ATI Maternal Newborn Practice Test A Questions and Answers Graded A 2024

A nurse is teaching a client who is 35 weeks gestation about manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include? HA unrelieved by analgesia Rationale: could be sign of preE Other choices: SOB when climbing stairs Swelling of feet/ankles at end of the day Braxton Hicks contractions A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring? Perform Leopold maneuvering Rationale: assess position of fetus for optimal placement of fetal monitor A nurse is caring for a client who is in labor and reports increasing rectal pressure. They are expecting contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that their cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor? Active Rationale: Active labor is characterized by cervical dilation of 6-10 cm and contractions every 1.5 - 5 min, each lasting 40-90 sec A nurse is planning. care for a client who is to undergo a non stress test. What actions should the nurse include in the plan of care? Instruct client to press the provided button each time fetal movement is detected A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider? A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F) Rationale: Temp is above expected range for newborn - can be indication of sepsis A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority? A client who is at 34 weeks of gestation and reports epigastric pain. Rationale: epigastric px is a manifestation of preE and indicates hepatic involvement = urgent finding A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. which of the following actions should the nurse take? Have calcium gluconate readily available Rationale: prevention of cardiac or respiratory arrest if the client experiences Mg tox A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? Late Decels Rationale: indicative of uteroplacental insufficiency - contraindicated to admin oxytocin A nurse is performing a routine assessment on a client who is at 18 weeks gestation. Which of the following findings should the nurse expect? FHR 152/min Rationale: A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care? Monitor the client's blood pressure every 5 minutes following the first dose of anesthesia solution Rationale: baseline prior to admin - monitor q 5 min after admin to assess for hypOtension