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ATI NUR270A Maternity Exam Questions

Extract:


Question 1 of 5

A nurse is caring for several clients. The nurse should recognize that it is appropriate to administer tocolytic therapy to which of the following clients?

Correct Answer: D

Rationale:
Tocolytics delay preterm labor at 32 weeks to enhance fetal development.

Extract:

34-year-old female, gravida 2, para 1, at 34 weeks gestation, Rh-negative, with fluid leakage and reduced fetal movement.


Question 2 of 5

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 .

Correct Answer: A,B

Rationale: Corticosteroids promote lung maturity, and antibiotics prevent infection in PPROM.

Extract:


Question 3 of 5

A nurse reviews assessment findings. For each assessment finding, specify if the finding is consistent with a urinary tract infection or preterm labor. Each finding may support more than one disease process.

Correct Answer: A,B,C

Rationale: Pain and vaginal discharge can occur in both UTI and preterm labor; fever is specific to UTI unless infection complicates preterm labor.

Extract:

Client receiving epidural analgesia during labor.


Question 4 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.

Extract:

34-year-old female, gravida 4, para 3, at 34 weeks gestation with preeclampsia, managed with labetalol.


Question 5 of 5

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.

Finding Normal Abnormal
Blood pressure 160/105 mm Hg: Abnormal
Reflexes 3+: Abnormal
Platelet count 140,000/mm³: Abnormal
Temperature 37.2°C: Normal
Oxygen saturation 97%: Normal

Correct Answer: A,B,C,D,E

Rationale: Elevated BP, hyperreflexia, and low platelets are abnormal in preeclampsia; normal temperature and oxygen saturation are expected.

Similar Questions

Using Leopold's Maneuvers, the fetus is found to be with its occiput facing toward the left maternal spine. The mother is complaining of increased back labor pain. The nurse knows that the fetus is in which position?
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?
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?
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.
A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the antepartum unit. Select a potential condition, parameters to monitor and actions to take.

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