a nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction test. Correct response: • maternal vital signs and fetal heart rate (FHR). What is the next step in caring for the client? a. The nurse should plan to prepare the client for which of the following diagnostic test? Biophysicial profile. "The genitals of the baby will be ambiguous. A nurse is caring for a newborn who is 24 hr old. ATI RN MATERNAL NEWBORN ONLINE PRACTICE 2019 A 14 QUESTIONS WITH 100% CORRECT ANSWERS(GRADED A) 1. In this method, the unsafe period for sexual intercourse is indicated by; A. client for which of the following diagnostic tests?. After the client vomits, she states that the pain is better and then passes out. If a client has reached 42 weeks, zero days gestation and is not yet in labor, the midwife must immediately either: collaborate with a physician and obtain . For which of the following reasons should the nurse prepare the client for an ultrasound? **To locate a pocket of fluid**-Locating a pocket of fluid using the ultrasound prior to the amniocentesis reduces the risk of injury to the fetus. If you go into labor earlier than 36 weeks, you may be tested at that time. The nurse admits a client at 30 weeks' gestation for preterm labor. Which of the following actions should the nurse take? Restrict protein intake to less than 40 g/day. The nurse should assess the client for signs and symptoms of which of the following? a. ) Turn the patient on the left side. Initiate seizure precautions for the client. A nurse is caring for a client who is in preterm labor with a current L/S ratio of 1:1. People with diabetes have high levels of sugar in their blood (hyperglycemia). remain NPO for 8 hours before the test. A primigravid client at 36 weeks gestation tells the nurse that she has been experiencing insomnia for 2 weeks. “I should have my husband drive me home after the test because I may be nauseous. to report pressure in the vagina due to the blood that leaked into. HESI OB 2021 HESI OB 2021 - Notes (fix) 1 The nurse is providing care for a newborn who was delivered vaginally assisted by forceps. "I should wear a supportive bra at all times. At 28 weeks' gestation, a client is admitted to the labor and delivery area in preterm labor. drink large volume of water before the test b. Midwives work across the continuum from pre-pregnancy, pregnancy, labour and birth, postpartum, and the early weeks of newborn infants' life. The client tells the nurse that her last menstrual. Overall, pregnancy increases maternal blood volume by ≈40% for a singleton and 67% for twins, with peak values at ≈32 weeks of gestation . She asks the nurse why the test was not conducted earlier in her pregnancy. She had a positive home pregnancy test after she noticed breast tenderness,. For which of the following diagnostic tests should the nurse prepare the client? A) BPP B) Amnioinfusion C)Chorionic villus sampling D) Percutaneous umbilical cord sampling The nurse should prepare the client for a BPP to further assess fetal well-being. Which of the following actions should the nurse take at the time?. About Client A Assessing And Who Of Is Has Nurse Mole At A Hydatidiform A 12 Weeks Gestation Is. Sex partner who has a sexually-transmitted disease (STD). A nurse is caring for a client who is at 30 weeks of gestation and observes the client choking while eating lunch. 246: use cautiously in clients who have hypertension) 100. A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has pregnancy-induced hypertension. The nurse is caring for a primigravida at 28 weeks' gestation who is admitted with a diagnosis of preterm labor. Pad the side rails and head of the bed. Why should the client get an ultrasound before hand? To locate pocket fluid - an ultrasound is done to locate amniotic pocket fluid also in the placenta before the procedure is done. MaNaGEMENT OF a STiLL bORN “bODY” bELOw 28 wEEKS GESTaTiONaL aGE. Which of the following actions should the nurse take first? Dry the newborn-- cold stress on the newborn 2 A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. Therefore, this finding does not need to be reported to the provide 25) A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. _ A positive test _ A negative test _ A nonreactive test _ A reactive test 2. her period and a home urine pregnancy test reads positive. The client has a healthy 5 year old child that was delivered at 37 weeks and tells the nurse that she doesn't have any history of abortion or fetal demise. Because the mother has diabetes, the baby is at risk for problems. A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in preterm labor. The assignment includes an 84-year-old client who is severely depressed, a 73-year-old client who is being discharged, a 53-year-old client who was admitted for lithium toxicity, and a 48-year-old client who has panic attacks. Encouraging the client to void every 6 hr. A 36 weeks gestation pregnant woman is complaining of urinary urgency and frequency. Each of the episodes in which the heart rate is increased lasts 20 seconds. A client who has felt quickening for the first time. A nurse is admitting a client who is at 33 weeks of gestation and has preeclampsia with severe features. It is a screening test for spinal defects in the fetus. Obtain equipment for an amniotomy. "The client remains free from polyuria. A client is admitted to the L & D suite at 36 weeks' gestation. A client is caring for a client who is at 40 weeks of gestation and has a positive contraction stress test. The client's fundal measurement is 20 cm. The nurse would provide which explanation about this test to the client? 