1. A nurse on the labor and deliv- a. A non-stress test twice weekly
ery unit is caring for a client who
is at 33 weeks of gestation and a. A non-stress test twice weekly -
was admitted with placenta previa. noninvasive
Which of the following interven- b. Administration of magnesium sul-
tions should the nurse include in fate (if patient was having contrac-
the client's plan of care? tions- Another test said this answer)
c. Routine vaginal exams - avoid
a. A non-stress test twice weekly d. Ambulation as tolerated - bed rest
b. Administration of magnesium Lowdermilk 682 If bleeding stops, Fe-
sulfate tal surveillance may include a non-
c. Routine vaginal exams stress test (NST) or biophysical profile
d. Ambulation as tolerated (BPP) once or twice weekly.
Lowdermilk 683 Mag Sulfate can be
given for tocolysis (ant-contraction) if
uterine contractions are identified.
2. A nurse is caring for a client who is a. Six contractions in 10 mins
receiving oxytocin to induce labor.
The nurse should discontinue the a. Six contractions in 10 mins
oxytocin if which of the following b. Moderate variability of the fetal
occurs heart rate
c. Nonrepetitive.early decals
a. Six contractions in 10 mins d. Contractions last 60 secs
b. Moderate variability of the fetal
heart rate 3 contractions within a 10 minute pe-
c. Nonrepetitive.early decals riod
d. Contractions last 60 secs 5 or more contractions in 10 mins OR
contractions longer than 90 seconds
= hyperstimulation of uterus - avoid
3. A nurse is caring for a client fol- d. You can bathe and dress your baby
lowing a vaginal delivery of a term if you'd like so
fetal demise. Which of the follow-
ing statements should the nurse a. If you don't hold the baby it will make
make? letting go much harder
b. I'm sure you will be able to have
a. If you don't hold the baby it will another baby when you are ready
make letting go much harder c. You should name the baby so she
, OB ATI PROCTORED EXAM STUDY GUIDE
b. I'm sure you will be able to have can have an identity
another baby when you are ready d. You can bathe and dress your baby
c. You should name the baby so she if you'd like so
can have an identity
d. You can bathe and dress your Fetal demise- stillbirth or neonatal
baby if you'd like so death; process of CLOSURE
4. A nurse is assessing the results of d. An increase in fetal heart rate
a nonstress test for an antepartal to 150/min above the baseline of
client at 35 wks of gestation. Which 140/min lasting 10 seconds in re-
of the following findings should in- sponse to fetal movement within a 40
dicate to the nurse the need for fur- min testing period
ther diagnostic testing?
a. Three fetal movements perceived
a. Three fetal movements per- by the client in a 20 min testing period
ceived by the client in a 20 min test- b. No late decelerations in the fetal
ing period heart rate noted with three uterine
b. No late decelerations in the fetal contractions of 60 seconds in duration
heart rate noted with three uterine w/in a 10 min testing period
contractions of 60 seconds in dura- c. Irregular contractions of 10-20 secs
tion w/in a 10 min testing period in duration that are not felt by the client
c. Irregular contractions of 10-20 d. An increase in fetal heart rate
secs in duration that are not felt by to 150/min above the baseline of
the client 140/min lasting 10 seconds in re-
d. An increase in fetal heart rate sponse to fetal movement within a 40
to 150/min above the baseline of min testing period
140/min lasting 10 seconds in re-
sponse to fetal movement within a Interpreted as reactive if FHR is a
40 min testing period Ï normal baseline rate with moderate
variability
Ï accelerates to 15 beats/min for AT
LEAST 15 SECONDS and
Ï occurs TWO or more times during a
20 MINUTE PERIOD
Nonreactive if it doesn't meet criteria
after 40 min p. 52 ATI
5. A nurse is assessing a client who c. Urine protein of 3+
has preeclampsia during a prenatal
, OB ATI PROCTORED EXAM STUDY GUIDE
visit. Which of the following find- a. Blood glucose 110mg/dL
ings should the nurse report to the b. DTR of 2+
provider? c. Urine protein of 3+ (severe
preeclampsia proteinuria > 3)
a. Blood glucose 110mg/dL d. Hemoglobin 13 g/dL
b. DTR of 2+
c. Urine protein of 3+ Severe preeclampsia: proteinuria >3
d. Hemoglobin 13 g/dL - can lead to ECLAMPSIA (with
seizures)
6. A nurse is planning care for a client b. The client will have adequate nutri-
in the postpartum unit. Which of the tional intake
following goals should the nurse
identify for the client to accomplish
during the taking-in phase of post- a. The client will identify individual
partum adjustment? family member roles - letting go phase
b. The client will have adequate nutri-
a. The client will identify individual tional intake
family member roles c. The client will verbalize appropriate
b. The client will have adequate nu- car safety - taking hold phase
tritional intake d. The client will demonstrate prop-
c. The client will verbalize appropri- er bathing of the infant - taking hold
ate car safety phase
d. The client will demonstrate prop-
er bathing of the infant Taking in: focusing on meeting per-
sonal needs; rely on others for assis-
tance
Takin hold: want to learn and practice;
focuses on baby
Letting go: focus on family as a unit;
resumption of role
7. A nurse in a prenatal clinic is caring c. Urine ketones - and acetone - due
for a client who has hyperemesis to breakdown of protein and fat - most
gravidarum. Which of the following important initial lab test
is the initial laboratory test used to
evaluate this condition? ATI pg 58
a. Liver enzymes
, OB ATI PROCTORED EXAM STUDY GUIDE
b. Complete blood count
c. Urine ketones
d. Thyroid levels
8. 1. A nurse is caring for a client who a. Unilateral breast pain
is 2 weeks postpartum following
a cesarean birth. Which of the fol-
lowing clinical findings should the a. Unilateral breast pain- indicative of
nurse identify as an indication of mastitis
postpartum infection? b. Persistent abdominal striae
c. Lochia alba - malodorous or puru-
a. Unilateral breast pain lent
b. Persistent abdominal striae d. WBC count 12,000/mm - (this one's
c. Lochia alba elevated too)
d. WBC count 12,000/mm
ATI pg 143: Postpartum infections -
can occur up to 28 days following
childbirth. Fever of 100.4 or higher for
2 consecutive days during the first 10
days postpartum
9. A nurse is providing teaching d. "This medication prevents
about the expected effects of mag- seizures."
nesium sulfate to a client who is
at 28 weeks gestation and has Magnesium sulfate - tocolytics = uter-
preeclampsia. Which of the follow- ine muscle relaxation. Primary use:
ing responses by the nurses is ap- prevent seizures in clients who have
propriate? preeclampsia
a. "This medication improves tis-
sue perfusion."
b. "This medication increases car-
diac output."
c. "This medication stabilizes the
fetal heart rate."
d. "This medication prevents
seizures."
10.
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