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OB -GYN ATI OB QUESTIONS AND ANSWERS Graded A 2024
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OB -GYN ATI OB QUESTIONS AND ANSWERS Graded A 2024OB -GYN ATI OB QUESTIONS AND ANSWERS Graded A 2024OB -GYN ATI OB QUESTIONS AND ANSWERS Graded A 2024OB -GYN ATI OB QUESTIONS AND ANSWERS Graded A 2024OB -GYN ATI OB QUESTIONS AND ANSWERS Graded A 2024

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  • March 8, 2024
  • 287
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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OB -GYN ATI OB QUESTIONS AND ANSWERS

Graded A 2024



1.A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected

placenta revia. 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

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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



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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.




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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.



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