NURSING 412 ATI MATERNAL NEWBORN PROCTORED 2023/2024 EXAM REVIEW CORRECT QUESTIONS AND VERIFIED ANSWERS STUDY GUIDE A+ GRADE

NURSING 412 ATI MATERNAL NEWBORN PROCTORED 2023/2024 EXAM REVIEW CORRECT QUESTIONS AND VERIFIED ANSWERS STUDY GUIDE A+ GRADE A nurse is caring for a client who has oligohydramnios. What fetal anomalies should the nurse expect? a. renal agenesis b. atrial septal defect c. spina bifida d. hydrocephalus Correct Answer: a. renal agenesis A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvic fracture due to blunt abd trauma. What findings should the nurse expect? a. uterine contractions b. bradycardia c. seizures d. bradypnea Correct Answer: a. uterine contractions The nurse should expect the client to be experiencing uterine contractions due to abdominal trauma. A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole. What findings should the nurse expect? a. hypothermia b. dark brown vaginal discharge c. fetal heart tones d. decreased urinary output Correct Answer: b. dark brown vaginal discharge A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic villi, which gives rise to multiple cysts. The products of conception transform into a large number of edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually dark brown and can contain grapelike clusters. A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational HTN. What finding should the nurse identify as the priority? a. 480 mL urine output in 24 hrs b. 1+ protein in the urine c. +2 edema of the feet d. BP 144/92 Correct Answer: a. 480 mL urine output in 24 hrs When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine output in an adult client is 30 mL/hr. This can indicate progression of preeclampsia to preeclampsia with severe features, which requires immediate intervention. Therefore, this is the priority finding.