ATI CAPSTONE OB QUESTIONS WITH
VERIFIED ANSWERS
ea nurse is caring for a pt who is pregnant for the 4th time, she delivered 2 full term newborns and had
one spontaneous abortion at 10wk of gestation, the ob history is - G4 P2
a nurse is caring for a pt who is in the latent phase of labor, what clinical manifestation should the nurse
expect - talkative
a nurse is conducting an infertility assessment for a newly admitted pt, what factor should the nurse
identify as affecting the pt's fertility - premature ovarian failure
a nurse is caring for a newborn who has a blood glucose of 45mg/dl, what action should the nurse take -
encourage the mother to breastfeed the newborn
a nurse is providing teaching about pain management to a young adult client who has dysmenorrhea,
what instructions should the nurse include - use a heating pad on your lower abdomen when
experiencing pain
a nurse is caring for a pt who has placenta previa, what interventions should the nurse implement for
this pt - frequently assess the maternal HR
initiate bed rest with bathroom privileges
have O2 equipment available
a nurse is caring for a pt who is at 14 weeks of gestation and has hyperemesis gravidarum, what med
should the nurse plan to administer - vitamin B6
a nurse is providing teaching to a pt about depot medroxyprogesterone acetate, what info should the
nurse include in the teaching - loss of bone mineral density can occur
a nurse is providing teaching to a pt about pap tests, what information should the nurse include in the
teaching - avoid having sex for 48h prior to the pap test
a nurse is caring for a pt who is in active labor and notes late decelerations in the FHR on the external
fetal monitor, what actions is the nurse's priority - change the pt's positions
a nurse is caring for a pt who is in active labor and notes early decels of the FHR on the fetal monitor
tracing, the nurse should identify that which of the following conditions causes early decels in the FHR -
head compression
a nurse is providing teaching to a group of young adult women about risk factors for ovarian cancer,
what should the nurse include - nulliparity
high-fat diet
, hormone replacement therapy
a nurse is preparing to administer a repeat dose of butorphanol to a pt who is in labor, what finding
should the nurse identify as a contraindication to the administration of the medication - respiratory rate
11/min
a nurse is teaching a pt about using an IUD for contraception, what statement by the pt indicates an
understanding - i should check for the string each month after menstruation
a nurse is preparing to administer nalbuphine to a pt who is in active labor, the pt requests a bedpan to
have a bowel movement, what should the nurse do first - evaluate the client's cervix
a nurse is caring for a pt who is at 38 weeks of gestation and is experiencing continuous abdominal pain
and vaginal bleeding, the pt has a history of cocaine use, the nurse should identify that the pt is likely
experiencing what complication - abruptio placentae
a nurse is caring for a pt at 39 weeks of gestation who is in active labor and had a positive GBS culture at
36 weeks of gestation, what action should the nurse take - administer prophylactic antibiotics
a nurse is reviewing a pt's medical records and notes that the pt is taking tamoxifen, the pt should
identify that this is used to treat - breast cancer
(estrogen receptor blockers)
a nurse is assessing a pt who gave birth 1 week ago, the client states "i don't know what's wrong , i love
my baby, but i feel so let down, and i seem to cry for no reason" the nurse should identify that this is -
postpartum blues
(1-10 days after the birth, depression is 1-12 months after birth)
a nurse is teaching the parents of a newborn how to care for their son's uncircumcised penis, what
instruction should the nurse include - wash the penis once per day with soap and water
a nurse is planning care for a pt who is in labor and has an active varicella zoster infection with skin
lesions, what actions should the nurse include in the plan of care - administer varicella-zoster immune
globulin (VZIG) to the newborn shortly after birth
a nurse is perfroming an assessment on a pt who is 24hr postpartum, the nurse palpates the fundus to
be boggy, 3cm above the umbilicus, and is displaced to the right, what actions should the nurse take first
- assist the pt to the bathroom to void
a nurse is caring for a pt who is receiving oxytocin to augment labor, the pt has an intrauterine pressure
catheter and an internal fetal scalp electrode for monitoring, what is an indication that the nurse should
discontinue the infusion - contraction duration of 100 seconds
