ATI Capstone OB Questions and Answers right

ATI Capstone OB Questions and Answers right a 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 a nurse is caring for a pt who is postoperative following a mastectomy, the pt expresses concern about losing her femininity and fears that she will no longer be attractive to her partner, what is a therapeutic response by the nurse clarify the pt's concerns about her body image a nurse is providing education about prenatal nutrition with a pt who is at 13 weeks of gestation and has a BMI of 22, what information should the nurse include consume about 71g of protein each day during pregnancy a nurse is providing teaching to a pt who is experiencing hot flashes and has a new prescription for hormone therapy with conjugated equine estrogen, what information should the nurse include in the teaching estrogen decreases the risk for osteoporosis estrogen use and smoking increases the risk for TBE estrogen therapy can cause break-through vaginal bleeding a nurse is providing teaching to a pt who has fibrocystic breast changes and is experiencing breast discomfort during menstruation, what instructions should the nurse include decrease daily intake of caffeine a nurse is assessing a newborn and observes a bluish tinged area on the buttocks, the nurse should document as mongolian spots a nurse is caring for a pt who is in the third stage of labor, what actions should the nurse take clean the pt's perineum with warm water a nurse is caring for a pt who has a prescription for ibuprofen for postpartum cramping, what question should the nurse ask prior to admin are you taking OTC meds do you have a history of gastric problems are you being treated for high BP a nurse is assessing a newborn who is 10hr old, what clinical findings should the nurse report to the provider nasal flaring a nurse is caring for a pt who is scheduled for a hysterosalpingography (HSG), what statement by the pt indicates a contraindication to the procedure i am taking medicine for a vaginal infection a nurse is assessing a pt who is at 31 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for preterm labor, what finding should the nurse report respiratory rate 11/min a nurse is caring for a postpartum pt who has DVT and is receiving heparin therapy via subcutaneous injections, what action should the nurse take administer the injection in the pt's abdomen a nurse is caring for a pt who is in the transition phase of labor, what action should the nurse take encourage the pt to use a rapid pant-blow breathing pattern a nurse is preparing to administer a rubella immunization to a pt who is postpartum and has a titer less than 1:8, what finding is a contraindication to administering this med immunosuppressed household members a nurse is caring for a pt who is in labor and has an epidural for pain control, what clinical manifestation is an adverse effect of epidural anesthesia pruritus a nurse on a postpartum unit is teaching a pt about techniques for storing breast milk, what info should the nurse include in the teaching freshly pumped breast milk can be stored at room temp for up to 8 hours a nurse is assessing a newborn who was born vaginally with vacuum extractor assistance, the nurse notes swelling over the newborn's head that crosses the suture lines, the nurse should identify the swelling as what finding caput succedaneum a nurse is teaching a pt about caring for her newborn's umbilical cord, what statement by the pt indicates understanding i should wash around the cord with plain water daily a nurse is teaching a pt who is to start using a diaphragm for contraception, what statment by the pt indicates an understanding of the teaching I will place 2 teaspoons of spermicide on the inside on the inside of the diaphragm for inserting it a nurse is caring for a pt who had a vaginal birth 2 hours ago and has soaked 2 perineal pads in the past 30 min, what action should the nurse take assess the pt's uterine tone a nurse is teaching a pt who is at 10 weeks of gestation about chronic vius sampling (CVS), what information should the nurse include in the teaching a CVS test can detect chromosomal anomalies a nurse is caring for a pt who is in labor and has a diagnosis of strep B hemolytic group B infection, what med should the nurse plan to administer ampicillin