1. The nurse obtains the client's blood pressure reading as 82/52mmHg. A primigravida who is at 38 weeks' gestation is undergoing a nonstress test. A nurse is caring for a client who is at 40 weeks gestation and receiving a NST. The nurse should plain to prepare the client for which of the following diagnostic tests? Biophysical profile Biophysical profile A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. A nurse on an antepartum unit is receiving the assessment findings of four clients who are in the third trimester of pregnancy. A nurse is teaching a client who is 28 weeks of gestation and not up-to date on current immunization. emergency Caesarean section at 36 weeks' gestation in another unit. period started on January 14 and ended on. After explaining self-care measures for common discomforts of pregnancy, the nurse determines that the client understands the instructions when she says: The client should repeat the test in 1 week. The results of the test indicate a negative CST. The nurse is conducting an assessment on a client at 36 weeks-gestation. docx from NURS 346 at Rhode Island College. k CN: Physiological adaptation; CL: Synthesize-implement. The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor. It rises to 160 on two occasions and 157 once during a 20-minute period. A vaginal exam reveals that the client's cervix is 3 cm dilated, 80% effaced and -1 station. She has three living children (one born at 35 weeks and two at 38 and 39 weeks) . Decreases risk for injury with the fetus. The nurse is assisting with the insertion of a pulmonary artery catheter (PAC) for a client at 32-weeks gestation who has severe preeclampsia with pulmonary edema. Your client, a G-1 at 39 weeks gestation comes to labor and delivery with complaints of regular contractions every 4 minutes and a moderate amount of bright red vaginal bleeding. Her EDD should be which of the following? a. Provide the client with needed stimulation. The patient will either be positive or negative. NSTs before 32 weeks varies and has high false-positive rates due to the immaturity . Which of the following immunizations should the nurse inform the client to anticipate receiving following birth. The nurse can be most helpful to this client by:. ATI RN MATERNAL MEWBORN ONLINE PRACTICE 2021. The client is unable to speak or cough. A 27-year-old primigravid client with insulin-dependent diabetes at 34 weeks’ gestation undergoes a nonstress test, the results of which are documented as reactive. The nurse determines that delivery is imminent. A woman who is at 36 weeks of gestation is having a nonstress test. An appropriate nursing intervention for catheter care includes A. The client asks for pain medication. The nurse observes red marks on the head with swelling that does not cross the suture line. The nurse in charge is reviewing a patient's prenatal history. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? A. The baseline fetal heart rate (FHR) is 144 beats/minute. rupture of membranes precedes labor : 12% of cases: A nurse is caring for a client admitted to the birthing unit with rupture of membranes for two hours Have client assume hands-and-knees. Infant of a Mother with Diabetes. NOTE: Pregnant women found to have chlamydial infection should have a test-of-cure three to four weeks . Which finding indicates a genetic risk factor? a. Usually between 20-24 weeks, depending on who you ask. Which of the following actions should the nurse include in the. C) Blood pressure 148/98 mm Hg. 9% sodium chloride at 150 mL/hr. Which of the following statements should the charge nurse make? 25. The nurse should pan to prepare the client. A nurse on the psychiatric unit of the hospital has been assigned four clients for the shift. Chapter 9 Assessment for Risk Factors Test 1. Which action should the nurse take? Assist the client to the restroom to void. At 20 weeks of gestation, identify the location where the nurse anticipates the uterine fundus. Now that the pregnant woman is in the final trimester of her pregnancy, the risks that could harm the fetus inside also get more perilous. Maternity Nursing and Newborn Nursing Test Bank. Your client at 39 weeks gestation with a previous