ATI Capstone OB

ATI Capstone OB 2023 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 Ans- G4 P2 a nurse is caring for a pt who is in the latent phase of labor, what clinical manifestation should the nurse expect Ans- 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 Ans- premature ovarian failure a nurse is caring for a newborn who has a blood glucose of 45mg/dl, what action should the nurse take Ansencourage 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 Ans- 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 Ans- 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 Ans- vitamin B6 a nurse is providing teaching to a pt about depot medroxyprogesterone acetate, what info should the nurse include in the teaching Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- respiratory rate 11/min a nurse is teaching a pt about using an IUD for contraception, what statement by the pt indicates an understanding Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Anspostpartum 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 Ans- 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 Ans- 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 Ansassist 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 Ans- 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 Ans- 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 Ans- 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 Ansestrogen 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 Ans- 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 Ans- mongolian spots a nurse is caring for a pt who is in the third stage of labor, what actions should the nurse take Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ansencourage 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 Ans- immunosuppressed household members a nurse is caring for a pt who is in labor and has an ep