ATI CAPSTONE OB MATERNTY LATEST WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+)

ATI CAPSTONE OB MATERNTY LATEST WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+) A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding. The client has a history of cocaine use. The nurse should identify that the client is likely experiencing which of the following complications? Abruptio placentae Hydatidiform mole Preterm labor Placenta previa - ANSWER-Abruptio placentae A nurse is reviewing a client's medical record and notes that the client is taking tamoxifen. The nurse should identify that tamoxifen is used to treat which of the following conditions? Non-Hodgkin's lymphoma Endometriosis Breast cancer Polycystic ovary syndrome - ANSWER-Breast cancer A nurse is assessing a client 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 the client is experiencing which of the following emotional responses to birth? 2 | P a g e Postpartum depression Postpartum blues - ANSWER-Postpartum blues A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring. Which of the following is an indication that the nurse should discontinue the infusion? Contraction frequency every 3 min Contraction duration of 100 seconds Fetal heart rate with moderate variability Fetal heart rate of 118/min - ANSWER-Contraction duration of 100 seconds A nurse is conducting an infertility assessment for a newly admitted client. Which of the following factors should the nurse identify as affecting the client's fertility? Premature ovarian failure Renal calculi Dysmenorrhea Recurrent urinary tract infection - ANSWER-Premature ovarian failure A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should document the client's obstetrical history as which of the following? Gravida 3, Para 2 Gravida 3, Para 3 Gravida 4, Para 2 Gravida 4, Para - ANSWER-Gravida 4, Para 2 3 | P a g e A nurse is caring for a newborn who has a blood glucose level of 45 mg/dL. Which of the following actions should the nurse take? a. Encourage the mother to breastfeed the newborn. b. Gavage feed 60 mL (2 oz) of glucose water. c. Administer 10 mL of D W via IV. d. 10 Recheck the glucose level in 2 hr - ANSWER-a. Encourage the mother to breastfeed the newborn. A nurse is caring for a client who has placenta previa. Which of the following interventions should the nurse implement for this client? (Select all that apply.) a. Perform a vaginal exam. b. Monitor fetal heart rate with an internal fetal monitor. c. Frequently assess maternal heart rate. d. Initiate bed rest with bathroom privileges. e. Have oxygen equipment available - ANSWER-c. Frequently assess maternal heart rate. d. Initiate bed rest with bathroom privileges. e. Have oxygen equipment available