history of a C/section comes to labor and delivery with. A client is seen at 8 weeks' gestation for her first prenatal visit. After explaining the purpose of the test, the nurse determines that the client understands the instruction when she states that the test is done to detect which problem? You Selected: uteroplacental sufficiency; Correct response:. Reproduction Exam Question 1 See full question A nurse is caring for a client whose membranes ruptured prematurely 12 hours ago. A total gain of 25 to 30 pounds. ***ATI Practice Test - Final Exam A nurse is caring for a client who has an indwelling urinary catheter. The patient was exposed to rubella at 36 weeks' gestation d. A nurse is caring for a client who is 36 weeks gestation , and the rate now is 18 milliunits/ The nurse cares for prenatal client at 8 weeks' gestation with a positive VDRL. 17) A primigravida at 36 weeks gestation tells the nurse that she has moderate breast tenderness. A client who has a crown-rump length of 7 weeks gestation. As the PAC enters the right ventricle, what is the priority nursing assessment? A. Which of the following actions should the nurse take firstA nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests? **Biophysical profile** - A positive contraction stress test indicates that further evaluation of the fetus is necessary (baby’s heart slowed or. A nurse is admitting a client who is at 39 weeks of gestation and in active labor. After the fetus is delivered vaginally, the nurse implements routine demise protocol and identification procedures. I should wear a supportive bra at all times b. Her EDD should be which of the following? A. Which of the following findings should the nurse identify as inconsistent with preeclampsia? A) 1+ pitting sacral edema. Review potential side effects of steroid therapy with client or couple. Sometimes uses vibroacoustic stimulation A nurse is caring for a woman with mitral stenosis who is in the active stage. “Have you begun prenatal classes?” C. Hematocrit test should be repeated at 28 and 36 weeks of. The nurse advices the patient to do the following measures to prevent urinary. The nurse should plan the client for which of the following next diagnostic test? Biophysical profile - a positive contraction stress test means more further evaluation of the fetus is necessary, and a biophysical profile will provide further evaluation of real time ultrasound. A nurse is caring for a primigravida client. After providing the patient with some suggestions for relief measures, the nurse determines that the patient needs further instructions when the patient says: a. The patient has a history of preterm labor at 32 weeks’ gestation. 1 mg/ dL; A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L; A client who has placenta previa and a hematocrit of 36%; 24. A sense of excitement and warm, flushed skin d. Which statement by the woman would indicate a correct understanding of the test? A. A nurse is planning care for a full-term newborn who is receiving phototherapy. Ati maternal newborn 2019. A nurse is caring for a client who is at 41 weeks of gestation & has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests? Biophysical profile A positive contraction stress test indicates t. Nurse caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. The nurse has given the client with Bell's Palsy instructions on preserving muscle tone in the face and preventing denervation. Suddenly, the client reports abdominal pain and vaginal bleeding. A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following findings should the nurse expect?. Which of the following clients should the nurse request the provider see first?. Her cervix is 8 cm dilated and 100% effaced. A nurse is caring for a client who is 36 weeks gestation and has a prescription for an amniocentesis. The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. Short-term effects may include hypoglycemia, increased risk of sepsis, and possible suppression of aldosterone for 2 weeks following delivery. At 20 weeks, the uterine fundus should be palpated approximately at the umbilicus. Viability = the time when the baby could survive outside the womb. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. The physician has documented the presence of a Goodell's sign. The nurse should plan to prepare the client for which of the following diagnostic tests? **Biophysical profile** - A positive contraction stress test indicates that further evaluation of the fetus is necessary (baby's heart slowed or. The nurse determines this sign indicates: A softening of the cervix; A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus. How Often the Test Is Done During Your Pregnancy. Which statement by the woman would indicate a correct understanding of the discharge instructions? A. Nurse is caring for a client who is at 40 weeks gestation and is in early. The nurse determines that the client needs