OB ATI Final Exam Review *Q&A* |Verified Study Set| 100% Correct
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OB ATI
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OB ATI
OB ATI Final Exam Review *Q&A*
|Verified Study Set| 100% Correct
A 28-year-old client at 36 weeks of gestation presents with severe headaches and visual
disturbances. As the nurse, what assessment findings would you prioritize to determine if the
client is experiencing preeclampsia, and what...
OB ATI Final Exam Review *Q&A*
|Verified Study Set| 100% Correct
A 28-year-old client at 36 weeks of gestation presents with severe headaches and visual
disturbances. As the nurse, what assessment findings would you prioritize to determine if the
client is experiencing preeclampsia, and what interventions should you implement to manage this
condition?
Assess for elevated blood pressure, proteinuria, and swelling in the hands or face. Monitor
fetal heart rate and perform a thorough neurological assessment. Administer antihypertensive
medications as ordered and provide education about the signs of worsening symptoms.
During a routine prenatal visit, a client in her second trimester expresses concern about the
increased frequency of her urinary tract infections (UTIs). As the nurse, what education can you
provide to help prevent UTIs during pregnancy?
Encourage the client to stay well-hydrated, void regularly, wipe from front to back after
using the bathroom, and avoid douching or using irritating feminine products. Discuss the
importance of wearing breathable cotton underwear and consider recommending cranberry juice
as a preventive measure.
A postpartum client has just delivered vaginally and is now experiencing significant perineal
pain. What nursing assessments and interventions are crucial in managing her pain and
promoting comfort?
1
, Assess the perineal area for swelling, lacerations, or hematomas. Administer prescribed
analgesics and encourage the use of ice packs to reduce swelling. Instruct the client on proper
perineal hygiene, including sitz baths, and educate her on how to use a peri bottle for cleansing
after using the bathroom.
A client at 30 weeks’ gestation is diagnosed with gestational diabetes. What is your role as a
nurse in educating the client about managing her blood sugar levels, and what dietary
recommendations should you provide?
Educate the client on the importance of monitoring blood glucose levels regularly,
understanding the carbohydrate content in foods, and the need for regular physical activity.
Recommend a balanced diet rich in whole grains, fruits, vegetables, lean proteins, and healthy
fats. Discuss the importance of avoiding high-sugar foods and the role of consistent meal timing
in maintaining stable glucose levels.
During a prenatal visit, a client expresses anxiety about labor and delivery. What evidence-based
information and resources can you provide to help alleviate her concerns and prepare her for the
birthing process?
Provide information about the stages of labor, what to expect during each stage, and the role
of the support person. Discuss pain management options, including medication and non-
pharmacological methods, such as breathing techniques and relaxation exercises. Offer
resources, such as childbirth education classes, and encourage open communication about her
preferences and any questions she may have.
2
, A nurse is caring for a laboring client who suddenly exhibits late decelerations in the fetal heart
rate. What immediate interventions should the nurse implement to ensure the safety of both the
mother and fetus?
Reposition the client onto her left side to enhance uteroplacental blood flow. Administer
oxygen via face mask if indicated and increase IV fluids to promote hydration. Monitor the fetal
heart rate continuously, and if decelerations persist, prepare for potential interventions such as
notifying the healthcare provider or considering an emergency cesarean delivery.
A client who is 4 days postpartum reports symptoms of deep vein thrombosis (DVT), including
unilateral leg swelling and tenderness. What assessments and interventions are necessary for this
client?
Assess the client’s leg for swelling, warmth, tenderness, and changes in color. Measure the
circumference of both legs for comparison. Notify the healthcare provider immediately, as DVT
can lead to serious complications. Provide education about ambulation and the importance of
staying active to prevent further complications.
A nurse is conducting an assessment of a newborn immediately after delivery. What key physical
assessments should be performed to ensure the newborn's health and stability, and what
interventions might be needed based on your findings?
Assess the newborn's airway patency, respiratory effort, heart rate, and skin color. Measure
the Apgar score at 1 and 5 minutes post-delivery, noting heart rate, respiratory effort, muscle
tone, reflex response, and color. If the newborn displays signs of respiratory distress or low heart
3
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