*NURSING > QUESTIONS and ANSWERS > ATI real life preterm labor /OB NURS 306/ Q and A ,,, GRADE A (All)

ATI real life preterm labor /OB NURS 306/ Q and A ,,, GRADE A

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Nurse Darla is interviewing Ms. Goodwin about her report of a burning sensation when voiding. Which of the following clinical findings should Darla anticipate? Select all that apply. a) dysuria b) ... vaginal discharge c) urinary frequency d) epigastric pain e) fever A, C, and E Rationale: Dysuria is a discomfort or difficulty with urination and is a clinical finding associated with a UTI. Vaginal d/c is a clinical finding associated with sexually transmitted infection. Urinary frequency is a common clinical finding associated with UTI. Epigastric pain is a clinical finding associated with pt who are experiencing HELLP syndrome. Fever is a common clinical associated with UTI. Nurse Darla assists Ms. Goodwin to bed. Which of the following is an appropriate action for Darla to take? a) ask Ms. Goodwin to write down each time she feels a contraction b) apply a fetal monitor and tocotransducer c) palpate Ms. Goodwin's uterus d) ask Ms. Goodwin to report the kick counts over a period of 1 hr B Rationale: the nurse should use a tocotransducer to transabdominal evaluate the presence and frequency of uterine contractions. Nurse Darla confirms uterine contractions are occurring on the fetal monitor. Which of the following is the priority nursing intervention? a) obtain a clean catch, mid-stream urine sample b) evaluate the concentration of Ms. Goodwin's urine c) check for effacement and cervical dilation d) assess vaginal discharge C Rationale: the greatest risk to the pt and her fetus is preterm labor. Assessing for effacement and cervical dilation will indicate if labor has begun. This is the priority nursing intervention at this time. *fetal monitor on pt. one for fetal heart tone and one for contraction Nurse Darla completed a vaginal examination on Ms. Goodwin and notified the provider of her findings. Which of the following actions is the highest priority? a) administer nifedipine (procardia) b) obtain a cervical culture c) communicate the plan of care with Ms. Goodwin d) administer betamethasone (celestone) [Show More]

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