additional information if the client states that he or she will: The nurse is assessing a client with preterm labor at 32 weeks gestation. NURS306/ATI MATERNAL NEWBORN FALL 2019 1. Why?: Positive contraction stress test indicated that further evaluation of the fetus is necessary and this test. She has a history of C-section and complains of severe abdominal pain that started less than 1 hour earlier. The patient has a child with cystic fibrosis c. A client who has preeclampsia and a creatinine level of 1. flushing the catheter with sterile irrigant daily. “Are you planning to have epidural anesthesia?” B. A client who has an ultrasound that confirms a molar pregnancy. For which of the following diagnostic tests should the nurse prepare the client? Biophysical profile (BPP). A nurse is performing a contraction stress test (CST) on a client who is at 40 weeks of gestation. Progressive sacral discomfort during contractions 12. A non-stress test (NST) looks at your baby's heart rate over time (usually 20 to 30 minutes, but sometimes up to an hour). Explanation: Remediation: Question 2 See full question. Nurses Notes: PRACTICE TEST II Maternal and Child Health. 14 to 16 weeks of gestation Answer: 4 Rationale: Quickening is fetal movement and may occur as early as the 14th to 16th weeks of gestation. The monitor tracing shows a 15/min increased above baseline, lasting 15 seconds, in response to fetal movement two times in a 20-min period. A adult female patient is using the rhythm (calendar-basal body temperature) method of family planning. Dietary intake prior to the episode C. The nurse should plan to prepare the client for which of the following diagnostic tests? Biophysical profile. Which of the following actions is the nurse's priority? • Massage the client's fundus Uterine atony and postpa. Group beta strep also known as GBS is a test on every woman close to delivery. 1) A nurse is caring for a full-term newborn immediately following birth. The nurse should pan to prepare the client for which of the. Admitting a client who is in labor and at 38 weeks of gestation. The nurse should plain to prepare the client for which of the following diagnostic tests? Biophysical profile. A nurse is collecting data during an admission assessment of a client who is pregnant with twins. The nurse should plan to prepare the client for which of the following diagnostic tests? Biophysical profile: A positive contraction stress test indicates that further evaluation of the fetus is necessary. Assisting the client into squatting position. The patient has never been pregnant before. • Massage the client’s fundus Uterine atony and postpartum hmorrhage indicate that this client is at the gr ATI RN Maternal Newborn Online Practice 2019 A&B,100% CORRECT - Docmerit A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. The client has 6cm of cervical dilation and 100% cervical effacement. Preterm = before 37 weeks, but after viability. Which of the following assessment finding is the highest priority? 52. The nurse should plan the client for which of the following next diagnostic test? Biophysical profile - a positive contraction stress test means more further evaluation of the fetus is necessary, and a biophysical profile will provide further. The nurse is caring for a primigravid client in active labor at 42 weeks' gestation. Mod 3 exam questions Flashcards. deflating the balloon while providing perineal care. A nurse is caring for a client who is at 36 weeks of gestation and has a positive. A nurse is caring for a pt who is at 26 weeks of gestation and has epilepsy. A contraction stress test is necessary. Which of the following fundal heights indicates less than 12 weeks' gestation when the date of the LMP is unknown? A. An internal fetal heart rate monitor is in place. following diagnostic tests? Biophysical profile-- eval of the fetus is necessary with a real-time ultrasound. Administering a tocolytic agent. During the measurement the client begins to feel lightheaded. MC A client at 33 weeks gestation calls the healthcare provider's office and reports she was attempting to nap when she became dizzy and felt faint. Fundal height 37 cm, back pain with noticeable lordosis. Recent reports from developed countries indicate that the incidence of multiple birth has increased during the past 20 years. Steroid therapy: most effective for increasing lung surfactant when the fetus is between 30 and 32 weeks’ gestation. A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. later performed at 24-48 weeks of gestation- fasting not necessary; a positive blood glucose screening is 130-140 mg/dl or greater; additional testing within a 3-hr. The monitor has two sensors that are . Which of the following findings is an indication the medication was effective? 