ATI OB Practice
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon
reviewing the client's medical record, which of the following findings should the nurse report to the
...
ATI OB Practice
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon
reviewing the client's medical record, which of the following findings should the nurse report to the
provider? - CORRECT ANSWER-Fundal height measurement
A fundal height measurement of 30 cm should be reported to the provider. Fundal height should
be measured in centimeters and is the same as the number of gestational weeks plus or minus 2
weeks from 18 to 32 weeks gestation. Therefore, the nurse should report this finding to the
provider.
A nurse is caring for a client who is at 30 weeks of gestation and has a prescription for magnesium
sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following
adverse effects? - CORRECT ANSWER-Respiratory rate 10/min
The nurse should report a respiratory rate of less than 12/min to the provider, because this is a
manifestation of magnesium toxicity. The nurse should ensure that the antidote, calcium
gluconate, is readily available.
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the
nurse report to the provider? - CORRECT ANSWER-Jaundice
Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility, hemolysis,
or Rh-isoimmunization. The nurse should report this manifestation to the provider.
A nurse is admitting a client to the labor and delivery unit when the client states, "My water just
broke." Which of the following interventions is the nurse's priority? - CORRECT ANSWER-Begin
FHR monitoring
The greatest risk to the client and her fetus following a rupture of membranes is umbilical cord
prolapse. The nurse should monitor the fetus closely to ensure well-being. Therefore, this is the
priority action the nurse should take.
A nurse is performi
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