Questions 46

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ATI OB Obstetrics RN 300 Exam Questions

Extract:

The home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia.


Question 1 of 5

Which assessment finding indicates a worsening of the preeclampsia and the need to notify the primary health care provider (PHCP)?

Correct Answer: D

Rationale: Headache and blurred vision indicate severe preeclampsia, possibly due to cerebral edema, requiring immediate medical attention.

Extract:

A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation.


Question 2 of 5

Which of the following should be included in the teaching?

Correct Answer: B

Rationale: Amniocentesis requires amniotic fluid for sampling to assess genetic or fetal conditions, performed at 15 weeks for chromosomal testing.

Extract:

A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension.


Question 3 of 5

Which of the following actions should the nurse expect to implement? Select all that apply.

Correct Answer: A,B,C

Rationale: A dark, quiet environment reduces seizure risk, magnesium sulfate prevents seizures, and calcium gluconate is needed for potential magnesium toxicity.

Extract:

A nurse is caring for a group of clients on an intrapartum unit.


Question 4 of 5

Which of the following findings should be reported to the provider immediately?

Correct Answer: C

Rationale: Epigastric pain and persistent headache in preeclampsia indicate possible hepatic involvement or impending eclampsia, requiring immediate intervention to prevent seizures or organ failure.

Extract:

A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse, 'Will my baby be okay?'


Question 5 of 5

Which of the following responses should the nurse offer?

Correct Answer: A

Rationale: Acknowledging the client's fear promotes therapeutic communication, addressing emotional distress and fostering trust.

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