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Exam (elaborations)

RN Maternal newborn ati proctored exam/

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A nurse is caring for a b. betamethasone
client who is at 32 wks
gestation and is
experiencing preterm
labor. What meds should
the nurse plan to
administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine




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A nurse at a prenatal a. urine test for presence of HCG
clinic is caring for a
client who suspects she
may be pregnant and
asks the nurse how the
provider will confirm her
pregnancy. The nurse
should inform the client
that what lab test will be
used to confirm her
pregnancy?
a. urine test for presence
of HCG
b. urine test for the
presence of HCS
c. blood test for
presence of estrogen
d. blood test for the
amount of circulating
progesterone

A nurse is caring for a a. palpable fetal movement
client who believes she
may be pregnant. What
finding should the nurse
identify as a positive sign
of pregnancy?
a. palpable fetal
movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy
test




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A nurse is caring for a a. renal agenesis
client who has
oligohydraminios. What
fetal anomalies should
the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus

A nurse is assessing a a. uterine contractions
client who is at 37 wks
gestation and has a The nurse should expect the client to be
suspected pelvic experiencing uterine contractions due to
fracture due to blunt abd abdominal trauma.
trauma. What findings
should the nurse
expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea

A nurse is assessing a b. dark brown vaginal discharge
client who is at 12 wks
gestation and has A hydatidiform mole, or a molar pregnancy, is a
hydatidiform mole. What benign proliferative growth of the chorionic villi,
findings should the nurse which gives rise to multiple cysts. The products of
expect? conception transform into a large number of
a. hypothermia edematous, fluid-filled vesicles. As cells slough off
b. dark brown vaginal the uterine wall, vaginal discharge is usually dark
discharge brown and can contain grapelike clusters.
c. fetal heart tones
d. decreased urinary
output



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A nurse is assessing a a. 480 mL urine output in 24 hrs
client who is at 35 weeks
of gestation and has When using the urgent vs. nonurgent approach to
mild gestational HTN. client care, the nurse should determine that the
What finding should the priority finding is 480 mL of urine output in 24 hr
nurse identify as the because the minimum acceptable urine output in
priority? an adult client is 30 mL/hr. This can indicate
a. 480 mL urine output in progression of preeclampsia to preeclampsia with
24 hrs severe features, which requires immediate
b. 1+ protein in the urine intervention. Therefore, this is the priority finding.
c. +2 edema of the feet
d. BP 144/92

A nurse is teaching a d. you should continue to take zidovudine
client who is at 12 wks throughout the pregnancy
gestation and has HIV.
What statement should -can be transmitted through breastfeeding
the nurse include in the -she can continue to have sex
teaching?
a. you will be in isolation The nurse should inform the client that taking
after delivery prescription antiviral medication every day
b. abstain from sexual decreases the risk of transmission of HIV to her
intercourse throughout newborn.
pregnancy
c. breastfeed your
newborn to provide
passive immunity
d. you should continue
to take zidovudine
throughout the
pregnancy




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