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Maternal Newborn 1

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A nurse is caring for a client who is in 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 actions should the nurse take? - (Correct answer) Prepare equipment needed for newborn resuscitation A nurse is caring for a client who is at 39 weeks of gestation and is in the active phase of labor. The nurse observes late decelerations in the fetal heart rate (FHR). Which of the following findings should the nurse identify as the cause of late decelerations? - (Correct answer) Uteroplacental insufficiency A nurse is reviewing the medical record of a client who is at 33 weeks of gestation and has placenta previa and bleeding. Which of the following prescriptions should the nurse clarify with the provider? - (Correct answer) Perform a vaginal examination

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ATI RN Learning System 3.0: Maternal Newborn 1
A nurse is assessing a client who is at 34 weeks of gestation and has a mild placental abruption.
Which of the following findings should the nurse expect? - (Correct answer) Dark red vaginal
bleeding



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? - (Correct answer)
Betamethasone



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 the nurse include
in the teaching? - (Correct answer) Vaginal bleeding



A nurse is reviewing the medical record of a client who is at 39 weeks of gestation and has
polyhydramnios. Which of the following findings should the nurse expect? - (Correct answer)
Fetal gastrointestinal anomaly



A nurse is teaching a client who has preeclampsia 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 the teaching? - (Correct answer) Feeling of warmth



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? -
(Correct answer) 480 ml urine output in 24 hr



A nurse is teaching a client who is at 12 weeks of gestation about manifestations of potential
complications that she should report to her provider. Which of the following information should
the nurse include in the teaching? - (Correct answer) Swelling of the face



A nurse is reviewing laboratory results for a client who is at 37 weeks of gestation. The nurse
notes that the client is rubella non-immune, positive for group A beta-hemolytic streptococci,

, and has a blood type O negative. Which of the following actions should the nurse take? -
(Correct answer) Instruct the client to obtain a rubella immunization after delivery



A nurse is caring for a client who has olgiohydramnios. Which of the following fetal anomalies
should the nurse expect? - (Correct answer) Renal agenesis



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? - (Correct answer) Palpable fetal
movement



A nurse is assessing a client who is at 37 weeks of gestation and has a suspected pelvic fracture
due to blunt abdominal trauma. Which of the following findings should the nurse expect? -
(Correct answer) Uterine contractions



A nurse is caring for a client who is at 26 weeks of gestation and reports constipation. Which of
the following responses by the nurse is appropriate? - (Correct answer) "You should walk for at
least 30 minutes every day."



A nurse is caring for a client who is in the latent phase of labor and is experiencing low back
pain. Which of the following actions should the nurse take? - (Correct answer) Apply pressure
to the client's sacral area during contractions



A nurse is assessing a client who is at 35 weeks of gestation and is receiving magnesium sulfate
via continuous IV infusion for severe preeclampsia. Which of the following findings should the
nurse report to the provider? - (Correct answer) Urinary output 20 ml/hr



A nurse is teaching a client who is at 10 weeks of gestation about an abdominal ultrasound in
the first trimester. Which of the following information should the nurse include in the teaching?
- (Correct answer) "You will need to have a full bladder during the ultrasound."
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