ATI MATERNAL NEWBORN
PROCTORED 2023\2024 GRADED
A+
A nurse is caring for a client who is at 32 weeks of gestation and
is expriencing preterm labor.
... [Show More] Which of the following medications
should the nurse plan to administer?
A. Betamethasone
B. Misoprostol
C. Methylergonovine
D. Proactant alfa - correct answer-A. Betamethasone
Rationale:
The nurse should plan to administer betamethasone IM, a
glucocorticoid, to stimulate fetal lung maturity and thereby
prevent respiratory depression.
A nurse at a prenatal clinic is caring for a client who suspects
she may be pregnant and asks the nurse how the provider will
confirm her pregnancy. The nurse should inform the client that
which of the following laboratory tests will be used to confirm her
pregnancy?
A. A blood test for the presence of estrogen
B. A blood test for the amount of circulating progesterone
C. A urine test for the presence of human chorionic
somatomammotropin
D. A urine test for the presence of human chorionic
gonadotropin - correct answer-D. A urine test for the presence
of human chorionic gonadotropin
Rationale:
Human chorionic gonadotropin is excreted by the placenta and
promotes the excretion of progesterone and estrogen. This
hormone is the basis for pregnancy testing.
A nurse is caring for a client who believes she may be pregnant.
Which of the following findings should the nurse identify as a
positive sign of pregnancy?
A. Papable fetal movement
B. Chadwick's sign
C. Positive pregnancy test
D. Amenorrhea - correct answer-A. Palpable fetal movement
rationale:
Palpable fetal movements are a positive sign of pregnancy.
Quickening, the client's report of fetal movement, is a
presumptive sign of pregnancy.
Chadwick's sign
A nurse is caring for a client who has oligohydramnios. Which of
the following fetal anomalies should the nurse expect?
A. Atrial septal defect
B. Renal agenesis
C. Spina bifida
D. Hydrocephalus - correct answer-B. Renal agenesis
Rationale:
Oligohydramnios is a volume of amniotic fluid less than 300 mL
during the third trimester of pregnancy and occurs when there is
a renal system dysfunction or obstructive uropathy. Absence of
fetal kidneys will cause oligohydramnios.
A nurse is assessing a client who is at 37 weeks of gestation
and has suspected pelvic fracture due to blunt abdominal
trauma. Which of the following findings should the nurse
expect?
A. Bradycardia
B. Uterine contractions
C. Seizures
D. Bradypnea - correct answer-B. Uterine contractions
Rationale:
The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma.
A nurse is assessing a client who is at 12 weeks of gestation
and has hyatidiform mole. Which of the following findings should
the nurse expect?
A. Hypothermia
B. Dark brown vaginal discharge
C. Decreased urinary output
D. Fetal heart tones - correct answer-B. Dark brown vaginal
discharge
Rationale:
A hydatidiform mole, or a molar pregnancy, is a benign
proliferative growth of the chorionic villi, which gives rise to
multiple cysts. The products of conception transform into a large
number of edematous, fluid-filled vesicles. As cells slough off
the uterine wall, vaginal discharge is usually dark brown and can
contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation
and has preeclampsia without severe features. Which of the
following findings should the nurse identify as the priority?
A. 480 ml urine output in 24 hr
B. Blood pressure 144/92 mmHg
C. +2 edema of the feet
D. 1+ protein in the urine - correct answer-A. 480 mL urine
output in 24 hr
Rationale:
When using the urgent vs. nonurgent approach to client care,
the nurse should determine that the priority finding is 480 mL of
urine output in 24 hr because the minimum acceptable urine
output in an adult client is 30 mL/hr. This can indicate
progression of preeclampsia to preeclampsia with severe
features, which requires immediate intervention. Therefore, this
is the priority finding.
A nurse is teaching a client who is at 12 weeks of gestation and
has HIV. Which of the following statements should the nurse
include in the teaching?
A. "Breastfeed your newborn to provide passive immunity"
B. "Abstain from sex throughout pregnancy"
C. "You will be in isolation after delivery"
D. "You should continue to take zidovudine throughout the
pregnancy" - correct answer-D. "You should continue to take
zidovudine throughout the pregnancy."
Rationale:
The nurse should inform the client that taking prescription
antiviral medication every day decreases the risk of
transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 weeks of
gestation about the manifestations to report to the provider
during pregnancy. Which of the following information should the
nurse include in the teaching?
A. Nausea upon awakening
B. leg cramps when sleeping
C. Increase in white vaginal discharge
D. Blurred or double vision - correct answer-D. Blurred or double
vision
Rationale:
A client who is pregnant should report experiencing blurred or
double vision as these could be a manifestation of gestation
hypertension or pre-eclampsia.
A nurse is caring for a client who is in the latent phase of labor
and is receiving oxytocin via continuous IV infusion. The nurse
notes that the client is having contractions every 2 min which
last 100 t o 110 seconds and that the fetal heart rate (FHR) is
reassuring. Which of the following actions should the nurse
take?
A. Decrease the infusion rate of the maintenance IV fluid
B. Administer terbutaline 0.25 mg subq
C. Decrease the dose of oxytocin by half
D. Administer terbutaline 0.25 mg subq - correct answer-C.
Decrease the dose of oxytocin by half.
Rationale:
The nurse should decrease the dose of oxytocin by half
because the client is experiencing uterine tachysystole.
A nurse is caring for a client who is n active labor and has
meconium staining of the amniotic fluid. The nurse notes a
reassuring fetal heart rate (FHR) tracing from the external fetal
monitor. Which of the following action should the nurse take?
A. Prepare the client for an U/S examination
B. Prepare the client for an emergency cesarean birth
C. prepare equipment needed for newborn resuscitation
D. perform endotracheal suctioning as soon as the fetal head is
delivered - correct answer-C. Prepare equipment needed for
newborn resuscitation.
Rationale:
The nurse should ensure that all supplies and equipment
needed for resuscitation of the newborn are readily available for
every delivery. Endotracheal suctioning is recommended in
cases of meconium staining only if the newborn has poor
respiratory effort, decreased muscl [Show Less]