NRSG 200 OB ATI POST ASSESMENT QUESTIONS WITH SOLUTION | Exams Obstetrics

NRSG 200 OB ATI POST ASSESMENT

QUESTIONS WITH SOLUTION

A nurse is caring for a client scheduled for a chorionic villus sampling (CVS) procedure. What

client education should the nurse provide prior to the procedure? Identify potential complications

associated with CVS.

Chorionic villus sampling (CVS) is assessment of a portion of the developing placenta

(chorionic villi), which is aspirated through a thin sterile catheter or syringe inserted

through the abdominal wall or intravaginally through the cervix under ultrasound

guidance. ● CVS is a first-trimester alternative to amniocentesis with one of its advantages

being an earlier diagnosis of any abnormalities. CVS is ideally performed at 10 to 13

weeks of gestation.

Complications: -

● Spontaneous abortion (higher risk with CVS than with amniocentesis) ● Risk for fetal

limb loss (greatest risk prior to 9 weeks of gestation) ● Miscarriage ● Chorioamnionitis

and rupture of membranes

What are risks/possible complications/contraindications for the use of intrauterine contraceptive

devices?

RISKS/CONTRAINDICATIONS

● Best used by women in a monogamous relationship

due to the risks of STIs

● Can cause irregular menstrual bleeding

● Risk of bacterial vaginosis, uterine perforation,

or uterine expulsion

● Must be removed in the event of pregnancy

CONTRAINDICATIONS: Active pelvic infection,

abnormal uterine bleeding, severe uterine distortion; for

copper IUD also Wilson’s diseases and copper allergy

A nurse is caring for a client who was diagnosed with group B streptococcus during her initial

screening. What effects can this infection have on her pregnancy?

It is an infection that can be passed to a fetus during labor and delivery.

A nurse is caring for a client undergoing infertility testing. The client asks why a

hysterosalpingography has been ordered. What is the nurse's best response?

Outpatient radiological procedure in which dye is used to assess the patency of the

fallopian tubes. Assess for history of allergies to iodine and seafood prior to beginning the

procedure.

A nurse is providing care for an uncircumcised male newborn and his mother. What information

should be provided during discharge regarding bathing of the penile area of the newborn male?

Wash with soap and water and rinse the penis.

A nurse is caring for a client in the transition state of labor. What interventions should the nurse

include when caring for this client?

● Continue to encourage voiding every 2 hr.

● Continue to monitor and support the client and fetus.

● Encourage a rapid pant-pant-blow breathing pattern if the client has not learned a

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NRSG 200 OB ATI POST ASSESMENT

QUESTIONS WITH SOLUTION

A nurse is caring for a client scheduled for a chorionic villus sampling (CVS) procedure. What client education should the nurse provide prior to the procedure? Identify potential complications associated with CVS. Chorionic villus sampling (CVS) is assessment of a portion of the developing placenta (chorionic villi), which is aspirated through a thin sterile catheter or syringe inserted through the abdominal wall or intravaginally through the cervix under ultrasound guidance. ● CVS is a first-trimester alternative to amniocentesis with one of its advantages being an earlier diagnosis of any abnormalities. CVS is ideally performed at 10 to 13 weeks of gestation. Complications: - ● Spontaneous abortion (higher risk with CVS than with amniocentesis) ● Risk for fetal limb loss (greatest risk prior to 9 weeks of gestation) ● Miscarriage ● Chorioamnionitis and rupture of membranes What are risks/possible complications/contraindications for the use of intrauterine contraceptive devices? RISKS/CONTRAINDICATIONS ● Best used by women in a monogamous relationship due to the risks of STIs ● Can cause irregular menstrual bleeding ● Risk of bacterial vaginosis, uterine perforation, or uterine expulsion ● Must be removed in the event of pregnancy CONTRAINDICATIONS: Active pelvic infection, abnormal uterine bleeding, severe uterine distortion; for copper IUD also Wilson’s diseases and copper allergy A nurse is caring for a client who was diagnosed with group B streptococcus during her initial screening. What effects can this infection have on her pregnancy? It is an infection that can be passed to a fetus during labor and delivery. A nurse is caring for a client undergoing infertility testing. The client asks why a hysterosalpingography has been ordered. What is the nurse's best response? Outpatient radiological procedure in which dye is used to assess the patency of the fallopian tubes. Assess for history of allergies to iodine and seafood prior to beginning the procedure. A nurse is providing care for an uncircumcised male newborn and his mother. What information should be provided during discharge regarding bathing of the penile area of the newborn male? Wash with soap and water and rinse the penis. A nurse is caring for a client in the transition state of labor. What interventions should the nurse include when caring for this client? ● Continue to encourage voiding every 2 hr. ● Continue to monitor and support the client and fetus. ● Encourage a rapid pant-pant-blow breathing pattern if the client has not learned a

particular breathing pattern. ● Discourage pushing efforts until the cervix is fully dilated. ● Listen for client statements expressing the need to have a bowel movement. This sensation is a finding of complete dilation and fetal descent. ● Prepare the client for the birth. ● Observe for perineal bulging or crowning (appearance of the fetal head at the perineum). ● Encourage the client to begin bearing down with contractions once the cervix is fully dilated. What is the priority nursing action during an oxytocin infusion? Assess uterine tone and vaginal bleeding. ● Monitor for adverse reactions of water intoxication, such as lightheadedness, nausea, vomiting, headache, and malaise. These reactions can progress to cerebral edema with seizures, coma, and death. What three (3) teaching points a nurse would want to discuss with a client experiencing dysmenorrhea? Take aspirin or another pain reliever like Tylenol, ibuprofen, naproxen, etc. Place heating pad or hot water bottle on your lower back or abdomen. Taking a warm bath. Avoiding foods that contain caffeine and salt. Avoid smoking and drinking alcohol. What medications are administered to treat Streptococcus B-Hemolytic infection during labor? Penicillin G or ampicillin are most commonly prescribed for GBS. ● Administer penicillin 5 million units initially IV bolus, followed by 2.5 million units intermittent IV bolus every 4 hr. The client may receive ampicillin 2 g IV initially, followed by 1 g every 4 hr. ● Bactericidal antibiotic is used to destroy the GBS A nurse is administering oxytocin to a client in labor. What are symptoms of uterine hyperstimulation that would cause the nurse to discontinue this medication? ◯ Contraction frequency more often than every 2 min ◯ Contraction duration longer than 90 seconds ◯ Contraction intensity that results in pressures greater than 90 mm Hg as shown by IUPC ◯ Uterine resting tone greater than 20 mm Hg between contractions ◯ No relaxation of uterus between contractions What are causes of early decelerations of fetal heart rate? What are nursing interventions to take if these occur? ● Compression of the fetal head resulting from uterine contraction ● Uterine contractions ● Vaginal exam ● Fundal pressure An 8-hour post-partum client complains of abdominal cramping and feeling dizzy. During the

NRSG 200 OB ATI POST ASSESMENT QUESTIONS WITH SOLUTION, Exams of Obstetrics

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NRSG 200 OB ATI POST ASSESMENT

QUESTIONS WITH SOLUTION