lOMoARcPSD|10450713
OB answer Ati all 2022
Maternal-Child Nursing (Chamberlain
University)
Downloaded by Martha Gonzalez
,Studocu is not sponsored or endorsed by any college or university
Downloaded by Martha Gonzalez
, Detailed Answer
Key medical
1.A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta
previa. Which of the following findings support this diagnosis?
A. Painless red vaginal bleeding
Rationale: Placenta previa is a condition of pregnancy when the placenta implants in the lower
part of the uterus, partly or completely obstructing the cervical os (outlet to the
vagina). Bright red, painless vaginal bleeding occurs in the second and third
trimester.
B. Increasing abdominal pain with a nonrelaxed uterus
Rationale: Abruptio placenta is separation of the placenta from the site of uterine implantation
before delivery of the fetus. When the placenta separates prematurely, there is
internal bleeding, which is painful, and the uterus is nonrelaxed or becomes rigid as
the separation advances.
C. Abdominal pain with scant red vaginal bleeding
Rationale: Placenta previa involves minimal to severe bright red vaginal bleeding in the
absence of abdominal pain.
D. Intermittent abdominal pain following passage of bloody mucus
Rationale: Intermittent abdominal pain following passage of bloody mucus is a description of
normal labor. The passage of bloody mucus represents the loss of the cervical
mucous plug, also referred to as the "bloody show."
2.A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra
and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus.
Which of the following actions should the nurse take?
A. Document the findings and continue to monitor the client.
Rationale: These are expected findings. At 1 hr postpartum, lochia rubra should be intermittent
and associated with uterine contractions. The volume of lochia resembles that of a
heavy menstrual period. Small clots are common. The nurse should document the
findings and continue to monitor the client.
B. Notify the client’s provider.
Rationale: These are expected findings, so there is no need to notify the provider.
C. Increase the frequency of fundal massage.
Rationale: These are expected findings and the fundus is already firm. Increasing the frequency
of fundal massage is not indicated at this time.
D. Encourage the client to empty her bladder.
Rationale: These are expected findings, and the fundus is firm at the midline. If the fundus was
deviated, this would be an indication of a distended bladder and the client should be
encouraged to void to prevent uterine atony.
Created on:11/29/2018 Page 1
Downloaded by Martha Gonzalez
, Detailed Answer
Key medical
3.A nurse is caring for a newborn immediately following birth. After assuring a patent airway,
what is the priority nursing action?
A. Administer vitamin K.
Rationale: Administration of vitamin K is important, but it can be delayed until the newborn is
held by the mother and is breastfed. There is another, more important nursing
action.
B. Dry the skin.
Rationale: The newborn should be thoroughly dried, covered with a warm blanket, placed on
the mother’s abdomen, and a cap applied to the newborn’s head to prevent cold
stress. The newborn responds to the cooler environment by increasing his
respiratory rate, which can lead to respiratory distress. Based on Maslow’s hierarchy
of needs, this is the most important nursing action after securing the airway.
C. Administer eye prophylaxis.
Rationale: Administration of eye prophylaxis should occur within the first hour after birth. There
is another, more important nursing action.
D. Place an identification bracelet.
Rationale: Correct identification of the newborn is important, but it can be delayed, as long as
it is completed prior to the mother and newborn leaving the delivery room. There
is another, more important nursing action.
4.A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports
urinary frequency and asks if this will continue until delivery. Which of the following responses
should the nurse make?
A. "It's a minor inconvenience, which you should ignore."
Rationale: This is a nontherapeutic response that disregards the client’s concern and offers
unwarranted reassurance.
B. "In most cases it only lasts until the 12th week, but it will continue if you have poor bladder tone."
Rationale: The presence or absence of bladder tone has no bearing on urinary frequency
during pregnancy.
C. "There is no way to predict how long it will last in each individual client."
Rationale: This is a nontherapeutic response that does not provide appropriate information to the
client.
D. "It occurs during the first trimester and near the end of the pregnancy."
Rationale: Urinary frequency is due to increased bladder sensitivity during the first trimester
and recurs near the end of the pregnancy as the enlarging uterus places pressure
on the bladder.
