Exam 4 maternal newborn ATI

A nurse is caring for a client who is pregnant and has a rupture of membranes. The nurse notes the presence of meconium-stained fluid. Which of the following actions should the nurse take? A. Gather equipment for neonatal resuscitation B. Discontinue oxytocin infusion C. Prepare for emergency cesarean delivery D. Position the parent to facilitate the McRoberts maneuver

A

A nurse is reviewing the laboratory report of a newborn who has a blood type of B-negative. The mother's blood type is O-positive. The laboratory results indicate the direct antiglobulin test is positive. Which of the following complications should the nurse anticipate? A. Hyperbilirubinemia B. Central cyanosis C. Intracranial hemorrhage D. Cardiomyopathy

A

A nurse is teaching a prenatal class about pain management during labor. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I can apply a heating pad to my back to relieve back pain." B. "I can have a low spinal block to help with labor pain" C. "I can have butorphanol every 2 hours during labor." D. "MY time limit for staying in the hydrotherapy tub in 30minutes."

A

A nurse in labor and delivery is teaching a newly licensed nurse about performing the McRoberts maneuver to relieve shoulder dystocia. Which of the following pieces of information should the nurse include? A. Position the client on her hands and knees while in bed B. Flex the client's legs apart and raise her knees to her abdomen C. Apply gentle pressure on the client's fundus while she is lying supine D. Push the fetus's anterior shoulder under the symphysis pubis externally

B

A nurse is caring for a client who is in labor and has received epidural analgesia. The client's blood pressure is 88/50 mmHg, and the fetal heart tracing shows late decelerations. Which of the following actions should the nurse take? A. Assist the client to the bathroom to empty her bladder B. Increase the rate of the primary IV infusion C. Position the client in a semi-Fowler's position D. Provide glucose via oral hydration or IV

B

A nurse is planning care for a client in active labor whose fetus is in an occipital brow presentation. Which of the following complications should the nurse anticipate as a result of this fetal presentation? A. Precipitous labor B. Prolonged labor C. Hypertonic uterine dysfunction D. Umbilical cord prolapse

B

A nurse is reviewing the laboratory values of a client who is pregnant and has a low progesterone level. Which of the following complications should the nurse expect? A. Gestational diabetes B. Preterm labor C. Inadequate milk supply D. Inadequate uterine growth

B

A nurse is reviewing the laboratory values of a client who is pregnant and has a low progesterone level. Which of the following complications should the nurse expect? A. Gestational diabetes B. Preterm labor c. Inadequate milk supply D. Inadequate uterine growth

B

A nurse is teaching a prenatal class about nonpharmacological comfort measures during labor. Which of the following statements should the nurse identify as an indication that the instructions have been understood? A. "I can have my partner apply counterpressure to my upper abdomen " B. "My baby will be monitored with the doppler device during hydrotherapy." C. "I can have the nurse apply acupressure to my flower abdomen." D. "My TENS unit will not help with lower back pain during early labor"

B

A nurse is caring for a client who is in labor. The client speaks a different language than the nurse and is grimacing. Which of the following actions should the nurse take while waiting for an interpreter? A. Administer pain medication B. Change the clients position C. insert an indwelling urinary catheter D. Prepare for an epidural insertion

B.

A charge nurse is providing teaching for a newly hired nurse about the potential side effects of an epidural anesthetic for a laboring client. Which of the following effects should the charge nurse include in the teaching? A. Newborn respiratory depression at birth B. Impaired ability of the neonate to maintain body temp C. impaired placental perfusion D. decreased FHR variability

C

A nurse is caring for a client in active labor who is experiencing hypotension following epidural placement. Which of the following actions should the nurse take? A. Decrease IV fluids B. Give oxygen at 2 L/min via nasal cannula C. Place the client in a lateral position D. Administer indomethacin

C

A nurse is caring for a client labor who has an epidural for pain relief. Which of the following is a complication of the epidural block? A. N/V B. Tachycardia C. Hypotension D. Respiratory depression

C

A nurse is teaching a client who is at 30 weeks gestation about warning signs of complications that she should report to her provider. Which of the following findings should the nurse include in the teaching? A. Mild constipation B. Nasal congestion C. Vaginal bleeding D. 10 fetal movements per hour

C

A nurse is caring for a client who is at 35 weeks of gestation and is scheduled to undergo an amniocentesis. Which of the following statements should the nurse make? A. "You will have to drink 3 to 5 8-oz glasses of water to fill your bladder." B. "This procedure will not rupture your membranes or cause premature labor." C. "You might feel light pressure during the collection of a blood sample from the baby." D. "You will feel some mild discomfort during the procedure."

D

A nurse is caring for a client who is at 39 weeks gestation and in active labor. Which of the following actions should the nurse include in the plan of care? A. Keep all 4 side rails up while the client is in bed B. Monitor the fetal heart rate every hour C. Insert an indwelling urinary catheter D. Check the cervix prior to analgesic administration

D

A nurse is creating a plan of care for a client who is in the active stage of labor and expresses a desire to use non-pharmacological methods of pain relief. Which of the following interventions should the nurse include? a. encourage the client to listen to music B. instruct the client how to use informational biofeedback C. ask the client to reconsider using a regional anesthetic D. assist the client into a warm shower

D

A nurse is discussing epidural anesthesia with a client who is receiving oxytocin to induce labor. Which of the following statements should the nurse make? A. "An epidural given too early during labor can cause maternal hypertension." B. "An epidural given too early during labor will not be effective in active labor." C. "An epidural given too early can cause fetal depression." D. "An epidural given too early can prolong labor."

D

The nurse has reviewed the nurses' notes from 0830. NURSE NOTES: 08:00 Client admitted to the antepartum unit with the report of feeling uterine contractions. Client has regular uterine contractions occurring every 2 minutes, lasting 70 seconds in duration, 2+ intensity. Sterile vaginal examination reveals the client's cervix is 2 cm dilated, 50% effaced, fetal station of 0, and bloody show noted on the sterile glove. Client reports pain as 7 on a scale of 0 to 10. External fetal monitor applied. FHR 150/min and reactive. 08:30 Uterine contractions every 2 minutes, 80 seconds in duration, 2+ intensity. Abdominal soft and non-tender. Provider notified of client's status. Admitting diagnosis of preterm labor. New prescriptions to follow. HISTORY AND PHYSICAL: 0800: past obstetrical history Gravida 4, parity 3, client has a history of 2 preterm births at 30 and 34 weeks of gestation. The client also has a history of

Respiratory distress syndrome and contraction pattern