ATI PN MATERNAL NEWBORN PROCTORED EXAM

ATI PN MATERNAL NEWBORN PROCTORED EXAM

VERSION 16

A nurse is assessing a client who is at 35 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for severe pre-eclampsia. Which of the following findings should the nurse report to the provider?Urinary output 20 mL/hr;

The nurse should report a urinary output of 20 mL/hr because this can indicate inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A decrease in urinary output can also indicate a decrease in renal perfusion secondary to a worsening of the client's pre-eclampsia.

A nurse is reviewing laboratory results for a client who is at 37 weeks of gestation. The nurse notes that the client is rubella non-immune, positive for group A beta-hemolytic streptococci, and has a blood type of O negative. Which of the following actions should the nurse take?Instruct the client to obtain rubella immunization after delivery;

This client is not immune to rubella and should receive this immunization after delivery.

A nurse is assessing a client who is at 34 weeks of gestation and has a mild placental abruption. Which of the following findings should the nurse expect?Dark red vaginal bleeding;

The nurse should expect the client who has a mild placental abruption to have minimal dark red vaginal bleeding.

A nurse is teaching a client who is at 8 weeks of gestation and has a uterine fibroid about potential effects of the fibroid during pregnancy. Which of the following information should the nurse include in the teaching?The fibroid can increase the risk for postpartum hemorrhage; 1 / 2

Uterine fibroids can increase the risk of postpartum hemorrhage due to the increase in blood supply to the uterus, which supports the fibroid

A nurse is caring for a client who is in the latent phase of labor and is experiencing low back pain. Which of the following actions should the nurse take?Apply pressure to the client's sacral area during contractions;

The nurse should provide counter pressure to the sacral area with a plan or a firm object, such as a tennis ball, during contractions. Counterpressure lifts the fetal head away from the sacral nerves, which decreases pain.

A nurse is caring for a client who has oligohydramnios. Which of the following fetal anomalies should the nurse expect?Renal agenesis;

Oligohydramnios is a volume of amniotic fluid less than 300 mL during the third trimester of pregnancy and occurs when there is a renal system dysfunction of obstructive uropathy. Absence of fetal kidneys will cause oligohydramnios.

A nurse is teaching a client who is at 12 weeks of gestation and has human immunodeficiency virus (HIV). Which of the following statements should the nurse include in the teaching?You should continue to take zidovudine throughout the pregnancy;

The nurse should inform the client that taking prescription antiviral medication every day decreases the risk of transmission of HIV to her newborn.

A nurse is caring for a client who is at 38 weeks of gestation and reports no fetal movement for 24 hr.Which of the following actions should the nurse take?Auscultate for a fetal heart rate;

Presence of a fetal heart rate is a reassuring manifestation of fetal well-being. The nurse should auscultate for the fetal heart rate using a doppler device or an external fetal monitor. This is the priority nursing action.

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