Healthcare Concepts III EXAM II: ATI -
Preterm Labor, Preeclampsia, and
Gestational Diabetes
Nurse Darla is interviewing Ms. Goodwin about her report of a burning sensation when
voiding. Which of the following clinical findings should Darla anticipate? Select all that
apply.
a) dysuria
b) vaginal discharge
c) urinary frequency
d) epigastric pain
e) fever - A, C, and E
Nurse Darla assists Ms. Goodwin to bed. Which of the following is an
appropriate action for Darla to take?
a) ask Ms. Goodwin to write down each time she feels a contraction
b) apply a fetal monitor and tocotransducer
c) palpate Ms. Goodwin's uterus
d) ask Ms. Goodwin to report the kick counts over a period of 1 hr - B
Nurse Darla confirms uterine contractions are occurring on the fetal monitor. Which of
the following is the priority nursing intervention?
a) obtain a clean catch, mid-stream urine sample
b) evaluate the concentration of Ms. Goodwin's urine
c) check for effacement and cervical dilation
d) assess vaginal discharge - C
Nurse Darla completed a vaginal examination on Ms. Goodwin and notified the provider
of her findings. Which of the following actions is the highest priority?
a) administer nifedipine (procardia)
b) obtain a cervical culture
c) communicate the plan of care with Ms. Goodwin
d) administer betamethasone (celestone) - A
Nurse Darla is preparing to administer betamethasone (Celestone) to Ms. Goodwin.
Which of the following is an appropriate action for Darla to take?
a) administer the medication as two separate subcutaneous injections
b) administer the medication into the deltoid muscle
, c) administer the medication subcutaneously into the periumbilical area
d) administer the medication into the ventrogluteal muscle - D
Nurse Darla is preparing to obtain a urine specimen from the urinary catheter after the
catheter was clamped 5 inches above the collection port. Identify the sequence of steps
Darla should take when preforming this procedure. Place in order of performance
a) withdraw the specimen
b) don gloves
c) access the port
d) unclamp the drainage tube
e) disinfect the port - B, E, C, D, then A
Nurse Darla is preparing to administer ampicillin (Ampicin) to Ms. Goodwin. Which of
the following is an appropriate action for Darla to take?
a) administer the medication over 1 min
b) infuse the medication over 30 min
c) assess Ms. Goodwin for sensitivity to sulfonamides
d) assess Ms. Goodwin for sensitivity to cephalosporin - D
Nurse Darla and the charge nurse are discussing nifedipine (Procardia). Which of the
following statements by Darla indicates an understanding of the medication?
a) hypertension is an expected finding of the medication
b) I should assess her for facial flushing
c) an adverse effect of the medication is bradycardia
d) I should inspect her skin daily for bruising - B
Nurse Darla is planning to administer magnesium sulfate to Ms. Goodwin. Which of the
following indicate magnesium sulfate toxicity? Select all that apply.
a) altered level of consciousness
b) respiratory rate less than 12/min
c) deep tendon reflexes 3+
d) urinary output less than 30 mL/hr
e) muscle rigidity - A, B, and D
Nurse Darla is teaching Ms. Goodwin about receiving tocolytic therapy. Which of the
following statements by Ms. Goodwin indicates she understands the effects of the
therapy?
a) I may have difficulty sleeping at night due to the medication
b) I should increase my fluid intake to 3 liters daily
c) I may experience hot flashes throughout the day
d) I should lie on my back as much as possible - C
Preterm Labor, Preeclampsia, and
Gestational Diabetes
Nurse Darla is interviewing Ms. Goodwin about her report of a burning sensation when
voiding. Which of the following clinical findings should Darla anticipate? Select all that
apply.
a) dysuria
b) vaginal discharge
c) urinary frequency
d) epigastric pain
e) fever - A, C, and E
Nurse Darla assists Ms. Goodwin to bed. Which of the following is an
appropriate action for Darla to take?
a) ask Ms. Goodwin to write down each time she feels a contraction
b) apply a fetal monitor and tocotransducer
c) palpate Ms. Goodwin's uterus
d) ask Ms. Goodwin to report the kick counts over a period of 1 hr - B
Nurse Darla confirms uterine contractions are occurring on the fetal monitor. Which of
the following is the priority nursing intervention?
a) obtain a clean catch, mid-stream urine sample
b) evaluate the concentration of Ms. Goodwin's urine
c) check for effacement and cervical dilation
d) assess vaginal discharge - C
Nurse Darla completed a vaginal examination on Ms. Goodwin and notified the provider
of her findings. Which of the following actions is the highest priority?
a) administer nifedipine (procardia)
b) obtain a cervical culture
c) communicate the plan of care with Ms. Goodwin
d) administer betamethasone (celestone) - A
Nurse Darla is preparing to administer betamethasone (Celestone) to Ms. Goodwin.
Which of the following is an appropriate action for Darla to take?
a) administer the medication as two separate subcutaneous injections
b) administer the medication into the deltoid muscle
, c) administer the medication subcutaneously into the periumbilical area
d) administer the medication into the ventrogluteal muscle - D
Nurse Darla is preparing to obtain a urine specimen from the urinary catheter after the
catheter was clamped 5 inches above the collection port. Identify the sequence of steps
Darla should take when preforming this procedure. Place in order of performance
a) withdraw the specimen
b) don gloves
c) access the port
d) unclamp the drainage tube
e) disinfect the port - B, E, C, D, then A
Nurse Darla is preparing to administer ampicillin (Ampicin) to Ms. Goodwin. Which of
the following is an appropriate action for Darla to take?
a) administer the medication over 1 min
b) infuse the medication over 30 min
c) assess Ms. Goodwin for sensitivity to sulfonamides
d) assess Ms. Goodwin for sensitivity to cephalosporin - D
Nurse Darla and the charge nurse are discussing nifedipine (Procardia). Which of the
following statements by Darla indicates an understanding of the medication?
a) hypertension is an expected finding of the medication
b) I should assess her for facial flushing
c) an adverse effect of the medication is bradycardia
d) I should inspect her skin daily for bruising - B
Nurse Darla is planning to administer magnesium sulfate to Ms. Goodwin. Which of the
following indicate magnesium sulfate toxicity? Select all that apply.
a) altered level of consciousness
b) respiratory rate less than 12/min
c) deep tendon reflexes 3+
d) urinary output less than 30 mL/hr
e) muscle rigidity - A, B, and D
Nurse Darla is teaching Ms. Goodwin about receiving tocolytic therapy. Which of the
following statements by Ms. Goodwin indicates she understands the effects of the
therapy?
a) I may have difficulty sleeping at night due to the medication
b) I should increase my fluid intake to 3 liters daily
c) I may experience hot flashes throughout the day
d) I should lie on my back as much as possible - C
