically caused by increased heat production related
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to sepsis or decreased heat loss.
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A nurse is assessing a client who is 12hr postpartum and received spinal
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anesthesia for a cesarean birth. Which of the following findings requires
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immediate intervention by the nurse?
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A. Blood pressure 100/70 mmHg
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B. Headache pain rated 6 on a scale of 0 to 10
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C. Respiratory rate 10/min
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,D. Urinary output 30mL/hr - CORRECT ANSWER✔✔-C. Respiratory rate
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10/min
A client who has received spinal anesthesia is at risk for respiratory
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depression and hypotension. A respiratory rate of 10/min indicates
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bradypnea and requires immediate intervention.
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A nurse is caring for a client who has just delivered her first newborn.
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The nurse anticipates hyperbilirubinemmia due to Rh incompatibility.
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The nurse should understand that hyperbilirubinemia occurs with Rh
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incompatibility for which of the following reasons? | | | | | |
A. The client's blood does not contain the Rh factor, she she produces
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anti-Rh antibodies that cross the placental barrier and cause hemolysis
| | | | | | | | | |
of red blood cells in newborns.
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B. The client' blood contains the Rh factor and the newborn's does not
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and antibodies that destroy red blood cells are formed in the fetus.
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C. The client has a history of receiving a transfusion with Rh-negative
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blood.
D. The client's anti-A and anti-B antibodies cross the placenta and cause
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the destruction of the fetal red blood cells. - CORRECT ANSWER✔✔-A.
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The client's blood does not contain the Rh factor, she she produces anti-
| | | | | | | | | | | |
Rh antibodies that cross the placental barrier and cause hemolysis of
| | | | | | | | | | |
red blood cells in newborns.
| | | |
, If the Rh-negative client has been exposed to Rh-positive fetal blood,
| | | | | | | | | | |
she will produce antibodies against Rh factor. These antibodies can cross
| | | | | | | | | |
|the placenta and destroy the red blood cells of the Rh-positive fetus.
| | | | | | | | | | | |
This accelerated rate of red blood cell destruction results in the
| | | | | | | | | | |
increased release of bilirubin. The newborn's serum bilirubin level can
| | | | | | | | | |
rise quickly.
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A nurse is teaching a newborn's parent to care for the umbilical cord
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stump. Which of the following instructions should the nurse include?
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A. Wash the cord daily with mild soap and water.
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B. Cover the cord with the diaper.
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C. Apply petroleum jelly to the cord stump.
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D. Give a sponge bath until the cord stump falls off. - CORRECT
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ANSWER✔✔-D. Give a sponge bath until the cord stump falls off. | | | | | | | | | | |
Immersing the umbilical cord stump in water can delay the process of
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drying, separation, and healing. Sponge baths are appropriate until the
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stump falls off. | |
A nurse is caring for a client who is postpartum. The client tells the
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nurse that the newborn's maternal grandmother was born deaf and
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asks how to tell if her newborn hears well. Which of the following
| | | | | | | | | | | | |
statements should the nurse make? | | | |
A. "There is no need to worry about that. Most forms of hearing loss are
| | | | | | | | | | | | | |
not inherited."
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Answers
A nurse in the newborn nursery is caring for a group of newborns.
| | | | | | | | | | | | |
Which of the following newborns requires immediate intervention?
| | | | | | |
A. A newborn who is 24 hr post-delivery and has not voided.
| | | | | | | | | | |
B. A newborn who is 18 hr post-delivery and has acrocyanosis
| | | | | | | | | |
C. A newborn who is 24 hr post-delivery and has not passed meconium
| | | | | | | | | | | |
D. A newborn who is 12 hr post-delivery and has a temperature of 37.5C
| | | | | | | | | | | | |
(99.5F) - CORRECT ANSWER✔✔-D. A newborn who is 12 hr post-
| | | | | | | | | | |
delivery and has a temperature of 37.5C (99.5F)
| | | | | | |
Hyperthermia in the newborn requires immediately intervention.
| | | | | | |
Hyperthermia is typically caused by increased heat production related
| | | | | | | | |
to sepsis or decreased heat loss.
| | | | |
A nurse is assessing a client who is 12hr postpartum and received spinal
| | | | | | | | | | | | |
anesthesia for a cesarean birth. Which of the following findings requires
| | | | | | | | | |
immediate intervention by the nurse?
| | | | |
A. Blood pressure 100/70 mmHg
| | | |
B. Headache pain rated 6 on a scale of 0 to 10
| | | | | | | | | | |
C. Respiratory rate 10/min
| | |
,D. Urinary output 30mL/hr - CORRECT ANSWER✔✔-C. Respiratory rate
| | | | | | | | |
10/min
A client who has received spinal anesthesia is at risk for respiratory
| | | | | | | | | | | |
depression and hypotension. A respiratory rate of 10/min indicates
| | | | | | | | |
bradypnea and requires immediate intervention.
| | | |
A nurse is caring for a client who has just delivered her first newborn.
| | | | | | | | | | | | | |
The nurse anticipates hyperbilirubinemmia due to Rh incompatibility.
| | | | | | | |
The nurse should understand that hyperbilirubinemia occurs with Rh
| | | | | | | | |
incompatibility for which of the following reasons? | | | | | |
A. The client's blood does not contain the Rh factor, she she produces
| | | | | | | | | | | | |
anti-Rh antibodies that cross the placental barrier and cause hemolysis
| | | | | | | | | |
of red blood cells in newborns.
| | | | |
B. The client' blood contains the Rh factor and the newborn's does not
| | | | | | | | | | | | |
and antibodies that destroy red blood cells are formed in the fetus.
| | | | | | | | | | |
C. The client has a history of receiving a transfusion with Rh-negative
| | | | | | | | | | | |
blood.
D. The client's anti-A and anti-B antibodies cross the placenta and cause
| | | | | | | | | | | |
the destruction of the fetal red blood cells. - CORRECT ANSWER✔✔-A.
| | | | | | | | | | |
The client's blood does not contain the Rh factor, she she produces anti-
| | | | | | | | | | | |
Rh antibodies that cross the placental barrier and cause hemolysis of
| | | | | | | | | | |
red blood cells in newborns.
| | | |
, If the Rh-negative client has been exposed to Rh-positive fetal blood,
| | | | | | | | | | |
she will produce antibodies against Rh factor. These antibodies can cross
| | | | | | | | | |
|the placenta and destroy the red blood cells of the Rh-positive fetus.
| | | | | | | | | | | |
This accelerated rate of red blood cell destruction results in the
| | | | | | | | | | |
increased release of bilirubin. The newborn's serum bilirubin level can
| | | | | | | | | |
rise quickly.
|
A nurse is teaching a newborn's parent to care for the umbilical cord
| | | | | | | | | | | | |
stump. Which of the following instructions should the nurse include?
| | | | | | | | |
A. Wash the cord daily with mild soap and water.
| | | | | | | | |
B. Cover the cord with the diaper.
| | | | | |
C. Apply petroleum jelly to the cord stump.
| | | | | | |
D. Give a sponge bath until the cord stump falls off. - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-D. Give 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 client who is postpartum. The client tells the
| | | | | | | | | | | | | |
nurse that the newborn's maternal grandmother was born deaf and
| | | | | | | | | |
asks how to tell if her newborn hears well. Which of the following
| | | | | | | | | | | | |
statements should the nurse make? | | | |
A. "There is no need to worry about that. Most forms of hearing loss are
| | | | | | | | | | | | | |
not inherited."
| |
