Ati maternal newborn, questions & answers 2022-VERIFIED
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Course
ATI
Institution
ATI
A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor. Which of
the following medications should the nurse plan to administer? - Betamethasone
Rationale:
The nurse should plan to administer betamethasone IM, a glucocorticoid, to stimulate fetal lung
ma...
ATI Maternal Newborn
A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor. Which of
the following medications should the nurse plan to administer? - Betamethasone
Rationale:
The nurse should plan to administer betamethasone IM, a glucocorticoid, to stimulate fetal lung
maturity and thereby prevent respiratory depression.
a diet teaching for hyperemesis gravidarum
"I will eat foods that taste good instead of balancing my meals."
"I will avoid having a snack before I go to bed each night."
"I will have a cup of hot tea with each meal."
"I will eliminate products that contain dairy from my diet." - "I will eat foods that taste good instead of
balancing my meals."
Clients who have hyperemesis gravidarum should eat foods they like in order to avoid nausea, rather
than trying to consume a well-balanced diet.
hyperemesis gravidarum should avoid going to bed with an empty stomach. The nurse should instruct
the client to eat a healthy snack before going to bed.
should alternate liquids and solids every 2 to 3 hr to avoid an empty stomach and over filling at each
meal.
do not need to eliminate dairy products from their diet. The client should be encouraged to consume
dairy products, because they are less likely to cause nausea than other foods.
performing Leopold maneuvers steps?
- The first step- palpate the client's fundus to identify the FETAL part.
,Second, determine the location of the fetal BACK. Third, palpate for the fetal part presenting at the
INLET.
Finally, the nurse should palpate the cephalic prominence to identify the attitude of the head.
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation.
Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Oligohydramnios
Hyperemesis gravidarum
Leukorrhea
Periodic tingling of the fingers - Oligohydramnios
The nurse should identify that oligohydramnios requires further fetal assessment using electronic fetal
monitoring. Other conditions that require further assessment include hypertension, diabetes,
intrauterine growth restriction, renal disease, decreased fetal movement, previous fetal death, post-
term pregnancy, systemic lupus erythematosus, and intrahepatic cholestasis.
Hyperemesis gravidarum is not an indication for further fetal assessment using electronic fetal
monitoring unless complications occur.
Leukorrhea is a common finding during pregnancy and is not an indication for further fetal assessment
using electronic fetal monitoring unless complications occur.
Periodic tingling of the fingers is a common finding during pregnancy and is not an indication for further
fetal assessment using electronic fetal monitoring.
assessing a pregnant is at the end of the first trimester. Place the Doppler ultrasound stethoscope in
which of the following locations to begin assessing for the fetal heart tones FHT?
Just above the umbilicus
Just above the symphysis pubis
,The right lower quadrant
The left lower quadrant - Just above the symphysis pubis
At the end of the first trimester of pregnancy, the client's uterus is approximately the size of a grapefruit
and is positioned low in the pelvis slightly above the symphysis pubis. Therefore, the nurse should begin
assessing for FHT just above the symphysis pubis.
Therefore, the nurse might not hear FHT in the right or left lower quadrant.
The nurse should assess FHT using the Doppler stethoscope just above the umbilicus if the fetus is in a
transverse or breech presentation and the client is at a minimum of 22 weeks of gestation.
A nurse is caring for a client who is at 35 weeks of gestation and is experiencing placenta previa. Which
should take?
Perform a vaginal exam to determine cervical dilation every 2 hr.
Instruct the client to ambulate in the hallway once every 4 hr.
Administer betamethasone to the client via IM injection.
The nurse should identify that a client who has a placenta previa and is actively bleeding is at an
increased risk for preterm labor and hemorrhage. The nurse should initiate interventions such as bed
rest, pelvic rest, and continuous fetal heart monitoring, which assesses fetal well-being and the presence
of contractions. The nurse should obtain IV access and monitor laboratory values. Also, the nurse should
implement interventions to prepare for an emergency birth.
Betamethasone is given to enhance fetal lung maturity for clients who are experiencing preterm labor. It
is given to clients between 24 and 34 weeks of gestation.
A client who has a placenta previa and is actively bleeding is at an increased risk for preterm labor and
hemorrhage. Ambulating frequently could potentially stimulate labor and increase vaginal bleeding.
Therefore, the nurse should place the client on bed rest with bathroom privileges.
, A client who has a placenta previa and is actively bleeding is at an increased risk for preterm labor and
hemorrhage. The nurse should place the client on pelvic rest and should not perform vaginal or rectal
examinations.
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 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? - 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? - 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? - Uterine
contractions
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