23. The client's contractions are moderate and occurring every 2 to 3 minutes, with a duration of 60 seconds. Nurse caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a nonstress test which of the following statements should the nurse include in the teaching A nurse is caring for a client who is in labor and reports increasing rectal pressure she's experiencing contractions 2 to 3 minutes apart each lasting 80 to 90. Ati Maternal Newborn Practice B. A nurse is assessing a client who is at 27 weeks of gestation and has . Thick, White Vaginal Discharge B. Which of the following findings should the nurse expect? A. A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus-hemolytic (GBS). 1 mg/ dL; A client who has hyperemesis gravidarum and a sodium level of 110 m Eq/L; A client who has placenta previa and a he ma to crit of 36%; 24. The nurse assesses the client and documents vaginal exam of 5 cm/80% effacement/0 station. The nurse determines that the baseline fetal heart rate is 130 to 140 beats/min. The nonstress test should be repeated. Assisting the client into squatting position B. A pregnant client is scheduled to have an ultrasound to determine the growth of the fetus. A nurse is caring for an adolescent client who is gravida 1 and para 0. The client's contractions are occurring every 15 to 20 minutes, lasting 25 seconds. A client who is experiencing Braxton-Hicks contractions at 36 weeks of gestation A client who has a post-term pregnancy at 42 weeks of gestation. Assess fetal heart rate every 10 minutes 3. A baby may need a group B strep test if he or she has symptoms . Which of the following interventions is the nurse's priority? a. The nurse is assisting a client undergoing induction of labor at 41 weeks' gestation. A nurse is caring for a client at 36 weeks and has a perscription for an amniocentesis. What assessment findings would the nurse report to the health care provider? Select all that apply. Which of the following actions should the nurse take first? Dry the newborn-- cold stress on the newborn 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. A client who is 36 weeks pregnant comes to the clinic for a prenatal checkup. Which suggestion would be most helpful? A/ Practice relaxation techniques before bed B/ Drink a cup of hot chocolate before bed C/ Drink a small glass of wine before bed D/ Exercise 30 minutes before bed. Having the client lie in a supine position C. A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Identify the sequence of steps the nurse should take to clear the airway obstruction. Starting at 16 weeks, the base- whereas fetuses of more than 36 weeks' gestation. A nurse is caring for a client who received terbutaline subcutaneously. 20 weeks is considered viability by most texts. Fractures include the pelvis, femur, and ulna. The patient has a child with cystic fibrosis. A client with gestational diabetes is undergoing a non-stress test (NST) at 34-weeks gestation. The nurse would correctly interpret these as signs and symptoms of a(n): Pelvic pressure, diarrhea, and vaginal secretions are symptoms of impending labor. A contraction stress test can help determine how well a baby handles contractions. increased above baseline, lasting 15 seconds, in response to fetal movement two times in a 20-. Exam 1 ATI Questions Flashcards. The available solution is Lactated Ringers 1,000 ml with Pitocin 20 units. Nurse is teaching a client who has pre-gestational type 1 diabetes about management during pregnancy, which of the following statements made by the client, indicates an understanding of the teaching? I will continue taking my insulin if I experience nausea and vomiting. The nurse explained that the enlarging fetus is pressing the bladder which causes frequent urination. A client at 36 weeks' gestation with type 1 diabetes is scheduled for a contraction stress test. A nurse in a prenatal clinic is assessing a group of clients. G = 3, T = 2, P = 0, A = 0, L =1. The client has had no analgesia or anesthesia and has been pushing for 2 hours. The nurse would document the GTPAL for this client as: A. A nurse in a community clinic is counseling a. The nurse enters the room and observes the pt having a. The nurse is caring for the 30-weeks-pregnant client who is having contractions every 11 /2 to 2 minutes with spontaneous rupture of membranes 2 hours ago. Which of the following laboratory tests should the nurse anticipate? Urine Ketones. A nurse is caring for a client who is 14 weeks of gestation. prenatal tests are diagnostic tests that can accurately find whether a fetus has a . Rationale 1: Downy fine hair called lanugo covers a 20-week fetus. Determine if the client has fasted ATI OB 98 A glucola screening test/1-hr glucose tolerance test (50 g oral glucose load, followed by plasma glucose analysis 1 hr. A nurse providing care for the antepartum woman should understand that the contraction stress test (CST): A. ATI Practice Assessment-Maternal Newborn Online Practice 2016 A 1) A nurse is caring for a full-term newborn immediately following birth. The nurse most accurately determines that the fetal heart sounds are heard by: Noting if the heart rate is greater than 140 BPM. A nurse is caring for a client who is at 36 weeks gestation and has a positive contraction stress test. performed at the time of the 17 to 22 weeks' gestation detailed. A A 33-year-old client at 9 weeks gestation tells the nurse that while she has "cut down," she still has at least one alcoholic. Question 2 Explanation: C Intermittent or continuous loss of a small amount of blood over extended periods will lead to a decreased hemoglobin level; 8. 