Questions 48

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ATI OB Maternal Newborn Nurs 4650 Questions

Extract:

Client undergoing an amniotomy


Question 1 of 5

A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?

Correct Answer: B

Rationale: Obtaining a 30-minute EFM strip before amniotomy establishes a baseline fetal heart rate, identifying potential distress.

Extract:

Client at 28 weeks of gestation with history of one elective abortion at 9 weeks, twins at 36 weeks, and spontaneous abortion at 15 weeks


Question 2 of 5

A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy terminated by elective abortion at 9 weeks: the birth of twins at 36 weeks and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's pregnancy history?

Correct Answer: C

Rationale: GTPAL: 4 pregnancies (G), 0 term births (T), 1 preterm birth (P, twins at 36 weeks), 2 abortions (
A), 2 living children (L) accurately reflects the history.

Extract:

Client at 38 weeks of gestation with severe preeclampsia


Question 3 of 5

A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?

Correct Answer: A

Rationale: Severe headaches are a common symptom of preeclampsia due to hypertension and cerebral edema, indicating a need for immediate management.

Extract:

Client who is postpartum with a new prescription for Rh(D) immunoglobulin


Question 4 of 5

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh(D) immunoglobulin. Which one of the following should be included in the teaching?

Correct Answer: D

Rationale: Rh(
D) immunoglobulin prevents Rh-negative mothers from forming antibodies against Rh-positive fetal blood, protecting future pregnancies.

Extract:

Client in preterm labor receiving magnesium sulfate IV


Question 5 of 5

A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?

Correct Answer: D

Rationale: Magnesium sulfate can cause respiratory depression; monitoring respiratory rate is critical to detect toxicity.

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