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RNSG 1538 ATI 3.0 MATERNAL NEWBORN QUIZ QUESTIONS WITH CORRECT ANSWERS
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RNSG 1538 ATI 3.0 MATERNAL NEWBORN QUIZ QUESTIONS WITH CORRECT ANSWERS
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RNSG 1538 ATI 3.0 MATERNALNEWBORN QUIZ QUESTIONS WITH
CORRECT ANSWERS
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?
A: Deep Tendon Reflexes 2+
B: BP 150/96 mm Hg
C: Urinary output 20 mL/hr
D: Respiratory Rate 16/min - Answer-C: Urinary output 20 mL/hr
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 pre-eclampsia
A nurse is reviewing lab results for a client who is at 37 weeks 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?
A: Administer a dose of Rho(D) immune globulin
B: Request a prescription for an antibiotic until delivery
C: Instruct the client to obtain a rubella immunization after delivery
D: Inform the client that she will need to deliver via cesarean birth - Answer-C: Instruct
the client to obtain a rubella immunization after delivery
The client is not immune to rubella and should receive this immunization after delivery.
Not A because the client should have received this dose at 28 weeks gestation and
should receive it again within 72 hrs if the client's newborn is Rh-positive
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?
A: Increased platelet count
B: Fetal distress
C: Decreased urinary output
D: Dark red vaginal bleeding - Answer-D: Dark red vaginal bleeding
The nurse should expect the client to have minimal dark red vaginal bleeding.
, A nurse is teaching a client who is at 8 weeks gestation and has a uterine fibroid about
potential effects of the fibroid during pregnancy. Which of the following info should the
nurse include in the teaching?
A: "The fibroid will shrink during the pregnancy."
B: "The fibroid can increase the risk for postpartum hemorrhage."
C: "You will receive an injection of medroxyprogesterone acetate to shrink the fibroid."
D: "You will have to undergo a cesarean birth because of the fibroid." - Answer-B: "The
fibroid can increase the risk for postpartum hemorrhage."
This is 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?
A: Instruct the client to pant during contractions
B: Position the client supine with legs elevated
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
The nurse should provide counter pressure to the sacral area with a palm or a firm
object, such as a tennis ball, during contractions. Counter-pressure 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?
A: Atrial septal defect
B: Renal agenesis
C: Spina bifida
D: Hydrocephalus - Answer-B: Renal agenesis
Oligohydramnios is a volume of amniotic fluid less than 300 mL during the third
trimester of pregnancy and occurs when there is a renal system dysfunction or
obstructive uropathy. Absence of fetal kidneys will cause oligohydramnios.
A nurse is teaching a client who is at 12 weeks gestation and has a human
immunodeficiency virus (HIV). Which of the following statements should the nurse
include in the teaching?
A: "Breastfeed your newborn to provide passive immunity."
B: "Abstain from sexual intercourse throughout the pregnancy."
C: "You will be in isolation after delivery."
D: "You should continue to take zidovudine throughout the pregnancy." - Answer-D:
"You should continue to take zidovudine throughout the pregnancy."
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