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown? a. A nurse is caring for a client who is 36 weeks of gestation and has a positive contraction stress test. The contraction stress is performed if the patient’s NST is non-reactive. Tape a tongue blade to the head of the bed. "I will not experience mood swings since I was only at 10 weeks of gestation. No additional data as this appears to be an isolated. Nurse Is And Hydatidiform Client Mole Gestation Has Who A. The nurse should plan to prepare the client for which of the following diagnostic tests? Biophysical profile A positive contraction stress test indicates that further evaluation of the fetus is necessary. The nurse should give priority to assessing the client for: Facial swelling. ▫ Listening and managing any complaint . (Move the steps into the box on the right, placing them in the order of performance. Mild to moderate cases, later in pregnancy – at 36 weeks' gestation or . Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). The nurse should suspect which of the following complications? _ Placenta previa _ Prolapsed cord _ Ruptured ovarian cysts _ Abruptio placentae 21. A 39-year-old multigravid client who is visiting the clinic at 14 weeks' gestation tells the nurse that she has had severe nausea and vomiting since becoming pregnant. a nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. An urge to have a bowel movement during contractions c. Which condition should the nurse documents in the medical record? A Caput succedaneum. Advise the client to not take any over-the-counter. Intense contractions lasting 45 to 60 seconds b. To prepare the client for this diagnostic test, the nurse should instruct the client to: a. Understand how this prenatal test uses fetal heart rate monitoring A pregnancy that has extended two weeks past your due date (post-term . The client has 6 cm of cervical dilation and 100 % cervical effacement. The nurse notes that the NST test was reactive, the fetal breathing movements were absent, there was one gross body movement in 30 minutes, the fetal tone showed fetal extremity extension and return to flexion, and one pocket of amniotic fluid measured 3 cm. On the basis of knowledge of the physiological changes of pregnancy, the nurse understands that which is the cause of the lightheadedness? 1. A nurse is assessing a newborn following a forceps assisted birth. Applying fundal pressure during contractions D. Before that, the test may not be . As you enter the final weeks of pregnancy, the reality of having a baby may start to . When assessing this client, the nurse's highest priority is to eval uate: You Selected: • maternal vital signs and fetal heart rate (FHR). It can be done at the end of pregnancy or early in labor. Maternity Practice questions 1) A nurse is caring for a client who is at 41 weeks gestation and has a positive contraction stress test. It looks for different types of diseases in the fetal cells. Steroid therapy: most effective for increasing lung surfactant when the fetus is between 30 and 32 weeks' gestation. The nurse should pan to prepare the client for which of the following diagnostic tests? 3) A nurse in a prenatal clinic is assessing a group of clients. Which client outcome reflects the nurse's awareness of an adverse effect of ritodrine? 1. Which of the following statements should the nurse include in her teaching? You will be offered orange juice and a snack during your test. The nurse should expect a client who has a vaginal hematoma. lie on her right side during the test d. In this section are the practice quiz and questions for maternity nursing and newborn care nursing test banks. The nurse should plan to prepare the client for which of the following diagnostic tests? ~biophysical profile ~amniocentesis ~cordocentesis ~Klelhauer-Betke test. Which of the following actions should the nurse take first? 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The contraction stress is performed if the patient's NST is non-reactive. A) Termination of the pregnancy should be considered B) Pregnancy complication are not linked to HPV C) This client should be treated with acyclovir (Zovirax) D) The client should be treated with penicillin G. Neonatal nursing is a sub-specialty of nursing care for newborn infants up to 28 days after birth. A nurse is caring for a client at 40 weeks of gestation who is experiencing contraction every 3 to 5 min and becoming stronger. The nurse responds by telling the mother that fetal movements will be noted between: 1. positive contraction stress test. During her last gynecological visit, the client's blood pressure was 100/60. