ATI OB Review
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks gest.
Which of the following manifestations should the RN ID as consistent with the diagnosis
- 🖋unilateral, cramp-like abdominal pain
A nurse in a clinic is assessing a client who is 8 wks gest and has HG. findings to
expect? - 🖋hx of migraines - first 20 wks
nulliparous - first trimester
twin gestation - increasing levels of estrogen, progesterone, HCG
Teaching fetal development to group of clients at antenatal clinic, nurse include in the
teaching? - 🖋the baby's heart beat is audible by a doppler stethoscope at 12 weeks of
preg
sex is determined at conception
lanugo covers fetal body at 20wks and disappears by week 36
quickening the feeling of fetal movement begins between weeks 14 to 16 in multiparous
and week 18 or later in nulliparous
Assessing client at 3 days PP and is breastfeeding. then nurse notes that the fundus is
three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are
hard and warm on palpation. interpretations of these findings? - 🖋additional
intervention is not indicated at this time.
the fundal location and lochia are characteristics w/in normal range.
breast engorgement is typical, breast begin to produce milk.
frequent BF and routine care can help relieve engorgement.
Nurse in a prenatal clinic is reviewing client record who is 28 weeks of gest. the hx
includes 1 preg, terminated at 9 weeks, birth of twins at 36 weeks, abortion at 15 weeks.
What is GTPAL? - 🖋G 4
T0
P1
A2
L2
Nurse is teaching client PP and has new RX for injection of RHOGAM, what should be
included in teaching? - 🖋it prevents formation of RH antibodies in mothers who are RH
negative
given at 28week and following future preg
, Teaching a newborn parent to care for the umbilical cord stump. include which
instructions? - 🖋give sponge bath till cord falls off
Caring for newborn, grandmother of the newborn asks if she can take the baby to the
mothers room. Appropriate response? - 🖋have the mother call and I will take the baby
to the room.
A nurse assessing a client who is 8hr PP and multiparous. Which of the following
findings should alert the nurse to the client's need to urinate? - 🖋fundus is three
fingerbreadths above the umbilicus
A nurse in the ED is admitting a pt who is 40 wks gest, has ruptured membranes, nurse
observes NB head crowning. Client tells nurse she wants to push. Correct reply? - 🖋
you should try to pant as the delivery proceeds
Panting allows uterine forces to expel the fetus and permits controlled muscle
expansion to avoid rapid expulsion of fetal head
a nurse is completing HX for client at 6wks gest. Client informs the nurse that she
smokes one pack of cig a day. the nurse should advise the client that smoking places
the clients NB at risk for...? - 🖋IUGR - intrauterine growth restriction
placental abruption
placenta previa
preterm delivery
fetal death
A nurse is caring for a client who is PP. nurse should recognize the following as
indication of inhibition of parenteral attachment? - 🖋i wish he had more hair, i will keep
a hat on his head till he grow some
A nurse caring for a client who delivered a healthy NB via C-section birth. client asks the
nurse, is there a chance that i could deliver my next baby w/out have a c-section. best
response? - 🖋the primary consideration is what type of incision was performed this
time.
A nurse is preparing to administer MgSO4 IV to client, who is experiencing preterm
labor. priority nursing assessment for client? - 🖋RR
Nurse is caring for a client who is primigravida at term, and having contractions, but
stating that she is not really sure if she is in labor or not. nurse should recognize as a
sign of true labor? - 🖋change in cervix
Nurse is planning care for a NB who is SGA, which is priority intervention to include in
care? - 🖋monitor blood glucose
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks gest.
Which of the following manifestations should the RN ID as consistent with the diagnosis
- 🖋unilateral, cramp-like abdominal pain
A nurse in a clinic is assessing a client who is 8 wks gest and has HG. findings to
expect? - 🖋hx of migraines - first 20 wks
nulliparous - first trimester
twin gestation - increasing levels of estrogen, progesterone, HCG
Teaching fetal development to group of clients at antenatal clinic, nurse include in the
teaching? - 🖋the baby's heart beat is audible by a doppler stethoscope at 12 weeks of
preg
sex is determined at conception
lanugo covers fetal body at 20wks and disappears by week 36
quickening the feeling of fetal movement begins between weeks 14 to 16 in multiparous
and week 18 or later in nulliparous
Assessing client at 3 days PP and is breastfeeding. then nurse notes that the fundus is
three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are
hard and warm on palpation. interpretations of these findings? - 🖋additional
intervention is not indicated at this time.
the fundal location and lochia are characteristics w/in normal range.
breast engorgement is typical, breast begin to produce milk.
frequent BF and routine care can help relieve engorgement.
Nurse in a prenatal clinic is reviewing client record who is 28 weeks of gest. the hx
includes 1 preg, terminated at 9 weeks, birth of twins at 36 weeks, abortion at 15 weeks.
What is GTPAL? - 🖋G 4
T0
P1
A2
L2
Nurse is teaching client PP and has new RX for injection of RHOGAM, what should be
included in teaching? - 🖋it prevents formation of RH antibodies in mothers who are RH
negative
given at 28week and following future preg
, Teaching a newborn parent to care for the umbilical cord stump. include which
instructions? - 🖋give sponge bath till cord falls off
Caring for newborn, grandmother of the newborn asks if she can take the baby to the
mothers room. Appropriate response? - 🖋have the mother call and I will take the baby
to the room.
A nurse assessing a client who is 8hr PP and multiparous. Which of the following
findings should alert the nurse to the client's need to urinate? - 🖋fundus is three
fingerbreadths above the umbilicus
A nurse in the ED is admitting a pt who is 40 wks gest, has ruptured membranes, nurse
observes NB head crowning. Client tells nurse she wants to push. Correct reply? - 🖋
you should try to pant as the delivery proceeds
Panting allows uterine forces to expel the fetus and permits controlled muscle
expansion to avoid rapid expulsion of fetal head
a nurse is completing HX for client at 6wks gest. Client informs the nurse that she
smokes one pack of cig a day. the nurse should advise the client that smoking places
the clients NB at risk for...? - 🖋IUGR - intrauterine growth restriction
placental abruption
placenta previa
preterm delivery
fetal death
A nurse is caring for a client who is PP. nurse should recognize the following as
indication of inhibition of parenteral attachment? - 🖋i wish he had more hair, i will keep
a hat on his head till he grow some
A nurse caring for a client who delivered a healthy NB via C-section birth. client asks the
nurse, is there a chance that i could deliver my next baby w/out have a c-section. best
response? - 🖋the primary consideration is what type of incision was performed this
time.
A nurse is preparing to administer MgSO4 IV to client, who is experiencing preterm
labor. priority nursing assessment for client? - 🖋RR
Nurse is caring for a client who is primigravida at term, and having contractions, but
stating that she is not really sure if she is in labor or not. nurse should recognize as a
sign of true labor? - 🖋change in cervix
Nurse is planning care for a NB who is SGA, which is priority intervention to include in
care? - 🖋monitor blood glucose
