ATI RN MATERNAL NEWBORN OB EXAM (28 SETS)

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3. A nurse is developing a plan of care for a client who has preeclampsia & is receiving magnesium sulfate via a continuous IV infusion. Which of the following interventions should the nurse include in the plan? Monitor the FHR continuously. 44. A nurse in a provider’s office is reviewing the medical record of a client who is in the first trimester of pregnancy. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia? Pregestational diabetes mellitus. 45. A nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation & has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching? “I will likely need to use alternative positions for sexual intercourse.” 46. A nurse is performing a vaginal examination on a client who is in labor & observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take? Insert two gloved fingers into the vagina & apply upward pressure to the presenting part. 47. A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include? “You can still become pregnant if you are breastfeeding.” 48. A nurse is providing teaching about nonpharmacological pain management to a client who is breastfeeding & has engorgement. The nurse should recommend the application of which of the following items? Cold cabbage leaves. 49. A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of the following actions by the parent should the nurse recognize as a positive parenting behavior? Lays the newborn across her lap & gently sways. 50. A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication? Hypertension. 51. A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? Place the newborn skin to skin on the mother’s chest. 52. A nurse is assessing a client who has gestational diabetes mellitus & is experiencing hyperglycemia. Which of the following findings should the nurse expect? Reports increased urinary output. 53. Leopold’s maneuver? Two hands cupping sides of belly. 54. A nurse is admitting a client to the labor & delivery unit when the client states, “My water just broke.” Which of the following interventions is the nurse’s priority? Begin FHR monitoring. 55. A nurse is caring for a client who is at 24 weeks of gestation & has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe? Kleihauer-Betke test. 56. A nurse is performing a physical assessment of a newborn. Which of the following clinical findingsshould the nurse expect? (SATA) Heart rate 154/min. Respiratory rate 58/min. Weight 2,600 g (5 lb 12 oz)

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