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Terms in this set (36)A nurse in a provider's office is reinforcing teaching to a client who is 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for abruption? hypertension A nurse in the antepartum unit is assisting with the care of a client who is at 36 weeks gestation and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications? abruptio placentae A
nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide? This could result in profound bleeding" A nurse in the emergency department is caring for a client who comes to the emergency department reporting severe abdominal pain in the lower left quadrant. The provider suspects a ruptured ectopic pregnancy. Which of the following signs indicates to the client that the client has blood in the peritoneum? Cullen's Sign A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder? elevated blood pressure A nurse is admitting a client who has severe preeclampsia at
35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification? ambulate twice daily A nurse is admitting a client Who is at 37 weeks of gestation and has severe gestational hypertension. Which of the following actions should the nurse
should implement? (select all that apply) Administer magnesium sulfate IV A nurse is caring for a client who is 28
weeks and received terbutaline. Which of the following findings should the nurse expect? weakened uterine contractions A nurse is caring for a client Who is suspected of having hydatidiform mole. Which of the following findings should the nurse expect to observe in
this client is? Excessive uterine enlargement A nurse is admitting a client who is at 30 weeks of gestation and is preterm labor. The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. The nurse
should provide which of the following explanations? "It promotes fetal lung maturity" A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks gestation with a diagnosis of preeclampsia.
Which of the following findings should the nurse identify as inconsistent with preeclampsia? Deep tendon reflexes of +1 A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2g/hr. Which of the following findings indicates that it is safe for the nurse
to continue the infusion? respiratory rate of 16/min A nurse is admitting a client who is at 33 weeks of gestation and as a diagnosis of placenta previa. Which of the following is the priority nursing action? Apply an external fetal monitor A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse see first? A client who is at 28 weeks of gestation and reports painless vaginal bleeding A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. The nurse should recognize this finding as an indication of which of the following conditions? placenta previa A client is admitted to the maternity unit who is 38 weeks gestation and experiencing polyhydramnios. The nurse understands that this diagnosis means that An excessive amount of amniotic fluid is present A nurse in a hospital is caring for a client who is at 38 weeks of gestation and as a large amount of painless,bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are:
blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4 celsius (97.6 fahrenheit). Which of the following is the priority nursing action? Initiate IV access A nurse is caring for several clients. The nurse should
recognize that it is safe to administer tocolytic therapy to which of the following clients? A client who is experiencing preterm labor at 26 weeks of gestation A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications? Disseminated intravascular coagulation A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus. The nurse should recognize which of the following newborn complications as the priority focus of care? Hypoglycemia A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has
severe preeclampsia. Which of the following is an expected finding? Report of headache A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications? (select all that apply) Indomethacin A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis? Unilateral, cramp-like abdominal pain A nurse in a prenatal clinic is caring for a client who is at 38 week of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and she states that she can "feel the baby moving." An ultrasound is scheduled stat. The nurse
should explain to the client that the purpose of the ultrasound is to determine which of the following? Location of the placenta A nurse is caring for a client who is at 36 weeks of gestation and who has suspected placenta previa. Which of the following findings support this diagnosis? painless red vaginal bleeding A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following
actions should the nurse take? Discontinue the medication infusion A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this
client? respiratory rate A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the
client? Glyburide A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider? Urinary output 40 ml in 2 hr A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider? Respiratory depression A nurse is caring for a client who is in
premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider? dyspnea A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads in the past 30 min. The nurse caring for her suspects placenta
previa. Which of the following is an appropriate nursing action? preparation for a c-section A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse, "Will my baby be okay?" Which of the following responses should the nurse
offer?? " you must be feeling scared and powerless" A nurse is planning care for a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal
bleeding. The tentative diagnosis is inevitable abortion. Which of the following nursing interventions should be included in the plan of care? Offer option to view products of conception A nurse is completing discharge
teaching to a client in her 35th week of pregnancy who has mild preeclampsia. Which of the following information about nutrition should be included in the teaching? Drink 48-64 ounces of water daily A nurse in the ambulatory surgery center
is providing discharge teaching to a client who had dialtion and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching? Vaginal intercourse can be resumed after 2 weeks Sets with similar terms306 L&D practice ATI quiz20 terms StayGrounded Maternal Newborn (Practice questions)99 terms Marina_Pavon Sets found in the same folderMaternal Newborn Comprehensive Study Guide SLCC50 terms amanda_panda_o0o OB ATI Quiz: High-Risk Pregnancy30 terms valher223PLUS ATI N3610 Quiz 159 terms aledastudies ATI OB review100 terms OE1215PLUS Other sets by this creatorCommunity Health 4300 Final145 terms annie_huelsing Community Exam One Study Guide28 terms annie_huelsing MATERNAL NEWBORN ATI PRACTICE89 terms annie_huelsing ADULT HEALTH 2 EXAM 288 terms annie_huelsing Other Quizlet setsChapter 2 Real Estate Appraisal46 terms williamsd_08 Litature Final Study Guide71 terms awesomeChelsea9 Three Presidents Test Review (THOMAS JEFFERSON)10 terms JENNIFER6334 Bible Test20 terms georgia_ward193 Related questionsQUESTION What is responsible for the conjugation of bilirubin? 12 answers QUESTION what are the 3 period of fetal development? 14 answers QUESTION What happens with a amniotic fluid embolism 10 answers QUESTION what are the type of conjoined twins? (5) 9 answers Which of the following findings should the nurse identify as an indication of magnesium toxicity?B. CORRECT. A respiratory rate less than 12/min is a sign of magnesium toxicity.
Which assessment following an Amniotomy should be conducted first?After an amniotomy, the fetus' heartbeat will be assessed for one full minute, which is also performed prior to the procedure. This is to check for any changes in the fetus' condition and any warning signs that may signal fetal distress.
What is the most prevalent clinical manifestation of Abruptio Placentae?The most common symptom of placental abruption is dark red vaginal bleeding with pain during the third trimester of pregnancy.
What would be the physiologic basis for a placenta previa?Pathophysiology: Placenta previa is initiated by implantation of the embryo (embryonic plate) in the lower (caudad) uterus. With placental attachment and growth, the cervical os may become covered by the developing placenta.
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A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV
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