Questions 42

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ATI NUR270A Maternity Exam Questions

Extract:

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


Question 1 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. What are the priority nursing interventions for this client? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Antihypertensives, fetal monitoring, magnesium toxicity monitoring, and abruption assessment address preeclampsia risks.

Extract:

Client in labor with contractions every 8-10 minutes, 3 cm dilated, 80% effaced, head -2 station.


Question 2 of 5

A client arrives in labor and delivery having contractions every 8-10 minutes, lasting 30 seconds, and palpated as hard. Fetal heart rate is 124-138 with good variability. Maternal vital signs are 98.4°F temp, HR 88, RR 20, BP 112/64. Membranes are intact and vaginal exam reveals: cervix is 80% effaced, 3 cm dilated, head -2 station. The nurse knows that the patient is in which stage of labor?

Correct Answer: D

Rationale: Cervical dilation of 3 cm and 80% effacement indicate the latent phase of the first stage of labor.

Extract:

Primigravida dilated to 5 cm receiving epidural.


Question 3 of 5

A primigravida dilated to 5 cm will receive an epidural for pain. Which of the following interventions will help prevent hypotension in the patient?

Correct Answer: D

Rationale: A saline bolus increases intravascular volume, counteracting epidural-induced hypotension.

Extract:

Client at 38 weeks pregnant monitored for pre-eclampsia with sudden continuous abdominal pain and vaginal bleeding.


Question 4 of 5

A client who is 38 weeks pregnant is being monitored for pre-eclampsia. She suddenly complains of continuous abdominal pain and vaginal bleeding. Which of the following nursing interventions should not be included in the care of this client?

Correct Answer: A

Rationale: Reassuring vaginal delivery is inappropriate as complications like placental abruption may require cesarean delivery.

Extract:


Question 5 of 5

The nurse is aware that which of the following magnesium sulfate levels should be reported to the MD and is most likely to result in toxicity?

Correct Answer: B

Rationale: A magnesium sulfate level of 70 mEq/L is critically high, indicating toxicity risk.

Similar Questions

A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation and has been admitted to the antepartum unit for preeclampsia management. Review the findings below and identify if each item is normal or abnormal for a client at 34 weeks of gestation with preeclampsia.
A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the antepartum unit. Complete the following sentence using the list of options. Sentence: The priority intervention for the client is to and .
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 0 station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
A nurse is caring for a client who is in active labor and notes persistent late decelerations on the fetal monitor. Which of the following are the priority nursing actions? (Select all that apply.)
A primigravida calls the Labor & Delivery unit and tells the nurse that she is 39 weeks pregnant and that over the past few days, although her breathing has become easier, she now feels the urge to urinate more often and has more swelling in her ankles and feet. The nurse tells the client that she is experiencing what is commonly called:

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