ATI Maternal Newborn 1 Questions And Answers 2022/2023

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? - Answer - 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? - Answer - 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? - Answer - 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? - Answer - The fibroid can increase the risk for postpartum hemorrhage; 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? - Answer - 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? - Answer - Renal agenesis;