Questions 42

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ATI NUR270A Maternity Exam Questions

Extract:

Client in second trimester with new diagnosis of gestational diabetes.


Question 1 of 5

A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates that more teaching is needed?

Correct Answer: D

Rationale: Glyburide is not first-line for gestational diabetes; insulin is preferred, indicating a need for further teaching.

Extract:

34-year-old female, gravida 4, para 3, at 34 weeks gestation with chronic hypertension, headache, visual disturbances, abdominal discomfort.


Question 2 of 5

A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the labor and delivery unit. Complete the following sentence using the list of options. Sentence: The nurse should prioritize administering and monitoring for .

Correct Answer: A,B

Rationale: Magnesium sulfate prevents seizures in preeclampsia, and monitoring for toxicity ensures safety.

Extract:


Question 3 of 5

The nurse knows that a diagnosis for gestational diabetes can be determined with which lab values?

Correct Answer: D

Rationale: Elevated 3-hour glucose tolerance test values (e.g., 190 mg/dL) confirm gestational diabetes.

Extract:

Client in prolonged labor with severe backache.


Question 4 of 5

A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following interventions should the nurse assist with?

Correct Answer: C

Rationale: Counterpressure to the sacrum relieves back pain, especially in occiput posterior positions.

Extract:

Client receiving epidural analgesia during labor.


Question 5 of 5

A nurse is caring for a client who is receiving epidural analgesia during labor. Which of the following symptoms should the nurse report to the physician?

Correct Answer: D

Rationale: Fetal bradycardia indicates distress, requiring immediate physician notification.

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