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. The nurse should plan to prepare the client for which of the following diagnostic test? a. The nurse should plan to prepare the client for which of the following diagnostic tests? Biophysical profile - A positive contraction stress test indicates that further evaluation of the fetus is necessary (baby’s heart slowed or showed. The client reports being positive for group B streptococcus (GBS) when screened at 36 weeks of gestation. "A white, cheesy substance called vernix caseosa will be on the skin. Can be done between 8 and 12 weeks' gestation, with results returned within 1 week, which allows for decision about termination while still in first trimester. The nurse should plan to prepare the. What intervention is the most important at this time? a. There are 545 NCLEX -style practice questions partitioned into 8 sets. The baseline fetal heart rate has been 120 to 122 beats/minute for the past hour. The patient was exposed to rubella at 36 weeks’ gestation. If a patient is at 34 weeks' gestation or more and has ruptured membranes, abnormal fetal testing, or progressive labor in the setting of . 3) A nurse is teaching a client who is 36 weeks gestation and has a prescription for a non- stress test. She has a Category 1 FHR strip (reassuring). A client who is 1 day postpartum and has a vaginal hematoma will report lochia rubra. The nurse is assessing a multigravida, 36 weeks gestation for symptoms of pregnancy-induced hypertension and preeclampsia. The nurse should pan to prepare the client for which. The nurse should plan the client for which of the . The non-stress tests can initiate at 26 to 28 weeks. NCLEX 55 practice questions: OB/GYN – Intrapartum (Part 2). place the client in a supine position c. A labor nurse is caring for a client, 38 weeks' gestation, who has been diagnosed with symptomatic placenta previa. Which of the following conditions should the nurse include in the teaching? a. 23 weeks is the earliest a hospital will revive a fetus (and only some. After providing the client with some suggestions for relief measures, the nurse determines that the client needs further instructions when she says: A. Which of the following physician orders should the nurse question? 1. ATI-Maternal Newborn Practice 2017 A & B 1 A nurse is caring for a full-term newborn immediately following birth. A charge nurse is providing teaching to a newly licensed nurse who is caring for a client who has postpartum hemorrhagic shock. Blood pressure 149/96, P 80 bpm, R 20 breaths/min. ATI Practice Assessment - Maternal Newborn ATI Practice Assessment-Maternal Newborn Practice 2016 A 1) A nurse is caring for a full-term newborn immediately following birth. “I will need to have a full bladder for the test to be done accurately. A client who did not receive prenatal care arrives in the labor and delivery unit at 40 weeks gestation and reports that she has saturated two perinatal pads with right bright red for the past hour. the following findings support this . The nurse notes persistent late decelerations despite doing POISE. Monitor for premature ventricular contractions. The patient had one completed pregnancy or birth at 20 weeks gestation or greater. This fetus is at the greatest risk for which condition?. Placing the diaphragm of the Doppler on the mother abdomen. The client has a biophysical profile done. A primigravida at 36 weeks' gestation tells the nurse that she has moderate breast tenderness. The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. The nurse is caring for a 5-year-old child with Reye's syndrome. Sharp, continuous abdominal pain. Biophysical profile MY ANSWER: A positive contraction stress test indicates that further evaluation of the fetus is necessary. The nurse caring for her suspects placenta previa. The nurse can expect to find the presence of: Mongolian spots. A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. b Rationale: The client needs further instructions when she says she should clean her nipples with. The client is multigravida and multipara with no history of GBS. The nurse is caring for a primigravida at about 2 months and 1-week gestation. 