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OB Practice ATI Exam 1 Remediation Exam Questions with Complete Solutions updated 2024/2025
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OB Practice ATI Exam 1 Remediation Exam Questions with Complete Solutions updated 2024/2025
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OB Practice ATI Exam 1 Remediation1.Prenatal Care: Prioritizing Client Assessment (Establishing Priorities): -
-Education and assessment
-For client's history, the nurse should ask about
reproductive/obstetrical, medical, nutritional, family, psychosocial
history and current health issues, medications, and exercise/lifestyle
-The nurse should also ask about environmental risk factors and risk
of abuse or if there is a history of it
-Ask about birth plan
-Initial prenatal: calculate due date, history, head to toe assessment,
and labs
-other visits: monitor mom's weight/vitals/edema, monitor fetal development (FHR/fundal measurement), provide education
-Rh negative moms get RhO (D) immune globulin IM around 28 weeks
-educate about first, second, and third trimesters
-educate about common discomforts and danger signs!
-danger signs: burning on urination, hyperemesis gravidarum,diarrhea, fever, abdominal cramps, gush of fluid from vagina, vaginal bleeding, decrease fetal movement, headaches, elevated temp, blurred vision, edema on face and hands, epigastric pain, signs of hyper or hypoglycemia.
2.Medical Conditions: Priority Action for a Client Who Is Having a
Seizure (Accident/Error/Injury Prevention): -position patient to prevent
aspiration
-call for assistance
-make sure the patient does not hurt herself while seizure is going on
-monitor FHR to see how fetus is reacting to seizure
-wait for seizure to pass
3.Nursing Care and Discharge Teaching: Teaching About Newborn
Home Safety (Home Safety): -The baby should never be left
unattended with pets or small children
-keep small objects out of reach
-Do not leave a newborn alone on bed, couch, or table because they could fall off
-educate about safe sleep (alone, on back, firm surface )
-do not put anything around the baby's neck
-Crib safety--including being placed on an inner wall for temperature regulation.
-make sure smoke detectors are working in your home
-be within arms reach when baby is placed on a higher surface
-avoid smoke exposure
-infection control with hand washing
-Do not toss the baby in the air or swing him/her by their extremities
-provide community resources .Nursing Care of Newborns: Security Planning (Security Plan): -Hugs tags and identification bands
-baby has two identifiers to prevent them from being given to wrong parents, switched or abducted
-Newborn, mother, and mother's partner all have wristbands on that identify that they all belong together
-these bands have permanent locks and must be cut off
-the identification bands have the newborn's name, sex, date, and time of birth, and mother's health record number
-one band on newborn's ankle and the other is on the wrist
-mom's thumb prints and baby's footprints are also taken
-each time the newborn is given to the parents, the identification band
needs to be verified adjacent the mother's identification band
-facility staff are wearing badges with photo identification on them
-Newborn should not be given to anyone without a photo ID badge
-Facilities are usually locked and staff permits exit and entrance
5.Infections: Nursing Action for a Client Who Has Parvovirus B19 (Fifth Disease) (Standard Precautions/Transmission-Based Precautions/Surgical Asepsis ): -has definable facial characteristics
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