Maternal Newborn - PRACTICE QUESTIONS with answers rated A+ 2024

Maternal Newborn - PRACTICE QUESTIONSA nurse is assessing a client who is at 34 weeks gestation and has a mild placental abruption. Which finding 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? Betamethasone Misoprostol Methylergonovine Poractant alfa - correct answer Betamethasone stimulates fetal lung maturity and prevents respiratory depression 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 finding should the nurse include in the teaching? - correct answer *Vaginal bleeding* an abnormal finding during pregnancy that may indicate a complication such as placental abruption, placenta previa, or preterm labor A nurse is reviewing the medical record of a client who is at 39 weeks of gestation and has polyhydramnios. Which finding should the nurse expect? - correct answer *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 who has pre-eclampsia and is to receive magnesium sulfate via continuous IV infusion about expected adverse effects. Which adverse effect 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 mild gestational hypertension. Which finding should the nurse identify as priority? - correct answer Low urine output (<30mL per hour) 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 hypertension, which requires immediate intervention. Therefore, this is the priority finding. A nurse is teaching a client who is at 12 weeks of gestation about the manifestations of potential complications that she should report to her provider. Which information should the nurse include in the teaching? - correct answer Swelling of the face indicative of a hypertensive disorder or preeclampsia A nurse is reviewing lab 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 strep, and has a blood type of O negative. Which action 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 oligohydramnios. Which fetal anomaly should the nurse expect? - correct answer *Renal agenesis* oligohydramnios is a volume of amniotic fluid less than 300 mL during the third trimester of pregnancy occurs when there is a renal system dysfunction or obstructive uropathy