ATI Maternal Newborn Exam1 latest

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ATI Maternal Newborn Exam1 latest ATI Maternal Newborn Exam1 1. A nurse is assessing a client who is at 35 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for seve... re pre-eclampsia. Which of the following findings should the nurse report to the provider? Urinary output 20 mL/hr; The nurse should report a urinary output of 20 mL/hr because this can indicate inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A decrease in urinary output can also indicate a decrease in renal perfusion secondary to a worsening of the client's preeclampsia. 2. A nurse is reviewing laboratory results for a client who is at 37 weeks of gestation. The nurse notes that the client is rubella non-immune, positive for group A beta-hemolytic streptococci, and has a blood type of O negative. Which of the following actions should the nurse take? Instruct the client to obtain rubella immunization after delivery; This client is not immune to rubella and should receive this immunization after delivery. 3. A nurse is assessing a client who is at 34 weeks of gestation and has a mild placental abruption. Which of the following findings should the nurse expect? Dark red vaginal bleeding; how the provider will confirm her pregnancy. The nurse should inform the client that which of the following laboratory tests will be used to confirm her pregnancy? A urine test for the presence of human chorionic gonadotropin; Human chorionic gonadotropin is excreted by the placenta and promotes the excretion of progesterone and estrogen. This hormone is the basis for pregnancy testing. 22. A nurse is reviewing the medical record of a client who is at 33 weeks of gestation and has placenta prevue and bleeding. Which of the following prescriptions should the nurse clarify with the provider? Perform a vaginal examination; When a client has a placenta previa, the placenta implants in the lower part of the uterus and obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription because any manipulation can cause tearing of the placenta and increased bleeding. 23. A nurse is caring for a client who is in active labor and has meconium staining of the amniotic fluid. The nurse notes a reassuring fetal heart rate (FHR) tracing from the external monitor. Which of the following actions should the nurse take? Prepare equipment needed for the newborn resuscitation; The nurse should ensure that all supplies and equipment needed for resuscitation of the newborn are readily available for every delivery. Endotracheal suctioning is recommended in cases of meconium staining only if the newborn has poor respiratory effort, decreased muscle tone, and bradycardia after delivery. 24. A nurse is assessing a client who is at 12 weeks of gestation and has a hydatidiform mole. Which of the following findings should the nurse expect?Dark brown vaginal discharge; A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic villi, which gives rise to multiple cysts. The products of conception transform into a larger number of edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually dark brown and can contain grapelike clusters 25. A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal bleeding. Which of the following actions should the nurse take? Obtain blood samples for baseline laboratory values; The nurse should obtain samples of the client's blood for baseline testing of hemoglobin and hematocrit levels 26. A nurse is caring for a client who is at 39 weeks of gestation and is in the active phase of labor. The nurse observes late decelerations in the fetal heart rate (FHR). Which of the following findings should the nurse identify as the cause of late decelerations? Uteroplacental insufficiency; A late deceleration in the FHR is a nonreassuring FHR pattern resulting from fetal hypoxemia due to insufficient placental perfusion. The nurse should reposition the client, initiate oxygen, and increase the infusion rate of IV fluid to enhance placental perfusion. 27. A nurse is teaching a client who is at 12 weeks of gestation about manifestations of potential complications that she should report to her provider. Which of the following information should the nurse include in the teaching? Swelling of the face; The nurse should instruct the client to report swelling of the face because this can indicate hypertensive disorder or preeclampsia. 28. A nurse is teaching a client who is at 13 weeks of gestation about the treatment of incompetent cervix with cervical cerclage. Which of the following statements by the client indicates an understanding of the teaching? I should go to the hospital if I think I may be in labor; Cervical cerclage prevents premature opening of the cervix during pregnancy. The client should immediately go to a facility for evaluation if she experiences any manifestations of labor while the cerclage is in place. If the client experiences preterm uterine contractions she might require tocolytic therapy.29. A nurse is providing teaching to a client who is at 8 weeks of gestation about manifestations to report to the provider during pregnancy. Which of the following information should the nurse include in the teaching? Blurred or double vision; A client who is pregnant should report experiencing blurred or double vision as these could be a manifestation of gestational hypertension or pre-eclampsia 30. A nurse is teaching a client who is at 10 weeks of gestation about an abdominal ultrasound in the first trimester. Which of the following information should the nurse include in the teaching? You will need to have a full bladder during the ultrasound; The nurse should tell the client that a full bladder helps to life the gravid uterus out of the pelvis during the examination. Therefore, it is important to ensure that the client has a full bladder to obtaint the most accurate image of the feus [Show More]

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