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Examen

RN MATERNAL NEWBORN ATI PROCTORED NEWEST ACTUAL EXAM COMPLETE 304 FREQUENTLYTESTED QUESTIONS AND CORRECT DETAILED ANSWERS

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Escrito en
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A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for bedamethasone. Which of the following statements should the nurse make about the indication for medication administration? A. "This medication will stop your labor." B. "This medication stimulates fetal lung maturity." C. "This medication will decrease your risk for uterine infections." D. "This medication will increase your baby's weight." Answer: "This medication stimulates fetal lung maturity." A. "This medication will stop your labor." Betamethasone is not a tocolytic and does not stop labor. B. "This medication stimulates fetal lung maturity." The nurse should inform the client that betamethasone is a glucocorticoid that enhances fetal lung maturity by promoting the release of enzymes that release lung surfactant. C. "This medication will decrease your risk for uterine infections." Betamethasone is not given to decrease the client's risk for uterine infections. D. "This medication will increase your baby's weight." Betamethasone does not increase fetal weight. A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa. Which of the following action should the nurse take? A. Perform a vaginal exam to determine cervical dilation every 2 hr. B. Instruct the client to ambulate in the hallway once every 4 hr. C. Administer betamethasone to the client via IM injection. D. Initiate continuous external fetal monitoring. Answer: Initiate continuous external fetal monitoring. A. Perform a vaginal exam to determine cervical dilation every 2 hr. A client who has a placenta previa and is actively bleeding is at an increased risk for preterm labor and hemorrhage. The nurse should place the client on pelvic rest and should not perform vaginal or rectal examinations. B. Instruct the client to ambulate in the hallway once every 4 hr. A client who has a placenta previa and is actively bleeding is at an increased risk for preterm labor and hemorrhage. Ambulating frequently could potentially stimulate labor and increase vaginal bleeding. Therefore, the nurse should place the client on bed rest with bathroom privileges. C. Administer betamethasone to the client via IM injection. Betamethasone is given to enhance fetal lung maturity for clients who are experiencing preterm labor. It is given to clients between 24 and 34 weeks of gestation. D. Initiate continuous external fetal monitoring. The nurse should identify that a client who has a placenta previa and is actively bleeding is at an increased risk for preterm labor and hemorrhage. The nurse should initiate interventions such as be

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RN MATERNAL NEWBORN ATI
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Subido en
17 de diciembre de 2024
Número de páginas
135
Escrito en
2024/2025
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Examen
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Science Medicine Obstetrics


RN MATERNAL NEWBORN ATI PROCTORED
NEWEST 2024-2025 ACTUAL EXAM COMPLETE
304 FREQUENTLY TESTED QUESTIONS AND
CORRECT DETAILED ANSWERS
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Terms in this set (304)


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

,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

,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 fracture experiencing uterine contractions due to abdominal
due to blunt abd 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

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