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ATI OB Maternal Newborn Proctored Exam-with 100% verified solutions-
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ATI OB Maternal Newborn Proctored Exam-with 100% verified solutions-
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ATI OB Maternal Newborn Proctored Exam-with 100% verified solutions-2023-2024 A nurse is caring for a client who is at 32 wks gesta5on and is experiencing preterm labor. What meds should the nurse plan to administer? a. misoprostol b. betamethasone c. poractant alfa d. methylergonovine b. betamethasone A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the nurse how the provider will confirm her pregnancy. The nurse should inform the client that what lab test will be used to confirm her pregnancy? a. urine test for presence of HCG b. urine test for the presence of HCS c. blood test for presence of estrogen d. blood test for the amount of circula5ng progesterone a. urine test for presence of HCG A nurse is caring for a client who believes she may be pregnant. What finding should the nurse iden5fy as a posi5ve sign of pregnancy? a. palpable fetal movement b. amenorrhea c. chadwick's sign d. posi5ve pregnancy test a. palpable fetal movement A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the nurse expect? a. renal agenesis b. atrial septal defect c. spina bifida d. hydrocephalus a. renal agenesis A nurse is assessing a client who is at 37 wks gesta5on and has a suspected pelvic fracture due to blunt abd trauma. What findings should the nurse expect? a. uterine contrac5ons b. bradycardia c. seizures d. bradypnea a. uterine contrac5ons The nurse should expect the client to be experiencing uterine contrac5ons due to abdominal trauma. A nurse is assessing a client who is at 12 wks gesta5on and has hyda5diform mole. What findings should the nurse expect? a. hypothermia b. dark brown vaginal discharge c. fetal heart tones d. decreased urinary output b. dark brown vaginal discharge A hyda5diform mole, or a molar pregnancy, is a benign prolifera5ve growth of the chorionic villi, which gives rise to mul5ple cysts. The products of concep5on 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 gesta5on and has mild gesta5onal HTN. What finding should the nurse iden5fy 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 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 interven5on. Therefore, this is the priority finding. A nurse is teaching a client who is at 12 wks gesta5on and has HIV. What statement should the nurse include in the teaching? a. you will be in isola5on a\er delivery b. abstain from sexual intercourse throughout pregnancy c. breas]eed your newborn to provide passive immunity d. you should con5nue to take zidovudine throughout the pregnancy d. you should con5nue to take zidovudine throughout the pregnancy -can be transmi^ed through breas]eeding -she can con5nue to have sex The nurse should inform the client that taking prescrip5on an5viral medica5on every day decreases the risk of transmission of HIV to her newborn. A nurse is providing teaching to a client who is at 8 wks gesta5on about manifesta5ons to report to the provider during pregnancy. What info should the nurse include in the teaching? a. nausea upon awakening b. blurred or double vision c. increase in white vaginal discharge d. leg cramps when sleeping b. blurred or double vision A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin via con5nuous IV infusion. The nurse notes that the client is having contrac5ons every 2 min which last 100-110 seconds that the fetal heart rate is reassuring. What ac5on should the nurse take? a. decrease the dose of oxytocin by half b. administer oxygen via nonrebreather mask c. decrease the infusion rate of the maintenance IV fluid d. administer terbutaline 0.25mg subq a. decrease the dose of oxytocin by half The nurse should decrease the dose of oxytocin by half because the client is experiencing uterine tachysystole. A nurse is caring for a client who is in ac5ve labor and has meconium staining of the amnio5c fluid. The nurse notes a reassuring FHR tracing from the external fetal monitor. What ac5on should the nurse take? a. prepare the client for emergency c-sec5on b. perform endotrach suc5oning as soon as the fetal head is delivered c. prepare equipment needed for newborn resuscita5on d. prepare the client for an ultrasound exam c. prepare equipment needed for newborn resuscita5on The nurse should ensure that all supplies and equipment needed for resuscita5on of the newborn are readily available for every delivery. Endotracheal suc5oning is recommended in cases of meconium staining only if the newborn has poor respiratory effort, decreased muscle tone, and bradycardia a\er delivery. A nurse is reviewing the medical record of a client who is at 33 wks gesta5on and has placenta previa and bleeding. What scripts should the nurse clarify with the provider? a. insert a large-bore IV catheter b. perform a vaginal exam c. perform con5nuous external fetal monitoring d. obtain a blood sample for lab tes5ng b. perform a vaginal exam When a client has a placenta previa, the placenta implants in the lower part of the uterus and obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescrip5on because any manipula5on can cause tearing of the placenta and increased bleeding. A nurse is caring for a client who is at 37 wks gesta5on and is undergoing a nonstress test. The FHR is 130 without accelera5ons for the past 10 min. What ac5on should the nurse take? a. request a script for an internal fetal scalp electrode b. auscultate the FHR with a doppler transducer c. report the nonreac5ve test result to the provider immediately d. use vibroacous5c s5m on the client's abd for 3 seconds d. use vibroacous5c s5m on the client's abd for 3 seconds The nurse should use a vibroacous5c s5mulator on the client's abdomen to elicit fetal ac5vity because the fetus is most likely sleeping. Fetal movement should cause accelera5ons in the FHR.The benefits of buying summaries with Stuvia:
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