ATI Maternal
Newborn Questions
and Answers
A nurse is assessing a client who is 34 weeks of gestation and has a mild placental abruption.
Which of
... [Show More] the following findings should the nurse expect?
A)Increased platelet count
B)Fetal distress
C)Decreased urinary output
D)Dark red vaginal bleeding
D) Dark red vaginal bleeding
-Note: mild fetal abruption should have a reassuring fetal
heartrate. -urinary output should be within the expected reference
range.
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?
A)Betamethasone
B)Misoprostol
C)Methylergonovine
D)Poractant Alfa
A) Betamethasone
-The nurse should plan to administer betamethasone IM, a glucocorticoid, to stimulate fetal
lung maturity and thereby prevent respiratory depression.
00:1401:44
Difference between Betamethasone and Poractant Alfa:
~Betamethasone is given to stimulate FETAL lung maturity to *PREVENT respiratory
depression.
~Poractant Alfa, a synthetic lung surfactant, is given to a preterm NEWBORN who is
experiencing respiratory distress.
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 of the following findings should
she include in her teaching? A) Mild constipation
B)Nasal congestion
C)Vaginal bleeding
D)10 fetal movements per hour
C) Vaginal bleeding
-Vaginal bleeding can be an abnormal finding during pregnancy that might indicate a
complication such as placental abruption, placenta previa, or preterm labor.
-note: fetal movement should be 3 or more movements per hour=normal finding. Nasal
congestion is also an expected finding due to the increase circulation of estrogen.
A nurse is reviewing the medical record of a client who is at 39 weeks of gestation and has
polyhydramnios. Which of the following should the nurse expect?
A)Fundal height of 34 cm
B)Total pregnancy weight gain of 3.6 kg
C)Gestational hypertension
D)Fetal gastrointestinal anomaly
D) Fetal gastrointestinal anomaly
-Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus.
Gastrointestinal malformations and neurologic disorders are expected findings for a fetus
experiencing the effects of polyhydramnios.
A nurse is teaching a client about pre-eclampsia and is to receive magnesium sulfate via
continuous IV infusion about expected adverse effects. Which of the following adverse effects
should the nurse include in her teaching?
A)Elevated blood pressure
B)Feeling of warmth
C)Hyperactivity
D)Generalized pruritus
B) Feeling of warmth
-The nurse should tell the client to expect the feeling of warmth all over her body while
magnesium sulfate is infusing.
A nurse is teaching a client who is at 12 weeks gestation about manifestations of potential
complications that she should report to her provider. Which of the following information
should the nurse include in her teaching? [Show Less]