ATI CAPSTONE OB MATERNTY LATEST
2024 2024 WITH UPDATED QUESTIONS
AND DETAILED CORRECT ANSWERS WITH
RATIONALES (ALREADY GRADED A+)
A nurse is caring for a client who is at 38 weeks of gestation and
is experiencing
continuous abdominal pain and vaginal bleeding. The client has a
history of cocaine use.
The nurse should identify that the client is likely experiencing
which of the following
complications?
Abruptio placentae
Hydatidiform mole
Preterm labor
Placenta previa - ANSWER-Abruptio placentae
A nurse is reviewing a client's medical record and notes that the
client is taking tamoxifen. The
nurse should identify that tamoxifen is used to treat which of the
following conditions?
Non-Hodgkin's lymphoma
Endometriosis
Breast cancer
Polycystic ovary syndrome - ANSWER-Breast cancer
A nurse is assessing a client 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 the client is
experiencing which of the following emotional responses
to birth?
2 | P a g e
Postpartum depression
Postpartum blues - ANSWER-Postpartum blues
A nurse is caring for a client who is receiving oxytocin to augment
labor. The client has
an intrauterine pressure catheter and an internal fetal scalp
electrode for monitoring.
Which of the following is an indication that the nurse should
discontinue the infusion?
Contraction frequency every 3 min
Contraction duration of 100 seconds
Fetal heart rate with moderate variability
Fetal heart rate of 118/min - ANSWER-Contraction duration of
100 seconds
A nurse is conducting an infertility assessment for a newly
admitted client. Which of the
following factors should the nurse identify as affecting the client's
fertility?
Premature ovarian failure
Renal calculi
Dysmenorrhea
Recurrent urinary tract infection - ANSWER-Premature ovarian
failure
A nurse is caring for a client who is pregnant for the fourth time.
The client delivered two
full-term newborns and had one spontaneous abortion at 10
weeks of gestation. The nurse
should document the client's obstetrical history as which of the
following?
Gravida 3, Para 2
Gravida 3, Para 3
Gravida 4, Para 2
Gravida 4, Para - ANSWER-Gravida 4, Para 2
3 | P a g e
A nurse is caring for a newborn who has a blood glucose level of
45 mg/dL. Which of the following actions should the nurse take?
a. Encourage the mother to breastfeed the newborn.
b. Gavage feed 60 mL (2 oz) of glucose water.
c. Administer 10 mL of D W via IV.
d. 10 Recheck the glucose level in 2 hr - ANSWER-a. Encourage
the mother to breastfeed the newborn.
A nurse is caring for a client who has placenta previa. Which of
the following
interventions should the nurse implement for this client? (Select
all that apply.)
a. Perform a vaginal exam.
b. Monitor fetal heart rate with an internal fetal monitor.
c. Frequently assess maternal heart rate.
d. Initiate bed rest with bathroom privileges.
e. Have oxygen equipment available - ANSWER-c. Frequently
assess maternal heart rate.
d. Initiate bed rest with bathroom privileges.
e. Have oxygen equipment available
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