Maternal Newborn ATI Practice Questions

A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? A. Betamethasone B. Misoprostol C. Methylergonovine D. Poractant alfa

A. Betametasone (administer IM, glucocorticoid, to stimulate fetal lung maturity and thereby prevent respiratory depression) -Misoporstol is used to stimulate uterine contractions for a client who is undergoing labor. -Methylergonovine stimulates uterine contactions for a client experiencing PPH -poractant alfa is a synthetic lung surfactant to a preterm newborn who is exp. resp. distress

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? A. palpable fetal movement B. Chadwick's sign C. Positive pregnancy test D. Amenorrhea

A. palpable fetal movement -Chadwicks sign is a bluish discoloration in the cervix, vagina, and vulva that occurs at 6-8 wks. This is a probable sign of pregnancy. After the 1st preg. the discolarion can remain, making it of little value as an indicator -positive pregnancy test is a probable sign. but a client can have a positive test due to menopause, coriocarcinoma, and hydatidiform mole. -amenorrhea can occur due to stress, endocrine disorders, and weight loss

a nurse is caring for a client who has oligohydramnios. Which f the following fetal anomalies should the nurse expect? A. Atrial septal defect B. Renal agenesis C. Spina bifida D. Hydrocephalus

B. Renal agenesis (oligohydraminiso is a volume of amniotic fluid less than 200 mL during the third trimester of pregnant and occurs when there is a renal system dysfunction or obstructive uropathy. Absence of fetal kidneys will cause olgio)

A nurse is assessing a client who is at 37 weeks of gestation and has a suspected pelvic fracture due to blunt abdominal trauma. Which of the following findings should the nurse expect? A. Bradycardia B. Uterine contractions C. Seizures D. Bradypena

B. Uterine contractions (due to the abdominal trauma) -bradycardia (heart rate increases in pregnancy, the heart rate will further increase in response to the trauma or blood loss) Bradypnea (the nurse should expect the client to have an increased resp. rate in response to trauma or blood loss)