Questions 42

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ATI NUR270A Maternity Exam Questions

Extract:

Client at 38 weeks gestation with ruptured membranes, clear and odorless amniotic fluid.


Question 1 of 5

A nurse admits a woman who is 38 weeks gestation and has ruptured membranes. The nurse determines that the amniotic fluid is clear and odorless. Besides notifying the provider, which of the following is the appropriate first nursing action?

Correct Answer: D

Rationale: Checking temperature every 2 hours monitors for infection, a risk after membrane rupture.

Extract:

High-risk antenatal clients.


Question 2 of 5

A nurse receives a shift report and must first assess the high-risk antenatal client who is:

Correct Answer: A

Rationale: Proteinuria and vomiting at 35 weeks suggest preeclampsia, requiring immediate assessment.

Extract:

Client at 25 weeks gestation in preterm labor with pre-eclampsia, receiving Nifedipine and magnesium sulfate.


Question 3 of 5

The client at 25 weeks gestation in preterm labor has developed pre-eclampsia. After receiving Nifedipine to stop her contractions, she is started on magnesium sulfate to control her pre-eclampsia. When assessing the client, which findings by the nurse indicate that the client is experiencing an adverse effect from the magnesium sulfate? (Select all that apply).

Correct Answer: A,F,G

Rationale: Respiratory depression, confusion, and oliguria are signs of magnesium sulfate toxicity.

Extract:

34-year-old female, gravida 2, para 1, at 34 weeks gestation with gestational diabetes, clear fluid leakage, mild cramping.


Question 4 of 5

A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the antepartum unit. What are the priority nursing actions for this client? Select all that apply.

Correct Answer: A,B,E

Rationale: Fetal monitoring, magnesium sulfate for neuroprotection, and monitoring for chorioamnionitis address preterm rupture risks.

Question 5 of 5

A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the antepartum unit. What is the most appropriate action the nurse should take next?

Correct Answer: D

Rationale: Corticosteroids enhance fetal lung maturity at 34 weeks, critical for preterm delivery risk.

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