Downloaded by Martha Gonzalez
OB answer Ati all 2022
Maternal-Child Nursing (Chamberlain
University)
Downloaded by Martha Gonzalez
,Studocu is not sponsored or endorsed by any college or university
Downloaded by Martha Gonzalez
, Detailed Answer
Key medical
1.A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta
previa. Which of the following findings support this diagnosis?
A. Painless red vaginal bleeding
Rationale: Placenta previa is a condition of pregnancy when the placenta implants in the lower
part of the uterus, partly or completely obstructing the cervical os (outlet to the
vagina). Bright red, painless vaginal bleeding occurs in the second and third
trimester.
B. Increasing abdominal pain with a nonrelaxed uterus
Rationale: Abruptio placenta is separation of the placenta from the site of uterine implantation
before delivery of the fetus. When the placenta separates prematurely, there is
internal bleeding, which is painful, and the uterus is nonrelaxed or becomes rigid as
the separation advances.
C. Abdominal pain with scant red vaginal bleeding
Rationale: Placenta previa involves minimal to severe bright red vaginal bleeding in the
absence of abdominal pain.
D. Intermittent abdominal pain following passage of bloody mucus
Rationale: Intermittent abdominal pain following passage of bloody mucus is a description of
normal labor. The passage of bloody mucus represents the loss of the cervical
mucous plug, also referred to as the "bloody show."
2.A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra
and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus.
Which of the following actions should the nurse take?
A. Document the findings and continue to monitor the client.
Rationale: These are expected findings. At 1 hr postpartum, lochia rubra should be intermittent
and associated with uterine contractions. The volume of lochia resembles that of a
heavy menstrual period. Small clots are common. The nurse should document the
findings and continue to monitor the client.
B. Notify the client’s provider.
Rationale: These are expected findings, so there is no need to notify the provider.
C. Increase the frequency of fundal massage.
Rationale: These are expected findings and the fundus is already firm. Increasing the frequency
of fundal massage is not indicated at this time.
D. Encourage the client to empty her bladder.
Rationale: These are expected findings, and the fundus is firm at the midline. If the fundus was
deviated, this would be an indication of a distended bladder and the client should be
encouraged to void to prevent uterine atony.
Created on:11/29/2018 Page 1
Downloaded by Martha Gonzalez
, Detailed Answer
Key medical
3.A nurse is caring for a newborn immediately following birth. After assuring a patent airway,
what is the priority nursing action?
A. Administer vitamin K.
Rationale: Administration of vitamin K is important, but it can be delayed until the newborn is
held by the mother and is breastfed. There is another, more important nursing
action.
B. Dry the skin.
Rationale: The newborn should be thoroughly dried, covered with a warm blanket, placed on
the mother’s abdomen, and a cap applied to the newborn’s head to prevent cold
stress. The newborn responds to the cooler environment by increasing his
respiratory rate, which can lead to respiratory distress. Based on Maslow’s hierarchy
of needs, this is the most important nursing action after securing the airway.
C. Administer eye prophylaxis.
Rationale: Administration of eye prophylaxis should occur within the first hour after birth. There
is another, more important nursing action.
D. Place an identification bracelet.
Rationale: Correct identification of the newborn is important, but it can be delayed, as long as
it is completed prior to the mother and newborn leaving the delivery room. There
is another, more important nursing action.
4.A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports
urinary frequency and asks if this will continue until delivery. Which of the following responses
should the nurse make?
A. "It's a minor inconvenience, which you should ignore."
Rationale: This is a nontherapeutic response that disregards the client’s concern and offers
unwarranted reassurance.
B. "In most cases it only lasts until the 12th week, but it will continue if you have poor bladder tone."
Rationale: The presence or absence of bladder tone has no bearing on urinary frequency
during pregnancy.
C. "There is no way to predict how long it will last in each individual client."
Rationale: This is a nontherapeutic response that does not provide appropriate information to the
client.
D. "It occurs during the first trimester and near the end of the pregnancy."
Rationale: Urinary frequency is due to increased bladder sensitivity during the first trimester
and recurs near the end of the pregnancy as the enlarging uterus places pressure
on the bladder.
Downloaded by Martha Gonzalez
