ATI OB Final Review
Fetal development
12 weeks
➢ heartbeat audible by Doppler
➢ Typically at 12 weeks, the heart tones will be heard midline just above the
symphysis pubis with a Doppler or ultrasound device.
1. A nurse is teaching about fetal development to a group of clients in the antenatal
clinic. Which of the following statements should the nurse include in the teaching?
➢ "The baby’s heartbeat is audible by a Doppler stethoscope at 12 weeks of
pregnancy."
Quickening
➢ 16-20 weeks
➢ 4th and 5th month
1. A nurse is caring for a client who is at 18 weeks of gestation. The client tells the nurse
that she felt fluttering movements in her abdomen 3 days ago. The nurse should
interpret this finding as which of the following?
➢ Quickening.
2. A nurse in a prenatal clinic is caring for a client who believes that she might be pregnant
because she feels the baby moving. Which of the following statements should the nurse
make?
➢ "This is a presumptive sign of pregnancy."
3. A nurse is reinforcing teaching about quickening with a client who is at 6 weeks
of gestation. Which of the following information should the nurse include?
➢ Quickening occurs between the fourth and fifth months of pregnancy
Meds:
Betamethasone
indications
➢ anti inflammatory agent
➢ reduces swelling
➢ treats allergies or autoimmune disorder
➢ asthma
➢ Reduction in respiratory distress in the newborn.
➢ Monitor for potential hypoglycemia (adverse reaction)
,Betamethasone or dexamethasone
➢ Betamethasone may be ordered to increase fetal lung maturity in the event
delivery must occur before term.
➢ Given to reduce respiratory distress.
1. A nurse is caring for a client who is at 32 wks gestation and is experiencing
preterm labor. What meds should the nurse plan to administer?
➢ betamethasone
2. A nurse administers betamethasone to a client who is at 33 weeks gestation to
stimulate fetal lung maturity. Which planning care for the newborn, which of the
following conditions should the nurse identify as an adverse effect of this
medication?
➢ Decreased blood glucose
Folic Acid- prevents?
➢ folic acid is a B vitamin that can prevent up to 70% of birth defects of the
central nervous system, called neural tube defects, such as spina bifida.
➢ prevents births defects of the CNS (neural tube defects or spina bifida)
Folic Acid
➢ 600 a day/ prevents neural tube defects (Spina Bifida). Food high in folic acid
leafy veg, dried peas, and beans, seeds, orange juice, breads, cereals and other
grains.
1. 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?
➢ "I should take 600 micrograms (mcg) of folic acid every day"
2. A nurse is providing preconception counseling for a client who is planning a
pregnancy. Which of the following supplements should the nurse recommend to
help prevent neural tube defects in the fetus?
➢ Folic acid
3. A nurse is instructing a woman who is contemplating pregnancy about nutritional
needs. To reduce the risk of giving birth to a newborn who has a neural tube defect,
which of the following information should the nurse include in the teaching?
➢ Consume foods fortified with folic acid
, 4. A nurse is reinforcing teaching with a client who is pregnant and has a new
prescription for ferrous sulfate due to iron-deficiency anemia. The nurse should
instruct the client to take this medication with which of the following?
➢ orange juice
Iron- s/e
➢ Constipation
➢ Iron supplements turn a client's stools black. In the absence of cramping and
abdominal pain, this is an expected finding. The client should be instructed to
expect black stools.
1. A nurse is caring for a client who is at 16 weeks of gestation and has severe iron
deficiency anemia. The provider prescribes an injection of iron dextran IM. Which
of the following methods should the nurse use to administer the medication?
➢ Use a 20-gauge needle, and administer the medication using the Z-track
method.
2. pt. taking iron for anemia has been taking iron and has constipation what should
they be told:
➢ Take a stool softener (docusate sodium).
Vit K
➢ A newborn is unable to manufacture vitamin K, which is necessary for blood
clotting, without intestinal flora. Vitamin K also promotes production of clotting
factors II, VII, IX, and X in the liver. Vitamin K is usually produced by day 8;
therefore, it is routinely given to newborns to prevent bleeding problems.
1. A nurse is preparing to administer vitamin K IM to a newborn. Into which of the
following muscles should the nurse inject the medication?
➢ Vastus lateralis.
➢
2. A nurse is assisting with the care of a newborn immediately following birth. Which
of the following medications should the nurse anticipate administering? (Select all
that apply.)
➢ Vitamin K injection
➢ Hep B immunization
➢ Antibiotic ointment to both eyes
➢
3. A nurse is caring for a newborn immediately following birth. After assuring a
patent airway, what is the priority nursing action?
