ATI MENTAL NEWBORN PROCTORED 2023 GRADED A+

ATI MENTAL NEWBORN PROCTORED 2023 GRADED A+ A nurse is caring for a client who is at 32 weeks of gestation and is expriencing preterm labor. Which of the following medications should the nurse plan to administer? A. Betamethasone B. Misoprostol C. Methylergonovine D. Proactant alfa - correct answer-A. Betamethasone Rationale: The nurse should plan to administer betamethasone IM, a glucocorticoid, to stimulate fetal lung maturity and thereby prevent respiratory depression. 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 which of the following laboratory tests will be used to confirm her pregnancy? A. A blood test for the presence of estrogen B. A blood test for the amount of circulating progesterone C. A urine test for the presence of human chorionic somatomammotropin D. A urine test for the presence of human chorionic gonadotropin - correct answer-D. A urine test for the presence of human chorionic gonadotropin Rationale: Human chorionic gonadotropin is excreted by the placenta and promotes the excretion of progesterone and estrogen. This hormone is the basis for pregnancy testing. A nurse is caring for a client who believes she may be pregnant. Which of the following findings should the nurse identify as a positive sign of pregnancy? A. Papable fetal movement B. Chadwick's sign C. Positive pregnancy test D. Amenorrhea - correct answer-A. Palpable fetal movement rationale: Palpable fetal movements are a positive sign of pregnancy. Quickening, the client's report of fetal movement, is a presumptive sign of pregnancy. Chadwick's sign 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 - correct answer-B. Renal agenesis Rationale: 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 assessing a client who is at 37 weeks of gestation and has suspected pelvic fracture due to blunt abdominal trauma. Which of the following findings should the nurse expect? A. Bradycardia B. Uterine contractions C. Seizures D. Bradypnea - correct answer-B. Uterine contractions Rationale: The nurse should expect the client to be experiencing uterine contractions due to abdominal trauma. A nurse is assessing a client who is at 12 weeks of gestation and has hyatidiform mole. Which of the following findings should the nurse expect? A. Hypothermia B. Dark brown vaginal discharge C. Decreased urinary output D. Fetal heart tones - correct answer-B. Dark brown vaginal discharge Rationale: A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic villi, which gives rise to multiple cysts. The products of conception 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 gestation and has preeclampsia without severe features. Which of the following findings should the nurse identify as the priority? A. 480 ml urine output in 24 hr B. Blood pressure 144/92 mmHg C. +2 edema of the feet D. 1+ protein in the urine - correct answer-A. 480 mL urine output in 24 hr