ATI CAPSTONE OB MATERNITY LATEST 2024 ACTUAL EXAM ALL 250 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+

ATI CAPSTONE OB MATERNITY LATEST 2024
ACTUAL EXAM ALL 250 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) ALREADY
GRADED A+
a nurse is caring for a pt who is at 37 weeks of gestation and has placenta previa, the pt
asks the nurse why the provider does not do an internal examination, what explanation
of the primary reason should the nurse provide - ANSWER-this could result in profound
bleeding
a nurse is providing education to a pt in the first trimester of pregnancy, what info should
the nurse include regarding the cause of indigestion and heartburn - ANSWERprogesterone causes relaxation of the cardiac sphincter allowing acid to reflux
a laboring pt's membranes have just ruptured, what is the nurse's next action -
ANSWER-assess the fetal HR pattern
a postpartum complication a client is at risk for is DVT, what following factor is strongly
associated with this complication - ANSWER-c. section
a nurse has provided education to a pt who has been prescribed oral contraception,
what statement indicates a need for further instruction - ANSWER-if i miss three pills i
will double up each day until back on schedule
(take missed pill asap, if more than one is missed, follow manufacturers instruction and
use alternative form of contraception)
a nurse is caring for a pt who is pregnant for the 4th time, she delivered 2 full term
newborns and had one spontaneous abortion at 10wk of gestation, the ob history is -
ANSWER-G4 P2
a nurse is caring for a pt who is in the latent phase of labor, what clinical manifestation
should the nurse expect - ANSWER-talkative
a nurse is conducting an infertility assessment for a newly admitted pt, what factor
should the nurse identify as affecting the pt's fertility - ANSWER-premature ovarian
failure
a nurse is caring for a newborn who has a blood glucose of 45mg/dl, what action should
the nurse take - ANSWER-encourage the mother to breastfeed the newborn
a nurse is providing teaching about pain management to a young adult client who has
dysmenorrhea, what instructions should the nurse include - ANSWER-use a heating
pad on your lower abdomen when experiencing pain
a nurse is caring for a pt who has placenta previa, what interventions should the nurse
implement for this pt - ANSWER-frequently assess the maternal HR
initiate bed rest with bathroom privileges
have O2 equipment available
a nurse is caring for a pt who is at 14 weeks of gestation and has hyperemesis
gravidarum, what med should the nurse plan to administer - ANSWER-vitamin B6
a nurse is providing teaching to a pt about depot medroxyprogesterone acetate, what
info should the nurse include in the teaching - ANSWER-loss of bone mineral density
can occur
a nurse is providing teaching to a pt about pap tests, what information should the nurse
include in the teaching - ANSWER-avoid having sex for 48h prior to the pap test
a nurse is caring for a pt who is in active labor and notes late decelerations in the FHR
on the external fetal monitor, what actions is the nurse's priority - ANSWER-change the
pt's positions
a nurse is caring for a pt who is in active labor and notes early decels of the FHR on the
fetal monitor tracing, the nurse should identify that which of the following conditions
causes early decels in the FHR - ANSWER-head compression
a nurse is providing teaching to a group of young adult women about risk factors for
ovarian cancer, what should the nurse include - ANSWER-nulliparity
high-fat diet
hormone replacement therapy
a nurse is preparing to administer a repeat dose of butorphanol to a pt who is in labor,
what finding should the nurse identify as a contraindication to the administration of the
medication - ANSWER-respiratory rate 11/min
a nurse is teaching a pt about using an IUD for contraception, what statement by the pt
indicates an understanding - ANSWER-i should check for the string each month after
menstruation
a nurse is preparing to administer nalbuphine to a pt who is in active labor, the pt
requests a bedpan to have a bowel movement, what should the nurse do first -
ANSWER-evaluate the client's cervix
a nurse is caring for a pt who is at 38 weeks of gestation and is experiencing continuous
abdominal pain and vaginal bleeding, the pt has a history of cocaine use, the nurse
should identify that the pt is likely experiencing what complication - ANSWER-abruptio
placentae
a nurse is caring for a pt at 39 weeks of gestation who is in active labor and had a
positive GBS culture at 36 weeks of gestation, what action should the nurse take -
ANSWER-administer prophylactic antibiotics
a nurse is reviewing a pt's medical records and notes that the pt is taking tamoxifen, the
pt should identify that this is used to treat - ANSWER-breast cancer
(estrogen receptor blockers)
a nurse is assessing a pt 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 this is - ANSWER-postpartum blues
(1-10 days after the birth, depression is 1-12 months after birth)
a nurse is teaching the parents of a newborn how to care for their son's uncircumcised
penis, what instruction should the nurse include - ANSWER-wash the penis once per
day with soap and water
a nurse is planning care for a pt who is in labor and has an active varicella zoster
infection with skin lesions, what actions should the nurse include in the plan of care -
ANSWER-administer varicella-zoster immune globulin (VZIG) to the newborn shortly
after birth
a nurse is perfroming an assessment on a pt who is 24hr postpartum, the nurse