Fetal development
12 weeks
➢ heartbeat audible by Doppler
➢ Typically at 12 weeks, the heart tones will be heard midline just above the
symphysis pubis with a Doppler or ultrasound device.
1. A nurse is teaching about fetal development to a group of clients in the antenatal
clinic. Which of the following statements should the nurse include in the teaching?
➢ "The baby’s heartbeat is audible by a Doppler stethoscope at 12 weeks of
pregnancy."
Quickening
➢ 16-20 weeks
➢ 4th and 5th month
1. A nurse is caring for a client who is at 18 weeks of gestation. The client tells the nurse
that she felt fluttering movements in her abdomen 3 days ago. The nurse should
interpret this finding as which of the following?
➢ Quickening.
2. A nurse in a prenatal clinic is caring for a client who believes that she might be pregnant
because she feels the baby moving. Which of the following statements should the nurse
make?
➢ "This is a presumptive sign of pregnancy."
3. A nurse is reinforcing teaching about quickening with a client who is at 6 weeks
of gestation. Which of the following information should the nurse include?
➢ Quickening occurs between the fourth and fifth months of pregnancy
Meds:
Betamethasone
indications
➢ anti inflammatory agent
➢ reduces swelling
➢ treats allergies or autoimmune disorder
➢ asthma
➢ Reduction in respiratory distress in the newborn.
➢ Monitor for potential hypoglycemia (adverse reaction)
,Betamethasone or dexamethasone
➢ Betamethasone may be ordered to increase fetal lung maturity in the event
delivery must occur before term.
➢ Given to reduce respiratory distress.
1. A nurse is caring for a client who is at 32 wks gestation and is experiencing
preterm labor. What meds should the nurse plan to administer?
➢ betamethasone
2. A nurse administers betamethasone to a client who is at 33 weeks gestation to
stimulate fetal lung maturity. Which planning care for the newborn, which of the
following conditions should the nurse identify as an adverse effect of this
medication?
➢ Decreased blood glucose
Folic Acid- prevents?
➢ folic acid is a B vitamin that can prevent up to 70% of birth defects of the
central nervous system, called neural tube defects, such as spina bifida.
➢ prevents births defects of the CNS (neural tube defects or spina bifida)
Folic Acid
➢ 600 a day/ prevents neural tube defects (Spina Bifida). Food high in folic acid
leafy veg, dried peas, and beans, seeds, orange juice, breads, cereals and other
grains.
1. 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?
➢ "I should take 600 micrograms (mcg) of folic acid every day"
2. A nurse is providing preconception counseling for a client who is planning a
pregnancy. Which of the following supplements should the nurse recommend to
help prevent neural tube defects in the fetus?
➢ Folic acid
3. A nurse is instructing a woman who is contemplating pregnancy about nutritional
needs. To reduce the risk of giving birth to a newborn who has a neural tube defect,
which of the following information should the nurse include in the teaching?
➢ Consume foods fortified with folic acid
, 4. A nurse is reinforcing teaching with a client who is pregnant and has a new
prescription for ferrous sulfate due to iron-deficiency anemia. The nurse should
instruct the client to take this medication with which of the following?
➢ orange juice
Iron- s/e
➢ Constipation
➢ Iron supplements turn a client's stools black. In the absence of cramping and
abdominal pain, this is an expected finding. The client should be instructed to
expect black stools.
1. A nurse is caring for a client who is at 16 weeks of gestation and has severe iron
deficiency anemia. The provider prescribes an injection of iron dextran IM. Which
of the following methods should the nurse use to administer the medication?
➢ Use a 20-gauge needle, and administer the medication using the Z-track
method.
2. pt. taking iron for anemia has been taking iron and has constipation what should
they be told:
➢ Take a stool softener (docusate sodium).
Vit K
➢ A newborn is unable to manufacture vitamin K, which is necessary for blood
clotting, without intestinal flora. Vitamin K also promotes production of clotting
factors II, VII, IX, and X in the liver. Vitamin K is usually produced by day 8;
therefore, it is routinely given to newborns to prevent bleeding problems.
1. A nurse is preparing to administer vitamin K IM to a newborn. Into which of the
following muscles should the nurse inject the medication?
➢ Vastus lateralis.
➢
2. A nurse is assisting with the care of a newborn immediately following birth. Which
of the following medications should the nurse anticipate administering? (Select all
that apply.)
➢ Vitamin K injection
➢ Hep B immunization
➢ Antibiotic ointment to both eyes
➢
3. A nurse is caring for a newborn immediately following birth. After assuring a
patent airway, what is the priority nursing action?
