ATI 3.0 Maternal Newborn 1 Questions and Answers Graded A+

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ATI 3.0 Maternal Newborn 1 Questions and Answers Graded A+ 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-e... clampsia. 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 -ANS>> 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 -ANS>> 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 -ANS>> 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." -ANS>> 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 -ANS>> 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 -ANS>> B: Renal agenesis [Show More]

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