MATERNAL OB ATI PRACTICE A QUESTIONS AND
CORRECT DETAILED ANSWERS INCLUSIVE OF
RATIONALES LATEST UPDATE |ALREADY A
GRADED|NEW!!
A nurse is reviewing the medical record of a client who is one day postpartum.
The client had a vaginal birth with a fourth-degree perineal laceration. The nurse
should contact the provider regarding which of the following prescriptions? -
(ANSWER)The nurse should not administer a rectal suppository or enema to a
client who has a fourth-degree perineal laceration. These can cause separation of
the suture line, bleeding, or infection.
A nurse is preparing to administer hepatitis B immune globulin to a newborn. The
prescription states, "Administer 5 mcg IM once today." Available is a 5 mL vial
with 10 mcg/mL. How many mL should the nurse administer? (Round the answer
to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) -
(ANSWER)STEP 8: Reassess to determine whether the amount to administer
makes sense. If there are 10 mcg/mL and the prescription reads 5 mcg, it makes
sense to administer 0.5 mL. The nurse should administer hepatitis B
immunoglobulin 0.5 mL IM.
A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which
of the following instructions should the nurse include in the teaching? -
(ANSWER)The nurse should instruct the client to engage in 30 min of moderate
exercise every day to improve muscle tone throughout her pregnancy.
A nurse is assessing a client who is in labor and notes early decelerations on the
fetal monitor. Which of the following findings should the nurse identify as a
possible cause of the early decelerations? - (ANSWER)The nurse should identify
fetal head compression as a likely cause of the early decelerations on the fetal
,monitor. Early decelerations are an expected fetal pattern caused by fetal head
compression due to uterine contractions, fundal pressure, and vaginal
examinations.
A nurse is caring for a client and her partner who have experienced a fetal death.
Which of the following actions should the nurse take? - (ANSWER)Take photos of
the newborn to give to the parents.
The nurse should create a memory box that includes mementos of the newborn
(for example, photos, the newborn's ID bands, the newborn's hat, and the
newborn's blanket).
A nurse is observing a new mother caring for her crying newborn who is bottle
feeding. Which of the following actions by the mother should the nurse recognize
as a positive parenting behavior? - (ANSWER)Lays the newborn across her lap
and gently sways.
This is a correct technique for quieting a newborn. This tactile stimulation
promotes a sense of security for the newborn.
A nurse on an antepartum unit is caring for four clients. Which of the following
clients should the nurse identify as the priority? - (ANSWER)Epigastric pain is a
clinical manifestation of preeclampsia and indicates hepatic involvement, which is
an urgent finding. Therefore, the nurse should identify this client as the priority.
, A nurse is preparing to administer oxytocin to a client who is postpartum. Which
of the following findings is an indication for the administration of the medication?
(Select all that apply.) - (ANSWER)Flaccid uterus is correct. Oxytocin increases the
contractility of the uterus.
Cervical laceration is incorrect. Bleeding resulting from a cervical laceration
continues even when the uterus is contracted and firm. It will require repair by
the provider.
Excess vaginal bleeding is correct. Oxytocin enhances uterine contractility,
decreasing vaginal bleeding.
Increased afterbirth cramping is incorrect. The use of oxytocin will increase,
rather than decrease, afterbirth cramping.
Increased maternal temperature is incorrect. The use of oxytocin will have no
effect on maternal temperature.
A nurse is teaching a new mother about newborn safety. Which of the following
instructions should the nurse include in the teaching? - (ANSWER)Room-sharing
is recommended during the first few weeks. This allows the parents to be readily
available to the newborn and learn the newborn's cues. However, the nurse
should instruct the parents to avoid placing the newborn in their bed as it
increases the risk for sudden infant death syndrome.
CORRECT DETAILED ANSWERS INCLUSIVE OF
RATIONALES LATEST UPDATE |ALREADY A
GRADED|NEW!!
A nurse is reviewing the medical record of a client who is one day postpartum.
The client had a vaginal birth with a fourth-degree perineal laceration. The nurse
should contact the provider regarding which of the following prescriptions? -
(ANSWER)The nurse should not administer a rectal suppository or enema to a
client who has a fourth-degree perineal laceration. These can cause separation of
the suture line, bleeding, or infection.
A nurse is preparing to administer hepatitis B immune globulin to a newborn. The
prescription states, "Administer 5 mcg IM once today." Available is a 5 mL vial
with 10 mcg/mL. How many mL should the nurse administer? (Round the answer
to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) -
(ANSWER)STEP 8: Reassess to determine whether the amount to administer
makes sense. If there are 10 mcg/mL and the prescription reads 5 mcg, it makes
sense to administer 0.5 mL. The nurse should administer hepatitis B
immunoglobulin 0.5 mL IM.
A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which
of the following instructions should the nurse include in the teaching? -
(ANSWER)The nurse should instruct the client to engage in 30 min of moderate
exercise every day to improve muscle tone throughout her pregnancy.
A nurse is assessing a client who is in labor and notes early decelerations on the
fetal monitor. Which of the following findings should the nurse identify as a
possible cause of the early decelerations? - (ANSWER)The nurse should identify
fetal head compression as a likely cause of the early decelerations on the fetal
,monitor. Early decelerations are an expected fetal pattern caused by fetal head
compression due to uterine contractions, fundal pressure, and vaginal
examinations.
A nurse is caring for a client and her partner who have experienced a fetal death.
Which of the following actions should the nurse take? - (ANSWER)Take photos of
the newborn to give to the parents.
The nurse should create a memory box that includes mementos of the newborn
(for example, photos, the newborn's ID bands, the newborn's hat, and the
newborn's blanket).
A nurse is observing a new mother caring for her crying newborn who is bottle
feeding. Which of the following actions by the mother should the nurse recognize
as a positive parenting behavior? - (ANSWER)Lays the newborn across her lap
and gently sways.
This is a correct technique for quieting a newborn. This tactile stimulation
promotes a sense of security for the newborn.
A nurse on an antepartum unit is caring for four clients. Which of the following
clients should the nurse identify as the priority? - (ANSWER)Epigastric pain is a
clinical manifestation of preeclampsia and indicates hepatic involvement, which is
an urgent finding. Therefore, the nurse should identify this client as the priority.
, A nurse is preparing to administer oxytocin to a client who is postpartum. Which
of the following findings is an indication for the administration of the medication?
(Select all that apply.) - (ANSWER)Flaccid uterus is correct. Oxytocin increases the
contractility of the uterus.
Cervical laceration is incorrect. Bleeding resulting from a cervical laceration
continues even when the uterus is contracted and firm. It will require repair by
the provider.
Excess vaginal bleeding is correct. Oxytocin enhances uterine contractility,
decreasing vaginal bleeding.
Increased afterbirth cramping is incorrect. The use of oxytocin will increase,
rather than decrease, afterbirth cramping.
Increased maternal temperature is incorrect. The use of oxytocin will have no
effect on maternal temperature.
A nurse is teaching a new mother about newborn safety. Which of the following
instructions should the nurse include in the teaching? - (ANSWER)Room-sharing
is recommended during the first few weeks. This allows the parents to be readily
available to the newborn and learn the newborn's cues. However, the nurse
should instruct the parents to avoid placing the newborn in their bed as it
increases the risk for sudden infant death syndrome.
