ATI MATERNAL NEWBORN EXAM WITH RATIONALE

ATI MATERNAL NEWBORN EXAM WITH RATIONALE 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 she include in her teaching? A) Mild constipation B) Nasal congestion C) Vaginal bleeding D) 10 fetal movements per hour C) Vaginal bleeding -Vaginal bleeding can be an abnormal finding during pregnancy that might indicate a complication such as placental abruption, placenta previa, or preterm labor. -note: fetal movement should be 3 or more movements per hour=normal finding. Nasal congestion is also an expected finding due to the increase circulation of estrogen. A nurse is assessing a client who is 34 weeks of gestation and has a mild placental abruption. Which of the following findings should the nurse expect? A) Increased platelet count B) Fetal distress C) Decreased urinary output D) Dark red vaginal bleeding D) Dark red vaginal bleeding -Note: mild fetal abruption should have a reassuring fetal heartrate. -urinary output should be within the expected reference range. 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? A) Betamethasone B) Misoprostol C) Methylergonovine D) Poractant Alfa A) Betamethasone -The nurse should plan to administer betamethasone IM, a glucocorticoid, to stimulate fetal lung maturity and thereby prevent respiratory depression. 00:1401:44 Difference between Betamethasone and Poractant Alfa: ~Betamethasone is given to stimulate FETAL lung maturity to *PREVENT respiratory depression. ~Poractant Alfa, a synthetic lung surfactant, is given to a preterm NEWBORN who is experiencing respiratory distress. A nurse is reviewing the medical record of a client who is at 39 weeks of gestation and has polyhydramnios. Which of the following should the nurse expect? A) Fundal height of 34 cm B) Total pregnancy weight gain of 3.6 kg C) Gestational hypertension D) Fetal gastrointestinal anomaly D) 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 about pre-eclampsia 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 her teaching? A) Elevated blood pressure B) Feeling of warmth C) Hyperactivity D) Generalized pruritus B) Feeling of warmth -The nurse should tell the client to expect the feeling of warmth all over her body while magnesium sulfate is infusing. A nurse is teaching a client who is at 12 weeks gestation about manifestations of potential complications that she should report to her provider. Which of the following information should the nurse include in her teaching? A) Swelling of the face B) Urinary frequency C) White discharge D) Intermittent nausea A) Swelling of the face -The nurse should instruct the face to report swelling of the face because this is an indicator of hypertensive disorder or preeclampsia. A pregnant patient who has a negative rH factor should receive Rh immune globulin when? at 28 weeks gestation and then after delivery, within 72 hours of delivery if the newborn is rH positive. A nurse is caring for a client who has oligohydramnios . Which of the following fetal anomalies should the nurse expect? A) Atrial septal defect B) Renal agenesis C) Spina bifida D) Hydrocephalus B) Renal agenesis -Oligohydramnios is a volume of amniotic fluid of less than 300 ml during 3rd semester of pregnancy and occurs when there is a renal system dysfunction or obstructive uropathy. Absence of fetal kidneys will cause oligohydramnios.