palpates the fundus to be boggy, 3cm above the umbilicus, and is displaced to the right,
what actions should the nurse take first - ANSWER-assist the pt to the bathroom to void
a nurse is caring for a pt who is receiving oxytocin to augment labor, the pt has an
intrauterine pressure catheter and an internal fetal scalp electrode for monitoring, what
is an indication that the nurse should discontinue the infusion - ANSWER-contraction
duration of 100 seconds
a nurse is caring for a pt who is postoperative following a mastectomy, the pt expresses
concern about losing her femininity and fears that she will no longer be attractive to her
partner, what is a therapeutic response by the nurse - ANSWER-clarify the pt's
concerns about her body image
a nurse is providing education about prenatal nutrition with a pt who is at 13 weeks of
gestation and has a BMI of 22, what information should the nurse include - ANSWERconsume about 71g of protein each day during pregnancy
a nurse is providing teaching to a pt who is experiencing hot flashes and has a new
prescription for hormone therapy with conjugated equine estrogen, what information
should the nurse include in the teaching - ANSWER-estrogen decreases the risk for
osteoporosis
estrogen use and smoking increases the risk for TBE
estrogen therapy can cause break-through vaginal bleeding
a nurse is providing teaching to a pt who has fibrocystic breast changes and is
experiencing breast discomfort during menstruation, what instructions should the nurse
include - ANSWER-decrease daily intake of caffeine
a nurse is assessing a newborn and observes a bluish tinged area on the buttocks, the
nurse should document as - ANSWER-mongolian spots
a nurse is caring for a pt who is in the third stage of labor, what actions should the nurse
take - ANSWER-clean the pt's perineum with warm water
a nurse is caring for a pt who has a prescription for ibuprofen for postpartum cramping,
what question should the nurse ask prior to admin - ANSWER-are you taking OTC
meds
do you have a history of gastric problems
are you being treated for high BP
a nurse is assessing a newborn who is 10hr old, what clinical findings should the nurse
report to the provider - ANSWER-nasal flaring
a nurse is caring for a pt who is scheduled for a hysterosalpingography (HSG), what
statement by the pt indicates a contraindication to the procedure - ANSWER-i am taking
medicine for a vaginal infection
a nurse is assessing a pt who is at 31 weeks of gestation and is receiving magnesium
sulfate via continuous IV infusion for preterm labor, what finding should the nurse report
- ANSWER-respiratory rate 11/min
a nurse is caring for a pt who is pregnant for the 4th time, she delivered 2 full term
newborns and had one spontaneous abortion at 10wk of gestation, the ob history is -
ANSWER-G4 P2
a nurse is caring for a pt who is in the latent phase of labor, what clinical manifestation
should the nurse expect - ANSWER-talkative
a nurse is conducting an infertility assessment for a newly admitted pt, what factor
should the nurse identify as affecting the pt's fertility - ANSWER-premature ovarian
failure
a nurse is caring for a newborn who has a blood glucose of 45mg/dl, what action should
the nurse take - ANSWER-encourage the mother to breastfeed the newborn
A provider prescribes phenobarbital for a client who has a seizure disorder.
The medication has a long half-life of 4 days. How many times per day should the nurse
expect to administer this medication?
A. One
B. Two
C. Three
D. Four - ANSWER-A. One
(Medications with long half-lives remain at their therapeutic levels between doses for
long periods of time. The nurse should expect to administer this medication once a day.)
A staff educator is reviewing medication dosages and factors that influence medication
metabolism with a group of nurses at an in-service presentation. Which of the following
factors should the educator include as a reason to administer lower medication
dosages? (Select all that apply.)
A. Increased renal secretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes - ANSWER-C. Liver
failure
E. Concurrent use of medication the same pathway metabolizes
C. Liver failure decreases metabolism and thus increases the concentration of a
medication. This requires decreasing the dosage.
E. When the same pathway metabolizes two medications, they compete for metabolism,
thereby increasing the concentration of one or both medications. This requires
decreasing the dosage of one or both
A nurse is preparing to administer eye drops to a client. Which of the following actions
should the nurse take? (Select all that apply.)
A. Have the client lie on her side.
B. Ask the client to look up at the ceiling.
C. Tell the client to blink when the drops enter her eye.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation - ANSWER-B. Ask the client
to look up at the ceiling.
D. Drop the medication into the center of the client's conjunctival sac.
E. Instruct the client to close her eye gently after instillation
(B. The client should look upward to keep the drops from falling onto her cornea.
D. The nurse should drop the medication into the
center of the conjunctival sac to promote distribution.
E. The client should close her eye gently to promote distribution of the medication)
A nurse is completing discharge teaching for a client who has a new prescription for
transdermal patches. Which of the following statements should the nurse identify as an
indication that the client understands the instructions?
A. "I will clean the site with an alcohol swab before I apply the patch."
B. "I will rotate the application sites weekly.