Maternal Newborn Ati Proctored Exam Study
Guide Questions And Answers Verified 100%
Correct
A nurse is teaching a client who has pre-eclampsia and is to receive
magnesium sulfate via continuous IV infusion about expected
adverse effects. What adverse effects should the nurse include in the
teaching?
a. elevated BP
b. feeling of warmth
c. generalized pruritis
d. hyperactivity - ANSWER -b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all
over her body while the magnesium sulfate is infusing.
A nurse is caring for a client who is in the latent phase of labor and is
experiencing low back pain. What action should the nurse take?
a. position the client supine with legs elevated
b. instruct the client to pant during contractions
c. encourage the client to soak in a warm bath
d. apply pressure to the client's sacral area during contractions -
ANSWER -d. apply pressure to the client's sacral area during
contractions
A nurse is teaching a client who is at 12 wks gestation about
manifestations of potential complications that she should report to
her provider. What info should the nurse include in the teaching?
a. intermittent nausea
,b. white vaginal discharge
c. swelling of the face
d. urinary frequency - ANSWER -c. swelling of the face
A nurse is teaching a client who is at 10 wks gestation about an abd.
ultrasound in the first trimester. What info should the nurse include in
the teaching?
a. you will need to have a full bladder during the ultrasound
b. you will have a non stress test prior to the ultrasound
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the ultrasound -
ANSWER -a. you will need to have a full bladder during the
ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift the
gravid uterus out of the pelvis during the examination. Therefore, it is
important to ensure that the client has a full bladder to obtain the
most accurate image of the fetus.
A nurse is assessing a client who is 34 wks gestation and has mild
placental abruption. What finding should the nurse expect?
a. decreased urinary output
b. fetal distress
c. dark red vaginal bleeding
,d. increased platelet count - ANSWER -c. 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 caring for a client whose last menstrual period began july
8. Using Nageles rule, the nurse should identify the client's estimated
DOB as what?
a. oct 15
b. april 15
c. oct 1
d. april 1 - ANSWER -b. april 15
A nurse is caring for a client who is at 39 wks gestation and is in the
active phase of labor. The nurse observes late decels in the FHR.
What finding should the nurse identify as the cause of late decels?
a. umbilical cord compression
b. fetal head compression
c. uteroplacental insufficiency
d. fetal ventricular septal defect - ANSWER -c. uteroplacental
insufficiency
A nurse is assessing a client who is at 35 wks gestation and is
receiving magnesium sulfate via continuous IV infusion for severe
pre-eclampsia. What finding should the nurse report to the provider?
a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr - ANSWER -d. 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 teaching a client who is at 13 wks gestation about the
treatment of incompetent cervix with cervical cerclage. What
statement by the client indicates an understanding of teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
c. I am sad that I won't be able to get pregnant again
d. I can resume having sex as soon as I feel up to it - ANSWER -a. I
should go to the hospital if I think I may be in labor
Cervical cerclage prevents premature opening of the cervix during
pregnancy. The client should immediately go to a facility for
evaluation if she experiences any manifestations of labor while the
cerclage is in place. If the client experiences preterm uterine
contractions she might require tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing
moderate bright red vaginal bleeding. What action should the nurse
take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation - ANSWER -a.
obtain blood samples for baseline lab values
Guide Questions And Answers Verified 100%
Correct
A nurse is teaching a client who has pre-eclampsia and is to receive
magnesium sulfate via continuous IV infusion about expected
adverse effects. What adverse effects should the nurse include in the
teaching?
a. elevated BP
b. feeling of warmth
c. generalized pruritis
d. hyperactivity - ANSWER -b. feeling of warmth
The nurse should tell the client to expect the feeling of warmth all
over her body while the magnesium sulfate is infusing.
A nurse is caring for a client who is in the latent phase of labor and is
experiencing low back pain. What action should the nurse take?
a. position the client supine with legs elevated
b. instruct the client to pant during contractions
c. encourage the client to soak in a warm bath
d. apply pressure to the client's sacral area during contractions -
ANSWER -d. apply pressure to the client's sacral area during
contractions
A nurse is teaching a client who is at 12 wks gestation about
manifestations of potential complications that she should report to
her provider. What info should the nurse include in the teaching?
a. intermittent nausea
,b. white vaginal discharge
c. swelling of the face
d. urinary frequency - ANSWER -c. swelling of the face
A nurse is teaching a client who is at 10 wks gestation about an abd.
ultrasound in the first trimester. What info should the nurse include in
the teaching?
a. you will need to have a full bladder during the ultrasound
b. you will have a non stress test prior to the ultrasound
c. the ultrasound will determine the length of your cervix
d. you will experience uterine cramping during the ultrasound -
ANSWER -a. you will need to have a full bladder during the
ultrasound
MY ANSWER
The nurse should tell the client that a full bladder helps to lift the
gravid uterus out of the pelvis during the examination. Therefore, it is
important to ensure that the client has a full bladder to obtain the
most accurate image of the fetus.
A nurse is assessing a client who is 34 wks gestation and has mild
placental abruption. What finding should the nurse expect?
a. decreased urinary output
b. fetal distress
c. dark red vaginal bleeding
,d. increased platelet count - ANSWER -c. 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 caring for a client whose last menstrual period began july
8. Using Nageles rule, the nurse should identify the client's estimated
DOB as what?
a. oct 15
b. april 15
c. oct 1
d. april 1 - ANSWER -b. april 15
A nurse is caring for a client who is at 39 wks gestation and is in the
active phase of labor. The nurse observes late decels in the FHR.
What finding should the nurse identify as the cause of late decels?
a. umbilical cord compression
b. fetal head compression
c. uteroplacental insufficiency
d. fetal ventricular septal defect - ANSWER -c. uteroplacental
insufficiency
A nurse is assessing a client who is at 35 wks gestation and is
receiving magnesium sulfate via continuous IV infusion for severe
pre-eclampsia. What finding should the nurse report to the provider?
a. DTR 2+
b. resp 16
c. BP 150/96
d. urinary output 20 mL/hr - ANSWER -d. 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 teaching a client who is at 13 wks gestation about the
treatment of incompetent cervix with cervical cerclage. What
statement by the client indicates an understanding of teaching?
a. I should go to the hospital if I think I may be in labor
b. I should expect bright red bleeding while the cerclage is in place
c. I am sad that I won't be able to get pregnant again
d. I can resume having sex as soon as I feel up to it - ANSWER -a. I
should go to the hospital if I think I may be in labor
Cervical cerclage prevents premature opening of the cervix during
pregnancy. The client should immediately go to a facility for
evaluation if she experiences any manifestations of labor while the
cerclage is in place. If the client experiences preterm uterine
contractions she might require tocolytic therapy.
A nurse is admitting a client who is in labor and experiencing
moderate bright red vaginal bleeding. What action should the nurse
take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical dilation - ANSWER -a.
obtain blood samples for baseline lab values
