The nurse is caring for a client in labor receiving epidural anesthesia. What is the priority nursing assessment?

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ATI Maternal Newborn Proctored Exam 2023 Quizlet Questions

Question 1 of 5

The nurse is caring for a client in labor receiving epidural anesthesia. What is the priority nursing assessment?

Correct Answer: B

Rationale: Maternal blood pressure monitoring is essential to detect and manage hypotension, a common side effect of epidural anesthesia.

Question 2 of 5

Which finding during a prenatal visit is most concerning in a client at 32 weeks gestation?

Correct Answer: D

Rationale: Proteinuria is a potential sign of preeclampsia, requiring evaluation.

Question 3 of 5

A client at 12 weeks' gestation asks about managing constipation during pregnancy. What is the nurse's best advice?

Correct Answer: B

Rationale: Increasing dietary fiber and fluids helps relieve constipation, which is common during pregnancy.

Question 4 of 5

A woman is experiencing mittelschmerz and increased vaginal discharge. Her temperature has increased by 0.6°C (1.0°F) over the past 36 hours. This most likely indicates what?

Correct Answer: C

Rationale: Mittelschmerz, or mid-cycle pain, combined with a basal temperature rise and cervical mucus changes, is a sign that ovulation has occurred. These indicators are part of the body's natural fertility signals.

Question 5 of 5

The nurse is describing different types of abruptio placenta to a group of students explaining that the incomplete abruptio placenta is

Correct Answer: B

Rationale: In incomplete abruptio placenta, the separation begins at the periphery of the placenta. This results in partial detachment of the placenta from the uterine wall, rather than almost total separation as seen in complete abruptio placenta. This type of abruptio placenta may present with vaginal bleeding depending on the extent of separation and may lead to various degrees of maternal and fetal compromise.

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