VERIFIED ANSWERS
ea nurse is caring for a pt who is pregnant for the 4th time, she delivered 2 full term newborns and had
one spontaneous abortion at 10wk of gestation, the ob history is - G4 P2
a nurse is caring for a pt who is in the latent phase of labor, what clinical manifestation should the nurse
expect - talkative
a nurse is conducting an infertility assessment for a newly admitted pt, what factor should the nurse
identify as affecting the pt's fertility - premature ovarian failure
a nurse is caring for a newborn who has a blood glucose of 45mg/dl, what action should the nurse take -
encourage the mother to breastfeed the newborn
a nurse is providing teaching about pain management to a young adult client who has dysmenorrhea,
what instructions should the nurse include - use a heating pad on your lower abdomen when
experiencing pain
a nurse is caring for a pt who has placenta previa, what interventions should the nurse implement for
this pt - frequently assess the maternal HR
initiate bed rest with bathroom privileges
have O2 equipment available
a nurse is caring for a pt who is at 14 weeks of gestation and has hyperemesis gravidarum, what med
should the nurse plan to administer - vitamin B6
a nurse is providing teaching to a pt about depot medroxyprogesterone acetate, what info should the
nurse include in the teaching - loss of bone mineral density can occur
a nurse is providing teaching to a pt about pap tests, what information should the nurse include in the
teaching - avoid having sex for 48h prior to the pap test
a nurse is caring for a pt who is in active labor and notes late decelerations in the FHR on the external
fetal monitor, what actions is the nurse's priority - change the pt's positions
a nurse is caring for a pt who is in active labor and notes early decels of the FHR on the fetal monitor
tracing, the nurse should identify that which of the following conditions causes early decels in the FHR -
head compression
a nurse is providing teaching to a group of young adult women about risk factors for ovarian cancer,
what should the nurse include - nulliparity
high-fat diet
, hormone replacement therapy
a nurse is preparing to administer a repeat dose of butorphanol to a pt who is in labor, what finding
should the nurse identify as a contraindication to the administration of the medication - respiratory rate
11/min
a nurse is teaching a pt about using an IUD for contraception, what statement by the pt indicates an
understanding - i should check for the string each month after menstruation
a nurse is preparing to administer nalbuphine to a pt who is in active labor, the pt requests a bedpan to
have a bowel movement, what should the nurse do first - evaluate the client's cervix
a nurse is caring for a pt who is at 38 weeks of gestation and is experiencing continuous abdominal pain
and vaginal bleeding, the pt has a history of cocaine use, the nurse should identify that the pt is likely
experiencing what complication - abruptio placentae
a nurse is caring for a pt at 39 weeks of gestation who is in active labor and had a positive GBS culture at
36 weeks of gestation, what action should the nurse take - administer prophylactic antibiotics
a nurse is reviewing a pt's medical records and notes that the pt is taking tamoxifen, the pt should
identify that this is used to treat - breast cancer
(estrogen receptor blockers)
a nurse is assessing a pt who gave birth 1 week ago, the client states "i don't know what's wrong , i love
my baby, but i feel so let down, and i seem to cry for no reason" the nurse should identify that this is -
postpartum blues
(1-10 days after the birth, depression is 1-12 months after birth)
a nurse is teaching the parents of a newborn how to care for their son's uncircumcised penis, what
instruction should the nurse include - wash the penis once per day with soap and water
a nurse is planning care for a pt who is in labor and has an active varicella zoster infection with skin
lesions, what actions should the nurse include in the plan of care - administer varicella-zoster immune
globulin (VZIG) to the newborn shortly after birth
a nurse is perfroming an assessment on a pt who is 24hr postpartum, the nurse palpates the fundus to
be boggy, 3cm above the umbilicus, and is displaced to the right, what actions should the nurse take first
- assist the pt to the bathroom to void
a nurse is caring for a pt who is receiving oxytocin to augment labor, the pt has an intrauterine pressure
catheter and an internal fetal scalp electrode for monitoring, what is an indication that the nurse should
discontinue the infusion - contraction duration of 100 seconds
