OB exam 1 ATI
A consumer studies a huge gush of fluid from vagina at the same time as strolling within the
hallway of the birthing unit. Which of the subsequent movements need to the nurse take first?
A. Check the amniotic fluid for meconium.
B. Monitor FHR for distress.
C. Dry the purchaser and make her cushty.
D. Monitor uterine contractions - ANS-B. Monitor FHR for distress.
A nurse educator at the postpartum unit is reviewing danger factors for postpartum hemorrhage
with a group of nurses. Which of the subsequent elements must the nurse consist of within the
coaching?
A) Precipitous transport
b) Obesity
c) Inversion of the uterus
d) Oligohydraminios
e) Retained placental fragments - ANS-A, C, E
A nurse in labor and transport is planning care for a newly admitted consumer who reports she
is in hard work and has been having vaginal bleeding for two weeks. Which of the subsequent
should the nurse include inside the plan of care?
A. Inspect the introitus for a prolapsed wire.
B. Perform a check to discover the ferning pattern.
C. Monitor station of the providing part.
D. Defer vaginal examinations. - ANS-D. Defer vaginal examinations.
A nurse in hard work and shipping unit is finishing an admission evaluation for a consumer who
is at 39 weeks gestation. The consumer reviews that she has been leaking fluid from her vagina
for 2 days. Which of the subsequent conditions us the purchaser at hazard for growing?
A. Cord prolapse
B. Infection
C. Postpartum hemorrhage
D. Hydramnios - ANS-B. Infection
bc it is a ruptured membrane
A nurse within the emergency branch is being concerned for a purchaser who reviews abrupt
sharp proper sided lower quadrant stomach ache and vivid pink vaginal bleeding. The customer
states she ignored one menstrual cycle and cannot be pregos bc she has an intrauterine device.
Which need to the nurse assume?
, A. Missed abortion
B. Ectopic pregnancy
C. Severe preeclampsia
D. Hydatidiform mole - ANS-B. Ectopic being pregnant
A nurse within the labor and transport unit is being concerned for a purchaser in labor and
applies an outside fetal screen and tocotransducer. The FHR is round one hundred
forty/min.Contractions are occurring each eight min and 30 to 40 seconds in duration. The nurse
performs a vaginal exam and unearths the cervix is two cm dilated, 50% effaced, and the fetus
is at a -2 station. Which of the following stages and levels of Labor is this consumer
experiencing?
A. First stage, latent segment
B. First stage, energetic section
C. First level, transition section
D. Second level of hard work - ANS-A. First degree, latent segment
A nurse inside the hard work and delivery unit receives a phone name from a patron who
reports that her contractions began about 2 hr in the past, did not depart whilst she had glasses
of water and rested, and became stronger due to the fact she began on foot. Her contractions
arise each 10 min and last about 30 seconds. She hasn't had any fluid leak from her vagina.
However, she noticed a few blood whilst she wiped after voiding. Based on this document,
which of the following scientific findings have to the nurse understand that the consumer is
experiencing?
A. Braxton Hicks contractions
B. Rupture of membranes
C. Fetal descent
D. True contractions - ANS-D. True contractions
A nurse is administering magnesium sulfate IV to a purchaser who has excessive preeclampsia
for seizure prophylaxis. Which suggests magnesium sulfate toxicity? SATA
A. RR < 12
B. Urine output < 30ml/hr
C. Hyperreflexic deep tendon reflexes
D. Decreased level of consciousness
E. Flushing and sweating - ANS-A, B, D
it's not C bc it should be a loss of patellar deep tendon reflexes
A nurse is caring for a client and her partner during the second stage of labor. The client's
partner asks the nurse to explain how he will know when crowning occurs. Which of the
following responses should the nurse make?
A. "the placenta will protrude from the vagina."
B. "Your partner will report a decrease in the intensity of contractions."
A consumer studies a huge gush of fluid from vagina at the same time as strolling within the
hallway of the birthing unit. Which of the subsequent movements need to the nurse take first?
A. Check the amniotic fluid for meconium.
B. Monitor FHR for distress.
C. Dry the purchaser and make her cushty.
D. Monitor uterine contractions - ANS-B. Monitor FHR for distress.
A nurse educator at the postpartum unit is reviewing danger factors for postpartum hemorrhage
with a group of nurses. Which of the subsequent elements must the nurse consist of within the
coaching?
A) Precipitous transport
b) Obesity
c) Inversion of the uterus
d) Oligohydraminios
e) Retained placental fragments - ANS-A, C, E
A nurse in labor and transport is planning care for a newly admitted consumer who reports she
is in hard work and has been having vaginal bleeding for two weeks. Which of the subsequent
should the nurse include inside the plan of care?
A. Inspect the introitus for a prolapsed wire.
B. Perform a check to discover the ferning pattern.
C. Monitor station of the providing part.
D. Defer vaginal examinations. - ANS-D. Defer vaginal examinations.
A nurse in hard work and shipping unit is finishing an admission evaluation for a consumer who
is at 39 weeks gestation. The consumer reviews that she has been leaking fluid from her vagina
for 2 days. Which of the subsequent conditions us the purchaser at hazard for growing?
A. Cord prolapse
B. Infection
C. Postpartum hemorrhage
D. Hydramnios - ANS-B. Infection
bc it is a ruptured membrane
A nurse within the emergency branch is being concerned for a purchaser who reviews abrupt
sharp proper sided lower quadrant stomach ache and vivid pink vaginal bleeding. The customer
states she ignored one menstrual cycle and cannot be pregos bc she has an intrauterine device.
Which need to the nurse assume?
, A. Missed abortion
B. Ectopic pregnancy
C. Severe preeclampsia
D. Hydatidiform mole - ANS-B. Ectopic being pregnant
A nurse within the labor and transport unit is being concerned for a purchaser in labor and
applies an outside fetal screen and tocotransducer. The FHR is round one hundred
forty/min.Contractions are occurring each eight min and 30 to 40 seconds in duration. The nurse
performs a vaginal exam and unearths the cervix is two cm dilated, 50% effaced, and the fetus
is at a -2 station. Which of the following stages and levels of Labor is this consumer
experiencing?
A. First stage, latent segment
B. First stage, energetic section
C. First level, transition section
D. Second level of hard work - ANS-A. First degree, latent segment
A nurse inside the hard work and delivery unit receives a phone name from a patron who
reports that her contractions began about 2 hr in the past, did not depart whilst she had glasses
of water and rested, and became stronger due to the fact she began on foot. Her contractions
arise each 10 min and last about 30 seconds. She hasn't had any fluid leak from her vagina.
However, she noticed a few blood whilst she wiped after voiding. Based on this document,
which of the following scientific findings have to the nurse understand that the consumer is
experiencing?
A. Braxton Hicks contractions
B. Rupture of membranes
C. Fetal descent
D. True contractions - ANS-D. True contractions
A nurse is administering magnesium sulfate IV to a purchaser who has excessive preeclampsia
for seizure prophylaxis. Which suggests magnesium sulfate toxicity? SATA
A. RR < 12
B. Urine output < 30ml/hr
C. Hyperreflexic deep tendon reflexes
D. Decreased level of consciousness
E. Flushing and sweating - ANS-A, B, D
it's not C bc it should be a loss of patellar deep tendon reflexes
A nurse is caring for a client and her partner during the second stage of labor. The client's
partner asks the nurse to explain how he will know when crowning occurs. Which of the
following responses should the nurse make?
A. "the placenta will protrude from the vagina."
B. "Your partner will report a decrease in the intensity of contractions."
