ATI Maternal Newborn 2019 B
1. 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?: Betamethasone
Rationale:
The nurse should plan to administer betamethasone IM, a
glucocorticoid, to stimulate fetal lung maturity and thereby
prevent respiratory depression.
2. a diet teaching for hyperemesis gravidarum
"I will eat foods that taste good instead of balancing my
meals." "I will avoid having a snack before I go to bed each
night."
"I will have a cup of hot tea with each meal."
"I will eliminate products that contain dairy from my diet.": "I will eat foods
that taste good instead of balancing my meals."
Clients who have hyperemesis gravidarum should eat foods they like
in order to avoid nausea, rather than trying to consume a well-
,balanced diet.
hyperemesis gravidarum should avoid going to bed with an empty
stomach. The nurse should instruct the client to eat a healthy snack
before going to bed.
should alternate liquids and solids every 2 to 3 hr to avoid an empty
stomach and over filling at each meal.
do not need to eliminate dairy products from their diet. The client shoul
be encouraged to consume dairy products, because they are less likely
to cause nausea than other foods.
3. performing Leopold maneuvers steps?: The first step- palpate the
client's fundus to identify the FETAL part.
Second, determine the location of the fetal BACK. Third, palpate for the
fetal part presenting at the INLET.
Finally, the nurse should palpate the cephalic prominence to identify
the attitude of the head.
4. A nurse is reviewing the medical record of a newly admitted client who
is at 32 weeks of gestation. Which of the following conditions is an
indication for fetal assessment using electronic fetal monitoring?
,Oligohydramnios
Hyperemesis gravidarum
Leukorrhea
Periodic tingling of the fingers: Oligohydramnios
The nurse should identify that oligohydramnios requires further fetal
assessment using electronic fetal monitoring. Other conditions that
require further assessment include hypertension, diabetes,
intrauterine growth restriction, renal disease, de- creased fetal
movement, previous fetal death, post-term pregnancy, systemic lupus
erythematosus, and intrahepatic cholestasis.
Hyperemesis gravidarum is not an indication for further fetal
assessment using electronic fetal monitoring unless complications
occur.
Leukorrhea is a common finding during pregnancy and is not an
indication for further fetal assessment using electronic fetal
monitoring unless complications occur.
Periodic tingling of the fingers is a common finding during pregnancy
and is not an indication for further fetal assessment using electronic
fetal monitoring.
5. assessing a pregnant is at the end of the first trimester. Place the
, Doppler ultrasound stethoscope in which of the following locations to
begin assess- ing for the fetal heart tones FHT?
Just above the umbilicus
Just above the symphysis
pubis The right lower quadrant
The left lower quadrant: Just above the symphysis pubis
At the end of the first trimester of pregnancy, the client's uterus is
approximately the size of a grapefruit and is positioned low in the
pelvis slightly above the symphysis pubis. Therefore, the nurse should
begin assessing for FHT just above the symphysis pubis.
Therefore, the nurse might not hear FHT in the right or left lower
quadrant.
The nurse should assess FHT using the Doppler stethoscope just
above the umbilicus if the fetus is in a transverse or breech
presentation and the client is at a minimum of 22 weeks of
gestation.
1. 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?: Betamethasone
Rationale:
The nurse should plan to administer betamethasone IM, a
glucocorticoid, to stimulate fetal lung maturity and thereby
prevent respiratory depression.
2. a diet teaching for hyperemesis gravidarum
"I will eat foods that taste good instead of balancing my
meals." "I will avoid having a snack before I go to bed each
night."
"I will have a cup of hot tea with each meal."
"I will eliminate products that contain dairy from my diet.": "I will eat foods
that taste good instead of balancing my meals."
Clients who have hyperemesis gravidarum should eat foods they like
in order to avoid nausea, rather than trying to consume a well-
,balanced diet.
hyperemesis gravidarum should avoid going to bed with an empty
stomach. The nurse should instruct the client to eat a healthy snack
before going to bed.
should alternate liquids and solids every 2 to 3 hr to avoid an empty
stomach and over filling at each meal.
do not need to eliminate dairy products from their diet. The client shoul
be encouraged to consume dairy products, because they are less likely
to cause nausea than other foods.
3. performing Leopold maneuvers steps?: The first step- palpate the
client's fundus to identify the FETAL part.
Second, determine the location of the fetal BACK. Third, palpate for the
fetal part presenting at the INLET.
Finally, the nurse should palpate the cephalic prominence to identify
the attitude of the head.
4. A nurse is reviewing the medical record of a newly admitted client who
is at 32 weeks of gestation. Which of the following conditions is an
indication for fetal assessment using electronic fetal monitoring?
,Oligohydramnios
Hyperemesis gravidarum
Leukorrhea
Periodic tingling of the fingers: Oligohydramnios
The nurse should identify that oligohydramnios requires further fetal
assessment using electronic fetal monitoring. Other conditions that
require further assessment include hypertension, diabetes,
intrauterine growth restriction, renal disease, de- creased fetal
movement, previous fetal death, post-term pregnancy, systemic lupus
erythematosus, and intrahepatic cholestasis.
Hyperemesis gravidarum is not an indication for further fetal
assessment using electronic fetal monitoring unless complications
occur.
Leukorrhea is a common finding during pregnancy and is not an
indication for further fetal assessment using electronic fetal
monitoring unless complications occur.
Periodic tingling of the fingers is a common finding during pregnancy
and is not an indication for further fetal assessment using electronic
fetal monitoring.
5. assessing a pregnant is at the end of the first trimester. Place the
, Doppler ultrasound stethoscope in which of the following locations to
begin assess- ing for the fetal heart tones FHT?
Just above the umbilicus
Just above the symphysis
pubis The right lower quadrant
The left lower quadrant: Just above the symphysis pubis
At the end of the first trimester of pregnancy, the client's uterus is
approximately the size of a grapefruit and is positioned low in the
pelvis slightly above the symphysis pubis. Therefore, the nurse should
begin assessing for FHT just above the symphysis pubis.
Therefore, the nurse might not hear FHT in the right or left lower
quadrant.
The nurse should assess FHT using the Doppler stethoscope just
above the umbilicus if the fetus is in a transverse or breech
presentation and the client is at a minimum of 22 weeks of
gestation.
