RN Maternal Newborn Online Practice 2019 A&B,100% CORRECT

1. A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse’s priority? • Massage the client’s fundus Uterine atony and postpartum hm ...

1. A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse’s priority? • Massage the client’s fundus Uterine atony and postpartum hmorrhage indicate that this client is at the greatest risk for hypovolemic shock. This can compromise the client’s vital organs, which can lead to death. Therefore, the nurse’s priority is to massage the client’s fundus to minimize blood loss. 2. A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? • Late decelerations Late decelerations are indicative of uteroplacental insufficiency. Therefore, this is a contraindication for the administration of oxytocin and should be reported to the provider. 3. A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect? • Blurred vision The nurse should identify that a client who has severe preeclampsia can have arteriolar vasospasms and decreased blood flow to the retina which can lead to visual disturbances, such as blurred vision, double vision, or dark spots in the visual field. 4. A nurse is assessing a client who is 1 day-postpartum and has a vaginal hematoma. Which of the following manifestation should the nurse expect? • Vaginal pressure • The nurse should expect a client who has a vaginal hematoma to report pressure in the vagina due to the blood that leaked into the tissues. 5. A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests? This study source was downloaded by 100000831988016 from CourseHero.com on 02-09-2022 13:50:37 GMT -06:00 https://www.coursehero.com/file/94390210/ATI-RN-Maternal-Newborn-Online-Practice-2019-Adocx/ • Biophysical profile • A positive contraction stress test indicates that further evaluation of the fetus is necessary. A biophysical profile will provide further evaluation with a real-time ultrasound. This study source was downloaded by 100000831988016 from CourseHero.com on 02-09-2022 13:50:37 GMT -06:00 https://www.coursehero.com/file/94390210/ATI-RN-Maternal-Newborn-Online-Practice-2019-Adocx/ 6. A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication? • Depression • The nurse should instruct the client that depression is a common adverse effect of combined oral contraceptives. Other common adverse effects of the medication include amenorrhea, weight gain, headache, nausea, breatkthrough bleeding, and breast tenderness. 7. A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. Which of the following actions should the nurse take? • Maintain the client on bed rest • The client should remain on bed rest to decrease the risk of dislodging the clot, which could cause a pulmonary emoblism. Elevation of the affected leg is recommended. 8. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching? • “I can administer oxytocin 4 hours after the insertion of the medication.” • The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprostol. Oxytocin can be administered following misoprostol for clients who have cervical ripening and have not begun labor.