ATI OB DETAILED ANSWER KEY
Placenta previa - ANSWER-Condition when placenta implants in lower uterus, causing painless
red vaginal bleeding
Abruptio placenta - ANSWER-Separation of placenta from uterine implantation site, causing
painful bleeding and nonrelaxed uterus
Intermittent abdominal pain following passage of bloody mucus - ANSWER-Description of
normal labor, loss of cervical mucous plug
Lochia rubra with small clots - ANSWER-Expected finding 1 hr postpartum, document and
continue monitoring
Fundus firm at umbilicus - ANSWER-Expected finding 1 hr postpartum, document and continue
monitoring
Increase frequency of fundal massage - ANSWER-Not indicated for firm fundus at umbilicus
Encourage client to empty bladder - ANSWER-Not indicated for firm fundus at umbilicus
Administer vitamin K - ANSWER-Important, but can be delayed until newborn is held by mother
and breastfed
Dry the skin - ANSWER-Thoroughly dry newborn, cover with warm blanket to prevent cold stress
Administer eye prophylaxis - ANSWER-Should occur within first hour after birth
, Place an identification bracelet - ANSWER-Important, but can be delayed until mother and
newborn leave delivery room
Administer vitamin K - ANSWER-Important, but can be delayed until newborn is held by mother
and breastfed
Dry the skin - ANSWER-Thoroughly dry newborn, cover with warm blanket to prevent cold stress
Administer eye prophylaxis - ANSWER-Should occur within first hour after birth
Place an identification bracelet - ANSWER-Important, but can be delayed until mother and
newborn leave delivery room
Administer vitamin K - ANSWER-Important, but can be delayed until newborn is held by mother
and breastfed
Dry the skin - ANSWER-Thoroughly dry newborn, cover with warm blanket to prevent cold stress
Administer eye prophylaxis - ANSWER-Should occur within first hour after birth
Place an identification bracelet - ANSWER-Important, but can be delayed until mother and
newborn leave delivery room
Urinary frequency - ANSWER-Occurs during first trimester and near end of pregnancy due to
increased bladder sensitivity and pressure
Placenta previa - ANSWER-Condition when placenta implants in lower uterus, causing painless
red vaginal bleeding
Abruptio placenta - ANSWER-Separation of placenta from uterine implantation site, causing
painful bleeding and nonrelaxed uterus
Intermittent abdominal pain following passage of bloody mucus - ANSWER-Description of
normal labor, loss of cervical mucous plug
Lochia rubra with small clots - ANSWER-Expected finding 1 hr postpartum, document and
continue monitoring
Fundus firm at umbilicus - ANSWER-Expected finding 1 hr postpartum, document and continue
monitoring
Increase frequency of fundal massage - ANSWER-Not indicated for firm fundus at umbilicus
Encourage client to empty bladder - ANSWER-Not indicated for firm fundus at umbilicus
Administer vitamin K - ANSWER-Important, but can be delayed until newborn is held by mother
and breastfed
Dry the skin - ANSWER-Thoroughly dry newborn, cover with warm blanket to prevent cold stress
Administer eye prophylaxis - ANSWER-Should occur within first hour after birth
, Place an identification bracelet - ANSWER-Important, but can be delayed until mother and
newborn leave delivery room
Administer vitamin K - ANSWER-Important, but can be delayed until newborn is held by mother
and breastfed
Dry the skin - ANSWER-Thoroughly dry newborn, cover with warm blanket to prevent cold stress
Administer eye prophylaxis - ANSWER-Should occur within first hour after birth
Place an identification bracelet - ANSWER-Important, but can be delayed until mother and
newborn leave delivery room
Administer vitamin K - ANSWER-Important, but can be delayed until newborn is held by mother
and breastfed
Dry the skin - ANSWER-Thoroughly dry newborn, cover with warm blanket to prevent cold stress
Administer eye prophylaxis - ANSWER-Should occur within first hour after birth
Place an identification bracelet - ANSWER-Important, but can be delayed until mother and
newborn leave delivery room
Urinary frequency - ANSWER-Occurs during first trimester and near end of pregnancy due to
increased bladder sensitivity and pressure
