High Risk ATI

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A nurse is assessing a client Who is receiving to treat preeclampsia. Which should you report to provider?

UOP 40 mL in 2 hrs

A nurse in a hosptial is caring for a client For a client who is 38 weeks gestation and has a large amount of painless, bright red vaginal bleeding. Priority nursing action?

Initiate IV access

A nurse is caring for an adolescent client who has PID as a consequence of a STI.

"You seem scared to talk to your parents"

A nurse is caring for a client Who is suspected of having hydatidiform mole. Which finding is expected?

Excessive uterine enlargement

A nurse is caring for a client Who hasn't severe preeclampsia and is receiving mag sulfate IV at 2g/hr.

Respiratory rate of 16

A nurse is caring for a client Who is preterm labor at 32 weeks gestation. Client asks "will my baby be okay"?

"You must be feeling scared and Powerless"

A nurse is caring for a group of clients on intrapartum unit. Which should be reported to provider immediately?

A client who has a diagnosis of preeclampsia repost epgatric pain and unresolved headache

A nurse in the antelartum unit is triaging clients. Which of the following clients should the nurse see first?

A client who is at 28 weeks gestation and reports painless vaginal bleeding

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

A client who is experiencing preterm labor at 26 weeks of gestation

A nurse in the antepartum unit is caring for a client Who is at 36 weeks of gestation and has pregnancy-induced hypertension.

Abruptio placentae

A nurse is admitting a client Who is at 37 weeks of gestation and has severe gestational hypertension. Nurse should implement?

Administer mag sulfate IV Provide a dark, quiet environment Ensure that calcium Gluconate is readily available

A nurse is admitting a client Who has severe preeclampsia at 35 weeks. Which order requires clarification?

Ambulate twice daily

A nurse is admitting a client who is at 33 weeks gestation and has a diagnosis of placenta Previa. Nursing action?

Apply an external fetal monitor

A nurse on the obstetric unit is caring for a client Who experienced abruptio placentae

DIC

A nurse is caring for an adolescent client who is gracida 1 and para 0.

Deep tendon reflexes of +1

A nurse is caring for a client Who has preeclampsia and is being treated with mag sulfate. Which action?

Discontinue the medication infusion

A nurse is competing discharge teaching to a client who is in her 35th week of pregnancy

Drink 48 to 64 ounces of water daily

A nurse is caring for client who isn't in premature labor and is receiving terbutaline. The nurse should monitor the client for the following adverse effect that should be reported to the provider.

Dyspnea

A nurse is assessing a client Who is pregnant for preeclampsia. Which finding should indicate further evaluation is needed?

Elevated blood pressure

A nurse in a clinic is caring for a client Who is at 11 weeks of gestation and reports that she has had slight occasional vaginal bleeding over the past 2 weeks

Missed miscarriage

A nurse is caring for a client Who is at 40 weeks of gestation and is in labor. Us indicates SGA. Interventions?

Observe for meconium in respiratory secretions

A nurse is admitting a client who is at 36 weeks gestation on and has painless, bright red vag bleeding.

Placenta previa

A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads.

Preparation for cesarean birth

A nurse is planning came for a client who is at 10 weeks gestation and reports abdominal pain and moderate vaginal bleeding. The tentative diagnosis is inevitable abortion. Which of the following nursing interventions should be included in your plan of care?

offer option to view products of conception

A nurse in a prenatal clinic is teaching a client Who is in her second trimester and has a new diagnosis of gestational diabetes. Which statement needs further teaching?

"I will reduce my exercise schedule to 3 days a week"

A nurse is admitting a client Who is 30 weeks of gestation and is inpreterm labor. New prescription for betamethasone.

"It promotes fetal lung maturity"

A nurse is caring for a preterm newborn who is in an incubator to maintain neutral thermal environment.

"Preterm newborns lack adequate termperature cotnrol mechanisms"

A nurse is caring for a client Who is 30 weeks of gestation and has placenta previa.

"This could result in profound bleeding"

A nurse in the ED is caring for a client who comes in reporting severe abdominal pain in the left lower quadrant

Cullen's sign

A nurse is caring for a client Who is at 36 weeks of gestation. And who has a suspected placenta Previa. Which of the following finding support this?

Painless red vaginal bleeding

22 weeks gestation, unable to control diabetes with diet and exercise

Glyburide

A nurse is a college health clinic is speaking to a group of adolescents about TSS.

High-absorbency tampons

A nurse in a clinic is assessing a client who is at 8 weeks of gestation and has hyperemesis gravidarium.

History of migraines Nulliparous Twin gestations

A nurse in a providers office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption

Hypertension

A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications:

Indomethacin Magnesium sulfate

A nurs is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia.

Report of headache

A nurse is assessing a client who received mag sulfate to treat preterm labor

Respiratory depression

A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing pre term labor. Priority assessment?

Respiratory rate

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia.

This infection is treated with one dose of azithromycin

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

This test requires the presence of amniotic fluid

A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation

Unilateral, cramp like pain

A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a D&C

Vaginal intercourse can be resumed after 2 weeks

A nurse is caring for a client who is 28 weeks and received terbutaline. Which of the following findings should the nurse expect?

Weakened uterine contractions


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