5 g/dL is below the expected hemoglobin range for men (14 to 18 g/dL) and women (12 to 16 g/dL). The client should repeat the test in 1 week. This is normally occuring during the first and third trimesters of pregnancy. The nurse should plan to prepare the client for which of the following diagnostic tests? Biophysical profile - A positive contraction stress test indicates that further evaluation of the fetus is necessary (baby's heart slowed or showed. A nurse on a la b or and delivery unit is providing teaching to a client who plans to use hypnosis to control la b or pain. The term neonatal comes from neo, new, and natal, pertaining to birth or origin. A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse should plan to prepare the client for which of the following diagnostic tests? • Biophysical profile • A positive contraction stress test indicates that further evaluation of the fetus is necessary. cleaning the perineal area twice a day using soap and water. The nurse should program the infusion pump to deliver how many ml/hr? 12 18. When the nurse prepares the teaching plan, it is MOST important for the nurse to include which of the following? A. A nurse is caring for a client who has hyperemesis gravidarum. The nurse should plan to prepare the client for . A nurse is caring for a client who is at 36 weeks of gestation and has a. What should the nurse tell the client that the test results indicate? a. LATEST 2021 QUESTIONS AND ANSWERS - 100% VERIFIED VERSION 1. Fundal height should be measured from the symphysis pubis to the top of the uterus (McDonald's method). maintain the client NPO throughout the procedure b. The nurse is preparing to discharge a 30-year-old woman who has experienced a miscarriage at 10 weeks of gestation. The overall aim of caring for women during labour and birth is to Having a spontaneous onset at 37+0 to 42+0 weeks gestational age with . The nurse obtains the client 's blood pressure reading as 82 /52 m m Hg. To assess the client’s preparation for parenting, the nurse might ask which question? A. Nurse is caring for a client whose labor is not. A A Nurse Mole Who Has At Assessing Is Client Of Weeks. I should cleanse my nipples with soap c. A client who is 36 weeks pregnant comes to the clinic for a. infusion of ritodrine (Yutopar) is started. The position the client was in during the nap period. The nurse is performing an assessment on a client who thinks she may be . The nurse is performing a measurement of fundal height in a client whose pregnancy has reached 36 weeks of gestation. "The client remains free from tachycardia. A nurse is caring for a client in labor and prepares to auscultate the fetal heart rate by using a Doppler ultrasound device. In planning her care, the nurse and the client mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. who is at 36 weeks of gestation and has a positive contraction stress test. instruct the client to massage the abd to stimulate fetal movement d. A client is admitted to the L & D suite at 36 weeks’ gestation. "I should clean my nipples with soap. We've made a significant effort to provide you with the most informative rationale, so please read them. A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. The nurse is caring for a client admitted with multiple trauma. The nurse should plan to prepare the client for which of the following diagnostic tests? Biophysical profile Rationale: A positive contraction stress test indicates that further evaluation of the fetus is necessary. The OB nurse is monitoring a pregnant client at 32 weeks gestation who is 6 cm, and being induced due to a diagnosis of pre-eclampsia with severe features. A nurse is caring for a client who is at 40 weeks gestation and is in active labor. Provide the client with grief counseling. The patient has a history of preterm labor at 32 weeks' gestation 5. Search: A Nurse Is Assessing A Client Who Is At 12 Weeks Of Gestation And Has A Hydatidiform Mole. When the nurse palpates titanic contractions, the client again complains of severe pain. The nurse should plan to prepare the client for which of the following diagnostic tests? A. urine output of 280 mL w/ 8 hr d. It is a vaginal swab taken at 34-37 weeks and it detects how much beta strep bacteria is present. A This serum iron level is within the expected range of 60 to 180 mcg/dL. EXAMPLE: A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. Applying fundal pressure during contractions. A client who has a positive urine pregnancy test 1 week after missed menses. Women may get a contraction stress test at 32 weeks or later. Report of Braxton-Hicks contractions Braxton-Hicks contractions can be expected for a client who is at 38 weeks of gestation. We’ve made a significant effort to provide you with the most informative rationale, so please read them. instruct the client to press the provided button each time fetal movement is detected A nurse is caring for a client who is 36 wks gestation and has a positive contraction stress test. A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Assess hematocrit and hemoglobin. The nurse should plan to prepare the client for which of the following diagnostic tests? a. returns to her patient in L&D once she is sure the resource nurse has . A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The client has a history of herpes simplex virus 2.