ATI RN maternal newborn nursing Review With Complete Solution |Verified

ATI RN maternal newborn nursing Review With Complete Solution |Verified A nurse is caring for a pt. who is at 15 wks gestation, is rh-negative, and just had an Amniocentesis. Which of the following interventions is the nurse's priority following the procedure? A.) Check Pt.'s temp. B.) Observe for UC's C.) Admin. Rho-Immunoglobulin D.) Monitor the FHR {{Correct Ans:- D- greatest risk to pt. and fetus is fetal death. Rationale= C- the nurse should admin. Rho-immunoglobulin to prevent sensitization. However, this is not the PRIORITY nursing intervention A nurse is providing care for a pt. who is at 32 wks gestation & has Placenta Previa. The nurse notes that the pt. is actively bleeding. Which of the following medications should the nurse anticipate will be prescribed? A. Betamethasone B. Indomethacin C. Nifedipine D. Methylergonovine {{Correct Ans:- *A.) Betamethasone: Given to promote lung maturity if delivery is anticipated* B.) Indomethacin is given to pt. in preterm labor C.) Nifedipine is given to pt.'s in preterm labor D.) Methylergonovine is prescribed to pt. experiencing postpartum hemorrhage A nurse at a clinic is caring for a pt. who is at 4 months of gestation. The pt. reports continued N/V & scant, prune-colored discharge. She has no wt. loss and has a fundal height greater than expected. Which of the following complications should the nurse expect? A. Hyperemesis Gravidarum B. Threatened Abortion C. Hydatiform mole D. Preterm labor {{Correct Ans:- C Hydatiform mole. Pt.'s with Hydatiform mole exhibits increased fundal height is is inconsistent with wk. of gestation, and excessive N/V due to ↑↑ hCG levels. Scant, dark discharge occurs in the 2nd trimester.