ATI Maternal Newborn 2.0 quiz 1 with Verified Solutions

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ATI Maternal Newborn 2.0 quiz 1 with Verified Solutions A nurse is assessing a client who is at 34 weeks gestation and has a mild placental abruption. Which finding should the nurse expect? ✔✔D ... ark red vaginal bleeding A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? Betamethasone Misoprostol Methylergonovine Poractant alfa ✔✔Betamethasone (to stimulate fetal lung maturity and prevent respiratory depression) A nurse is teaching a client who is at 30 weeks of gestation about warning signs of complications that she should report to her provider. Which finding should the nurse include in the teaching? ✔✔Vaginal bleeding A nurse is reviewing the medical record of a client who is at 39 weeks of gestation and has polyhydramnios. Which finding should the nurse expect? ✔✔Fetal gastrointestinal anomaly A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate via continuous IV infusion about expected adverse effects. Which adverse effect should the nurse include in the teaching? ✔✔Feeling of warmth A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational hypertension. Which finding should the nurse identify as priority? ✔✔Low urine output (<30mL per hour) A nurse is teaching a client who is at 12 weeks of gestation about the manifestations of potential complications that she should report to her provider. Which information should the nurse include in the teaching? ✔✔Swelling of the face A nurse is reviewing lab 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 strep, and has a blood type of O negative. Which action should the nurse take? ✔✔Instruct the client to obtain a rubella immunization after delivery A nurse is caring for a client who has oligohydramnios. Which fetal anomaly should the nurse expect? ✔✔Renal agenesis A nurse is caring for a client who believes she may be pregnant. Which finding should the nurse identify as a positive sign of pregnancy? ✔✔Palpable fetal movement A nurse is assessing a client who is at 37 weeks of gestation and has a suspected pelvic fracture due to blunt abdominal trauma. What finding should the nurse expect? ✔✔Uterine contractions A nurse is caring for a client at 26 weeks of gestation and reports constipation. How should the nurse respond? ✔✔"You should walk for at least 30 min/day" A nurse is caring for a client who is in the latent phase of labor and is experiencing low back pain. Which action should the nurse take? ✔✔Apply pressure to the client's sacral area during contractions A nurse is assessing a client who is at 35 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for severe pre-eclampsia. Which finding should the nurse report to the provider? DTR +2 BP 150/96 Urinary output 20mL/hr RR 16 ✔✔Urinary output 20mL/hour A nurse is teaching a client who is at 10 weeks of gestation about an abdominal ultrasound in the first trimester. What should the nurse include in the teaching? ✔✔"You will need to have a full bladder during the ultrasound" A nurse is caring for a client who is at 35 weeks of gestation and has severe pre-eclampsia. Which assessment provides the most accurate reading of fluid and electrolyte status? ✔✔Daily weight Which lab test confirms pregnancy (edited question)? ✔✔A urine test for human chorionic gonadotropin A nurse is caring for a client whose LMP began July 8. What is her EDB? ✔✔April 15 A nurse is caring for a client who is at 38 weeks of gestation and reports no fetal movement for 24hr. What should the nurse do? ✔✔Auscultate for a FHR A nurse is assessing a client who is at 12 weeks of gestation and has a hyatidiform mole. What finding should the nurse expect? ✔✔Dark brown vaginal discharge A nurse is caring for a client in their latent phase of labor and is receiving oxytocin via continuous IV infusion. The client is having contractions every 2 min which last 100 to 110 seconds and the FHR is reassuring. What should the nurse do? ✔✔Decrease the dose of oxytocin by half A nurse is teaching a client who is at 8 weeks of gestation and has a uterine fibroid about potential effects of the fibroid during pregnancy. What information should they include in the teaching? ✔✔The fibroid can increase the risk for postpartum hemorrhage A nurse is providing teaching to a client who is at 8 weeks of gestation about manifestations to report to the provider during pregnancy. What information should the nurse include in the teaching? ✔✔Blurred or double vision 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 A nurse is teaching a client who is at 12 weeks of gestation and has HIV. What should the nurse include in the teaching? ✔✔"You should continue to take zidovudine throughout the pregnancy" A nurse is teaching a client who is 13 week of gestation about the treatment of incompetent cervix with cervical cerglage. Which statement by the client indicates an understanding? ✔✔"I should go to the hospital if I think I may be in labor" A nurse is caring for a client in active labor and has mec stained fluid. The nurse notes a reassuring FHR tracing from the external fetal monitor. What should the nurse do? ✔✔Prepare equiment needed for newborn resuscitation 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 decals in the FHR. Which finding causes late decels? ✔✔Uteroplacental insufficiency (Edited question) which order should be questioned with placenta previa? ✔✔Perform a vaginal exam A nurse is caring for a client at 37 weeks and is undergoing a nonstress test. The FHR is 130 without accelerations for the past 10 min. What should the nurse do? ✔✔Use vibroacoustic stimulation on the client's abdomen for 3 seconds [Show More]

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