ATI RN CAPSTONE OB ASSESSMENT 2024-2025 |ACTUAL
COMPLETE EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS ) ALREADY GRADED A+.
a nurse is caring for a postmenopausal pt prescribed the aromatase
inhibitor, anastrozole for the tx of breast cancer, what should the
nurse inform the pt she may experience - ANSWER-muscle and joint
pain
a nurse is caring for a pt who reports unrelieved episiotomy pain 8hr
following a vaginal birth, what action should the nurse take -
ANSWER-apply an ice pack to the affected area
T/F, for breast engourgement, fresh cabbage leaves placed inside the
bra can help alleviate pain - ANSWER-F
apply cold compress cabbage
leaves must be cold
a nurse is caring for a pt 2 hours after a spontaneous vaginal birth
and the pt has saturated 2 perineal pads with blood in a 30 min
period, what priority nursing intervention should be given at this time
- ANSWER-palpate the pt's uterine fundus
a nurse is caring for a newborn with hyperbilirubinemia, what
intervention should be taken during phototherapy - ANSWERmaintain
an eye mask over the newborn's eyes
,a laboring pt received meperidine IV one hour prior to delivery, what
med should the nurse have available to counteract this med -
ANSWER-naloxone
a nurse is caring for a pt who is 1 day postpartum and is taking a sitz
bath, determine the pt's tolerance of the procedure, what assessment
should the nurse perform - ANSWER-pulse rate
prior to an amniocentesis, what action by the pt will need to be
completed - ANSWER-empty the bladder
a nurse in a clinic is caring for a pt who is 3 weeks postpartum
following the birth of a healthy newborn, the pt reports feeling down
and sad, having no energy, and wanting to cry, what priority action
should be taken by the nurse - ANSWER-ask the client if she has
considered harming the newborn
a nurse is teaching the parent of a newborn about bottle feeding, what
indicates need for further instruction - ANSWER-i will tip the nipple so
air is present as my baby sucks
a nurse is caring for a laboring client and notes that the fetal heart
rate begins to decelerate after the contraction has started, the lowest
point of decel occurs after the peak of the contraction, what is the
priority nursing action - ANSWER-change the pt's position
,a nurse is assessing a newborn following a vaccum assisted delivery,
what finding should the nurse report - ANSWER-poor sucking
a postpartum pts fundus is firm, 3cm above the umbilicus and
displaced to the right, what interventions should the nurse take? -
ANSWER-assist the pt to void then reassess the fundus
a nurse is caring for a pt who is experiencing urinary incontinence,
what recommendations should the nurse plan to teach -
ANSWERreduce intake of caffeinated and carbonated beverages
a nurse is caring for a pt who has just delivered her first newborn, the
nurse anticipates hyperbilirubinemia due to the incompatibility, the
nurse should understand that hyperbilirubinemia occurs with Rh
incompatability for which of the following reasons? - ANSWER-the
client's blood does not contain the Rh factor, so she produces anti-Rh
antibodies that cross the placental barrier and cause hemolysis of red
blood cells in newborns
which of the following would increase a client's risk of ovarian cancer
- ANSWER-endometriosis
during a breast examination on a 24 year old pt the nurse notes the
following findings, what is of most concern and should be reported to
the provider - ANSWER-an irregularly shaped, nontender lump is
palpable in the right breast
, a pregnant client's last menstrual period was May4th 2018, what is
this client's estimated delivery date using Naegeles Rule - ANSWER-
February 11th, 2019
a pt has been prescribed raloxiphine, as the nurse you know that
raloxiphine is used to treat - ANSWER-osteoporosis
a home care nurse is following up with a postpartum pt, what is a risk
factor that places this client at risk for postpartum depression -
ANSWER-hormonal changes with a rapid decline in estrogen and
progesterone levels
a nurse is planning care for a newborn who is small for gestational
age (SGA), what is the priority intervention the nurse should include
in the newborn's plan of care - ANSWER-monitor blood glucose levels
a nurse is providing discharge instructions to parents of a
circumcised newborn, to prevent diaper adherence to the penis, what
will be recommended to apply during diaper changes -
ANSWERpetroleum jelly
a nurse is assessing a pt who is in active labor and notes that the
presenting part is at 0 station, what is the correct interpretation of this
clinical finding? - ANSWER-the lowermost portion of the fetus is at
the level of the ischial spine
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