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ATI (VIRTUAL ATI) OB COMPLETE EXAM 2025-2026.WITH NGN QUESTIONS AND 100% CORRECT & VERIFIED ANSWERS WITH RATIONALES/A+ GRADE
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during this stage of labor, such as music, rocking, breathing techniques, walking and application of hot or cold packs. b. Instruct the client how to use biofeedback: Biofeedback can be an effective method to reduce the discomfort of labor by promoting self-awareness and relaxation. However, the client must have received instruction and practiced this technique prior to labor for it to be effective. c. Administer fentanyl 100 mcg every hour via intermittent IV bolus…Fentanyl is an opioid agonist analgesic that enhances a client's ability to rest between contractions. However, opioids can also inhibit uterine contractions and prolong labor. Therefore, avoid administration of opioid analgesia until a client reaches the active phase of labor or cervical dilation of at least 4 cm. d. Request the provider administer a pudendal nerve block….A pudendal nerve block relieves pain in the lower vagina and perineum during the second or third stage of labor. It provides anesthesia for episiotomy or repair of lacerations following birth.
b. Decrease in blood glucose level: Maternal metabolism, physical exertion, and delivery of the placenta can lead to a decreased blood glucose level. c. Decrease in respiratory rate: Anxiety and increased oxygen consumption from physical exertion during labor can lead to an increased respiratory rate. d. Decrease in temperature: Vascular changes during labor can lead to an elevated temperature, flushed cheeks, and warm skin.
d. Advantage of early ambulation post-surgical procedure is correct. Early ambulation following a cesarean birth facilitates circulation in the lower extremities, preventing stasis, and assists with relieving gas pains. e. The need for an indwelling urinary catheter during delivery is correct. The nurse should place an indwelling urinary catheter prior to the cesarean birth to keep the client's bladder empty and to avoid interference with the surgical procedure.
whichof the following? a. A hematoma: A hematoma is a collection of blood in the connective tissue while the overlying skin or mucous membranes remain intact. Hematomas develop from injury to soft tissue in
a. Instruct the client to stop breastfeeding.: Fever for 2 consecutive days, chills, foul- smelling lochia, and abdominal tenderness are manifestations of endometritis, an infection of the lining of the uterus. The nurse should assist the client with bonding, including breastfeeding, during this time as the client might experience fatigue. b. Obtain a vaginal culture.; MY ANSWER: Fever for 2 consecutive days, chills, foul- smelling lochia, and abdominal tenderness are manifestations of endometritis, an infection of the lining of the uterus. The nurse should obtain a vaginal culture using a sterile swab to collect the fluid from the client's vaginal cavity to identify the organism. c. Initiate airborne isolation precautions.: Fever for 2 consecutive days, chills, foul- smelling lochia, and abdominal tenderness are manifestations of endometritis, an infection of the lining of the uterus. Airborne isolation precautions are not indicated. The nurse should use gloves when assisting the client with perineal care. d. Place the client on strict bed rest.: Fever for 2 consecutive days, chills, foul-smelling lochia, and abdominal tenderness are manifestations of endometritis, an infection of the lining of the uterus. The nurse should assist the client to ambulate frequently to promote drainage of the infected lochia and prevent pooling within the uterus.
a. Respiratory rate 12/min: The nurse should identify that respiratory depression is a manifestation of magnesium sulfate toxicity. A respiratory rate of 12/min is within the expected reference range of 12 to 20/min. Therefore, this finding is an indication that calcium gluconate was effective. b. Absent deep tendon reflexes: The nurse should identify that absent deep tendon reflexes is a manifestation of magnesium sulfate toxicity. Therefore, this finding d oes not indicate that calcium gluconate was effective. Other manifestations of magnesium sulfate toxicity include respiratory depression, blurred vision, decreased consciousness, and cardiac arrest. c. Slurred speech: The nurse should identify that slurred speech is a manifestation of magnesium sulfate toxicity. Therefore, this finding does not indicate that calcium gluconate was effective. Other manifestations of magnesium sulfate toxicity include respiratory depression, blurred vision, decreased consciousness, and cardiac arrest. d. Urine output 22 mL/hr: The nurse should identify that preeclampsia decreases perfusion to organs and tissues. Decreased renal perfusion reduces the glomerular filtration rate which causes oliguria, or urine output less than 25 mL/hr. Decreased renal perfusion increases the risk for magnesium toxicity. Therefore, the nurse should identify urinary output of 22 mL/hr as a manifestation of preeclampsia that increases the risk of magnesium toxicity.
nurse should include that the most accurate indication of organ perfusion is the client's urine output. Output greater than 30 mL/hr is an indication of adequate perfusion and oxygenation. d. "An infusion of 1 mL of lactated Ringer's is given for each 1 mL of blood loss.": The charge nurse should include that 3 mL of a crystalloid solution , such as lactated Ringer's or 0.9% sodium chloride, should be infused for every 1 mL of estimated blood loss.
a. Give glucose water after feedings.: Glucose water should not be given to newborns who are prescribed phototherapy, because it delays bilirubin excretion. b. Instruct the client to avoid breastfeeding during treatment.: The client can continue breastfeeding while the newborn is prescribed phototherapy and can also be asked to pump the breast following the feeding for supplementary breast milk. c. Monitor intake and output.: The nurse should monitor intake and output because phototherapycan increase the rate of insensible water loss, which contributes to fluid loss and dehydration. The nurse should also monitor the newborn's fontanels. Hydration is achieved by breastfeeding or formula feeding the newborn. d. Apply lotions and ointments throughout the treatment.: The nurse should avoid applying lotions and ointments to newborns who are receiving phototherapy because it can cause burns.
position their arms under the client's axilla and across the client's chest. Then, the nurse should place the thumb-side of a clenched fist to the client's mid-sternum area and place the other hand on top of the first. Lastly, the nurse should initiate chest thrusts to the client using a