MATERNAL OB ATI PRACTICE A QUESTIONS AND CORRECT
Maternal OB ATI PRACTICE A
DETAILED ANSWERS INCLUSIVE OF RATIONALES LATEST UPDATE
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1. A nurse is reviewing the medical The nurse should not administer a rectal suppository
record of a client who is one day or enema to a client who has a fourth-degree perineal
postpartum. The client had a vagi- laceration. These can cause separation of the suture line,
nal birth with a fourth-degree per- bleeding, or infection.
ineal laceration. The nurse should
contact the provider regarding
which of the following prescrip-
tions?
2. A nurse is preparing to administer STEP 8: Reassess to determine whether the amount to
hepatitis B immune globulin to a administer makes sense. If there are 10 mcg/mL and
newborn. The prescription states, the prescription reads 5 mcg, it makes sense to admin-
"Administer 5 mcg IM once today." ister 0.5 mL. The nurse should administer hepatitis B
Available is a 5 mL vial with 10 immunoglobulin 0.5 mL IM.
mcg/mL. How many mL should the
nurse administer? (Round the an-
swer to the nearest tenth. Use a
leading zero if it applies. Do not
use a trailing zero.)
3. A nurse is teaching a client who The nurse should instruct the client to engage in 30 min
is at 8 weeks of gestation about of moderate exercise every day to improve muscle tone
exercise. Which of the following throughout her pregnancy.
instructions should the nurse in-
clude in the teaching?
4. A nurse is assessing a client who is The nurse should identify fetal head compression as a
in labor and notes early decelera- likely cause of the early decelerations on the fetal mon-
tions on the fetal monitor. Which of itor. Early decelerations are an expected fetal pattern
the following findings should the caused by fetal head compression due to uterine con-
nurse identify as a possible cause tractions, fundal pressure, and vaginal examinations.
of the early decelerations?
, Maternal OB ATI PRACTICE A
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5. A nurse is caring for a client and Take photos of the newborn to give to the parents.
her partner who have experienced
a fetal death. Which of the follow- The nurse should create a memory box that includes
ing actions should the nurse take? mementos of the newborn (for example, photos, the
newborn's ID bands, the newborn's hat, and the new-
born's blanket).
6. A nurse is observing a new moth- Lays the newborn across her lap and gently sways.
er caring for her crying newborn
who is bottle feeding. Which of the This is a correct technique for quieting a newborn. This
following actions by the mother tactile stimulation promotes a sense of security for the
should the nurse recognize as a newborn.
positive parenting behavior?
7. A nurse on an antepartum unit is Epigastric pain is a clinical manifestation of preeclampsia
caring for four clients. Which of the and indicates hepatic involvement, which is an urgent
following clients should the nurse finding. Therefore, the nurse should identify this client
identify as the priority? as the priority.
8. A nurse is preparing to administer Flaccid uterus is correct. Oxytocin increases the contrac-
oxytocin to a client who is postpar- tility of the uterus.
tum. Which of the following find-
ings is an indication for the admin- Cervical laceration is incorrect. Bleeding resulting from
istration of the medication? (Select a cervical laceration continues even when the uterus is
all that apply.) 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.
, Maternal OB ATI PRACTICE A
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Increased maternal temperature is incorrect. The use of
oxytocin will have no effect on maternal temperature.
9. A nurse is teaching a new moth- Room-sharing is recommended during the first few
er about newborn safety. Which of weeks. This allows the parents to be readily available to
the following instructions should the newborn and learn the newborn's cues. However, the
the nurse include in the teaching? nurse should instruct the parents to avoid placing the
newborn in their bed as it increases the risk for sudden
infant death syndrome.
10. A nurse is calculating a client's When using Naegele's rule to calculate the estimated
expected date of birth using date of birth for a client, the nurse should subtract 3
Naegele's rule. The client tells the months from the first day of the client's last menstrual
nurse that her last menstrual cycle cycle and then add 7 days. November 27th minus 3
started on November 27th. Which months equals August 27th. August 27th plus 7 days
of the following dates is the client's equals September 3rd.
expected date of birth?
11. A charge nurse on a labor and Evidence-based practice indicates the nurse should per-
delivery unit is teaching a new- form this step first when performing Leopold maneu-
ly licensed nurse how to per- vers. During this step, the nurse palpates the client's
form Leopold maneuvers. Which abdomen with her palms to determine which fetal part
of the following images indicates is in the uterine fundus. This step also identifies the lie
the first step of Leopold maneu- (transverse or longitudinal) and presentation (cephalic
vers? or breech) of the fetus.
12. A nurse is caring for a client who The nurse should perform Leopold maneuvers to assess
is at 38 weeks of gestation. Which the position of the fetus to best determine the optimal
of the following actions should the placement for the external fetal monitoring transducer
nurse take prior to applying an ex-
ternal transducer for fetal moni-
toring?
