OB_Practice_Assessment _2019_ATI.

OB_Practice_Assessment _2019_ATI. 1. A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect? a. reports increased urinary output 2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take? a. report the client's condition to the local health department 3. A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication? a. depression 4. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching? a. "I can administer oxytocin 4 hours after the insertion of the medication" 5. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? a. Schedule an ultrasound examination 6. A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? a. Place the newborn skin to skin on the mothers chest 7. A nurse is performing a vaginal exam on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take? a. Insert two gloved fingers into the vagina and apply upward pressure to the presenting part 8. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe? a. Kleihauer-Betke test 9. A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess? a. abruptio placenta 10. A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect? a. blurred vision 11. A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old in accepting the new family member? a. Obtain a gift from the newborn to present to the sibling 12. A nurse is assessing a client who is receiving morphine via IV bolus for pain following a C-section. The nurse notes a respiratory rate of 8/min. Which of the following medications should be administered? a. naloxone 13. A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? a. "I should take 600 micrograms of folic acid every day" 14. A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider? a. jaundice 15. A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of the following actions by the parent should the nurse recognize as a positive parenting behavior? a. Lays the newborn across her lap and gently sways 16. A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching? a. "Ensure that the newborn has been receiving feeding for 24 hours prior to obtaining the specimen" 17. A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse priority? a. massage the client’s fundus 18. A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the following manifestations should the nurse expect? a. Acrocyanosis b. Positive Babinski reflex c. Two umbilical arteries visible 19. A nurse is demonstrating to a client how to bathe their newborn. In which order should the nurse perform the following actions? a. Wipe eyes b. Wash Neck c. Cleanse skin around umbilical cord stump d. Wash legs and feet e. Clean diaper area 20. A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication? a. hypertension 21. A nurse is caring for a client who is at 35 weeks of gestation and is undergoing a nonstress test that reveals a variable deceleration in the FHR. Which of the following actions should the nurse take? a. have the client change positions 22. A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring? a. perform Leopold maneuvers 23. A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first? a. a client who is 11 weeks gestation and reports abdominal cramping 24. A nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea. The nurse should identify that the client is at an increased risk for which of the following complications? a. premature rupture of membranes 25. A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider? a. A newborn who is 18 hr old and has an axillary temperature of 99.9° F 26. A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. Which of the following actions should the nurse take? a. maintain the client off bed rest 27. A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include? a. "You can still become pregnant if you are breastfeeding" 28. A nurse is performing a physical assessment of a newborn. Which of the following clinical finding should the nurse expect? a. Heart Rate 154/ min b. Respiratory rate 58/ min c. Weight 2,600 g (5lb 12 oz) 29. A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect? a. FHR 152/min 30. A nurse is reviewing the prenatal laboratory value for a client who is at 12 weeks of gestation following an initial prenatal visit. Which of the following laboratory findings should the nurse report to the provider a. Hemoglobin 10 g/dL 31. A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbillirubinemia. Which of the following actions should the nurse include in the plan? a. Remove all clothing form the newborn except the diaper 32. A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure? a. Monitor the FHR 33. A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider? a. Reports of decreased fetal movement 34. A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke". Which of the following interventions is the nurse's priority? a. Begin FHR monitoring