Mom & Baby ATI
A nurse is providing teaching about calcium intake to a client who is breastfeeding. Which of the following is the recommended daily calcium intake for a client who is breastfeeding?
1,000mg
A nurse is caring for a client who delivered a stillborn child. Which of the following actions should the nurse take?
Allow the parents to keep the child in their room for as long as they wish
A nurse is caring for a client who is receiving magnesium sulfate IV. Which of the following medications should the nurse have available as an antidote to magnesium sulfate?
Calcium gluconate
A nurse is caring for a recently delivered newborn whose mother had gestational diabetes. What action should the nurse take within 1 hr after birth?
Assess the newborn's blood glucose level
A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following situations should the nurse administer Rh(D) immune globulin?
At 28 weeks gestation
A nurse is caring for a client who is at 38 weeks gestation and reports no fetal movement for the past 24 hr. Which of the following actions should the nurse take?
Auscultate for a fetal heart rate
A nurse is caring for a client who is at 33 weeks of gestation and reports dark red vaginal bleeding and contractions that do not stop. Which of the following actions should the nurse take first?
Check the fetal heart tones
A nurse is reviewing the provider's admission orders for a client who is at 37 weeks of gestation and is HIV positive. Which of the following orders should the nurse clarify with the provider?
Fetal scalp electrode (invasive procedure)
A nurse is providing education to a female client of child-bearing age. The nurse should state that which of the following structures expels the mature ovum?
Graafian follicle
A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her breathing has become easier but notes an increased frequency of urination. The nurse should document this occurrence as which of the following?
Lightening
A nurse is assessing a client who has placenta previa. Which of the following findings should the nurse expect?
Painless bright red bleeding
A nurse is caring for a client who believes she may be pregnant. Which of the following findings should the nurse identify as a positive sign of pregnancy?
Palpable fetal movement
A nurse is reviewing the medical record of a client at 33 weeks gestation who has placenta previa and bleeding. Which of the following prescriptions should the nurse clarify with the provider?
Perform a vaginal examination
A nurse is providing teaching for a client about hormonal changes during pregnancy. The nurse identifies that which of the following hormones plays a key role in preventing miscarriage?
Progesterone
A nurse in a clinic is caring for a client who is pregnant and reports a last menstrual period (LMP) that began on December 7. Which of the following dates would be the client's estimated date of birth (EDB)?
September 14
A client at a routine prenatal care visit asks the nurse if developing vaginal yeast infections is common during pregnancy. Which of the following responses should the nurse make?
The hormonal changes of pregnancy alter the acidity of the vagina, making yeast infections more common."
A nurse is caring for a client who is pregnant. The client asks, "Is it okay to have a few beers while I'm pregnant?" Which of the following responses should the nurse make?
Total abstinence from alcohol is recommended
A nurse is assessing a client who is receiving magnesium sulfate as a treatment for pre-eclampsia. Which of the following clinical findings is the nurse's priority?
Urinary output of 40mL in 2hr
A nurse is caring for a client at 34 weeks gestation who presents with vaginal bleeding. Which of the following assessments will indicate whether the bleeding is caused by placenta previa or an abruptio placenta?
Uterine tone- The uterus will be relaxed, soft, and painless if the bleeding is caused by placenta previa. With abruptio placenta, the uterus will be firm and board-like, and the client will complain of pain.
A nurse is assessing a client who is at 12 weeks gestation and has a hydatidiform mole. Which of the following findings should the nurse expect?
Dark brown vaginal discharge
A nurse is assessing a client at 34 weeks gestation who has a mild placental abruption. Which of the following findings should the nurse expect?
Dark red vaginal bleeding
A nurse is providing discharge teaching to a client following the removal of a hydatidiform mole. Which of the following statements should the nurse include in the teaching?
Do not become pregnant for at least 1 year
A nurse is counseling a female client who expresses a desire to conceive in the near future. Which of the following dietary recommendations should the nurse make to prevent neural tube defects?
Begin taking a folic acid supplement
A nurse is teaching a female client about nutrition during pregnancy. Which of the following instructions should the nurse include in the teaching?
Do not eat swordfish, shark, or king mackerel while you are pregnant
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following manifestations should the nurse recognize as a potential prenatal complication and report to the provider?
Double vision
A charge nurse is teaching newly licensed nurses about teratogens that affect fetal development. The nurses should recognize that which of the following is an example of a teratogen?
Drinking alcohol during pregnancy
A nurse is reviewing the laboratory report for a client with suspected HELLP syndrome. Which of the following findings should the nurse report to the provider as an indication of this disorder?
Elevated liver enzymes- The nurse should expect a client who has HELLP syndrome to have elevated liver enzymes. HELLP refers to hemolysis (H), elevated liver enzymes (EL), and low platelet count (LP). This syndrome is a severe form of preeclampsia.
A nurse is assessing a client who is pregnant and reports increased nasal stuffiness. The nurse should inform the client that which of the following hormones is responsible for this discomfort?
Estrogen
A nurse is teaching a client who is at 12 weeks gestation about manifestations of potential complications that she should report to her provider. Which of the following pieces of information should the nurse include in the teaching?
Facial swelling
A nurse is teaching a client with pre-eclampsia who is scheduled to receive magnesium sulfate via continuous IV infusion about expected adverse effects. Which of the following adverse effects should the nurse include in the teaching?
Feeling of warmth
A nurse is caring for a client who states, "I think I am pregnant." Which of the following findings should the nurse identify as a positive sign of pregnancy?
Fetal heart tones auscultated by doppler
A nurse is assessing a client who is in the first stage of labor and has preeclampsia. Which of the following findings should the nurse expect?
Proteinuria
A nurse is teaching a client who is at 8 weeks gestation and has a uterine fibroid about potential effects of the fibroid during pregnancy. Which of the following pieces of information should the nurse include?
The fibroid can increase the risk of postpartum hemorrhage
A nurse is performing a nonstress test (NST) on a client who is at 41 weeks of gestation. The client asks what the purpose of the test is. Which of the following responses should the nurse provide?
This test will help determine if your baby is healthy
A nurse is assessing a client who is suspected of having hyperemesis gravidarum. Which of the following laboratory tests should the nurse check first?
Urine ketones- The presence of ketones in the urine supports the diagnosis of hyperemesis gravidarum.
A nurse is caring for a client who is at 26 weeks gestation and reports constipation. Which of the following responses by the nurse is appropriate?
Walk for at least 30 min daily
A nurse is teaching a client who is at 10 weeks gestation about an abdominal ultrasound in the first trimester. Which of the following pieces of information should the nurse include in the teaching?
You need a full bladder
A nurse is caring for a client who is receiving magnesium sulfate by continuous IV infusion. Which of the following medications should the nurse have available at the client's bedside?
Calcium gluconate
A nurse in a prenatal clinic is caring for a client who is within the recommended guideline for weight. The client asks the nurse how much weight is safe for her to gain during her pregnancy. Which of the following responses should the nurse offer?
A weight gain of about 25 to 35 lb is good.