Maternal OB ATI PRACTICE A
DETAILED ANSWERS INCLUSIVE OF RATIONALES LATEST UPDATE
Study online at https://quizlet.com/_h8dd3s
|ALREADY A GRADED|NEW!
1. A nurse is reviewing the medical The nurse should not administer a rectal suppository
record of a client who is one day or enema to a client who has a fourth-degree perineal
postpartum. The client had a vagi- laceration. These can cause separation of the suture line,
nal birth with a fourth-degree per- bleeding, or infection.
ineal laceration. The nurse should
contact the provider regarding
which of the following prescrip-
tions?
2. A nurse is preparing to administer STEP 8: Reassess to determine whether the amount to
hepatitis B immune globulin to a administer makes sense. If there are 10 mcg/mL and
newborn. The prescription states, the prescription reads 5 mcg, it makes sense to admin-
"Administer 5 mcg IM once today." ister 0.5 mL. The nurse should administer hepatitis B
Available is a 5 mL vial with 10 immunoglobulin 0.5 mL IM.
mcg/mL. How many mL should the
nurse administer? (Round the an-
swer to the nearest tenth. Use a
leading zero if it applies. Do not
use a trailing zero.)
3. A nurse is teaching a client who The nurse should instruct the client to engage in 30 min
is at 8 weeks of gestation about of moderate exercise every day to improve muscle tone
exercise. Which of the following throughout her pregnancy.
instructions should the nurse in-
clude in the teaching?
4. A nurse is assessing a client who is The nurse should identify fetal head compression as a
in labor and notes early decelera- likely cause of the early decelerations on the fetal mon-
tions on the fetal monitor. Which of itor. Early decelerations are an expected fetal pattern
the following findings should the caused by fetal head compression due to uterine con-
nurse identify as a possible cause tractions, fundal pressure, and vaginal examinations.
of the early decelerations?
, Maternal OB ATI PRACTICE A
Study online at https://quizlet.com/_h8dd3s
5. A nurse is caring for a client and Take photos of the newborn to give to the parents.
her partner who have experienced
a fetal death. Which of the follow- The nurse should create a memory box that includes
ing actions should the nurse take? mementos of the newborn (for example, photos, the
newborn's ID bands, the newborn's hat, and the new-
born's blanket).
6. A nurse is observing a new moth- Lays the newborn across her lap and gently sways.
er caring for her crying newborn
who is bottle feeding. Which of the This is a correct technique for quieting a newborn. This
following actions by the mother tactile stimulation promotes a sense of security for the
should the nurse recognize as a newborn.
positive parenting behavior?
7. A nurse on an antepartum unit is Epigastric pain is a clinical manifestation of preeclampsia
caring for four clients. Which of the and indicates hepatic involvement, which is an urgent
following clients should the nurse finding. Therefore, the nurse should identify this client
identify as the priority? as the priority.
8. A nurse is preparing to administer Flaccid uterus is correct. Oxytocin increases the contrac-
oxytocin to a client who is postpar- tility of the uterus.
tum. Which of the following find-
ings is an indication for the admin- Cervical laceration is incorrect. Bleeding resulting from
istration of the medication? (Select a cervical laceration continues even when the uterus is
all that apply.) 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.
, Maternal OB ATI PRACTICE A
Study online at https://quizlet.com/_h8dd3s
Increased maternal temperature is incorrect. The use of
oxytocin will have no effect on maternal temperature.
9. A nurse is teaching a new moth- Room-sharing is recommended during the first few
er about newborn safety. Which of weeks. This allows the parents to be readily available to
the following instructions should the newborn and learn the newborn's cues. However, the
the nurse include in the teaching? nurse should instruct the parents to avoid placing the
newborn in their bed as it increases the risk for sudden
infant death syndrome.
10. A nurse is calculating a client's When using Naegele's rule to calculate the estimated
expected date of birth using date of birth for a client, the nurse should subtract 3
Naegele's rule. The client tells the months from the first day of the client's last menstrual
nurse that her last menstrual cycle cycle and then add 7 days. November 27th minus 3
started on November 27th. Which months equals August 27th. August 27th plus 7 days
of the following dates is the client's equals September 3rd.
expected date of birth?
11. A charge nurse on a labor and Evidence-based practice indicates the nurse should per-
delivery unit is teaching a new- form this step first when performing Leopold maneu-
ly licensed nurse how to per- vers. During this step, the nurse palpates the client's
form Leopold maneuvers. Which abdomen with her palms to determine which fetal part
of the following images indicates is in the uterine fundus. This step also identifies the lie
the first step of Leopold maneu- (transverse or longitudinal) and presentation (cephalic
vers? or breech) of the fetus.
12. A nurse is caring for a client who The nurse should perform Leopold maneuvers to assess
is at 38 weeks of gestation. Which the position of the fetus to best determine the optimal
of the following actions should the placement for the external fetal monitoring transducer
nurse take prior to applying an ex-
ternal transducer for fetal moni-
toring?
