a nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction test. 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:. 59 A nurse is caring for a postpartum client who is. What assessment data should be collected by the nurse first? A. Intense contractions lasting 45 to 60 seconds b. A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. About Has Who At 12 Assessing Nurse Client Gestation. Placing the diaphragm of the Doppler on the mother abdomen. A nurse is caring for a client who is in labor and requests nonpharmacological pain management. A nurse in a community clinic is counseling a. The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse should assess the client for signs and symptoms of which of the following? a. About Client A Assessing And Who Of Is Has Nurse Mole At A Hydatidiform A 12 Weeks Gestation Is. emergency Caesarean section at 36 weeks' gestation in another unit. Which of the following statements should the nurse include in her teaching? You will be offered orange juice and a snack during your test. Which of the following conditions should the nurse include in the teaching? 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. Obtain equipment for an amniotomy. Viability = the time when the baby could survive outside the womb. In this section are the practice quiz and questions for maternity nursing and newborn care nursing test banks. The contraction stress is performed if the patient’s NST is non-reactive. 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). Which of the following findings should the nurse identify as inconsistent with preeclampsia? A) 1+ pitting sacral edema. The client has had no analgesia or anesthesia and has been pushing for 2 hours. Review potential side effects of steroid therapy with client or couple. 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 client's contractions are occurring every 15 to 20 minutes, lasting 25 seconds. A nurse is caring for a client who is at 36 weeks of gestation and has a. A nurse is caring for a client who is at 36 weeks gestation and has a positive contraction stress test. ATI-Maternal Newborn Practice 2017 A & B 1 A nurse is caring for a full-term newborn immediately following birth. What is the next step in caring for the client? a. 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 . A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. A labor nurse is caring for a client, 38 weeks' gestation, who has been diagnosed with symptomatic placenta previa. The physician has documented the presence of a Goodell's sign. 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. 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. • 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. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. During her last gynecological visit, the client's blood pressure was 100/60. Understand how this prenatal test uses fetal heart rate monitoring A pregnancy that has extended two weeks past your due date (post-term . The nurse advices the patient to do the following measures to prevent urinary. The nurse enters the room and observes the pt having a. The nurse determines that the baseline fetal heart rate is 130 to 140 beats/min. Thick, White Vaginal Discharge B. After providing the patient with some suggestions for relief measures, the nurse determines that the patient needs further instructions when the patient says: a. Each of the episodes in which the heart rate is increased lasts 20 seconds. Sex partner who has a sexually-transmitted disease (STD). the following findings support this . In this method, the unsafe period for sexual intercourse is indicated by; A. The nurse obtains the client 's blood pressure reading as 82 /52 m m Hg. A nurse is caring for a client who is at 41 weeks of gestation & has a positive contraction stress test. Recent reports from developed countries indicate that the incidence of multiple birth has increased during the past 20 years. A nurse is admitting a client who is at 39 weeks of gestation and in active labor. The nurse is caring for a primigravida at 28 weeks' gestation who is admitted with a diagnosis of preterm labor. her period and a home urine pregnancy test reads positive. 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. A nurse is caring for a primigravida client. 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. Which of the following actions should the nurse take? Restrict protein intake to less than 40 g/day. A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus-hemolytic (GBS). Reproduction Exam Question 1 See full question A nurse is caring for a client whose membranes ruptured prematurely 12 hours ago. 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 monitor has two sensors that are . 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 has a crown-rump length of 7 weeks gestation. Nurse caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. It looks for different types of diseases in the fetal cells. 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. Rationale 2: Limb buds have developed by 35 days post-fertilization. Which finding indicates a genetic risk factor? a. NOTE: Pregnant women found to have chlamydial infection should have a test-of-cure three to four weeks . who is at 36 weeks of gestation and has a positive contraction stress test. MaNaGEMENT OF a STiLL bORN “bODY” bELOw 28 wEEKS GESTaTiONaL aGE. On the basis of knowledge of the physiological changes of pregnancy, the nurse understands that which is the cause of the lightheadedness? 1. ATI Detail Answer Key NURS 306 OB. "The genitals of the baby will be ambiguous. We've made a significant effort to provide you with the most informative rationale, so please read them. A client is admitted to the L & D suite at 36 weeks' gestation. The nurse assesses the client and documents vaginal exam of 5 cm/80% effacement/0 station. As you enter the final weeks of pregnancy, the reality of having a baby may start to . "I should wear a supportive bra at all times. 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. Short-term effects may include hypoglycemia, increased risk of sepsis, and possible suppression of aldosterone for 2 weeks following delivery. A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The nurse admits a client at 30 weeks' gestation for preterm labor. The nurse should pan to prepare the client for which. After the client vomits, she states that the pain is better and then passes out. The nurse is caring for a primigravid client in active labor at 42 weeks' gestation. A nurse is caring for a client who is 36 weeks of gestation and has a positive contraction stress test. "I should clean my nipples with soap. Nurse is caring for a client who is at 40 weeks gestation and is in early. The nurse has given the client with Bell's Palsy instructions on preserving muscle tone in the face and preventing denervation. _ A positive test _ A negative test _ A nonreactive test _ A reactive test 2. ATI Practice Assessment-Maternal Newborn Online Practice 2016 A 1) A nurse is caring for a full-term newborn immediately following birth. Gravidity and Parity Quiz for Maternity Nursing. Why?: Positive contraction stress test indicated that further evaluation of the fetus is necessary and this test. Which client outcome reflects the nurse's awareness of an adverse effect of ritodrine? 1. 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 clients should the nurse request the provider see first?. The nurse is caring for a primigravida at about 2 months and 1-week gestation. The nurse responds by telling the mother that fetal movements will be noted between: 1. No additional data as this appears to be an isolated. A nurse is caring for a client who is in preterm labor with a current L/S ratio of 1:1. A client who is 36 weeks pregnant comes to the clinic for a. The nurse should suspect which of the following complications? _ Placenta previa _ Prolapsed cord _ Ruptured ovarian cysts _ Abruptio placentae 21. 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. “Are you planning to have epidural anesthesia?” B. Assisting the client into squatting position B. ATI RN MATERNAL MEWBORN ONLINE PRACTICE 2021. A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. (Move the steps into the box on the right, placing them in the order of performance. The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor. Admitting a client who is in labor and at 38 weeks of gestation. Maternity Nursing NCLEX Practice Quiz and Test. The nurse should plan to prepare the. The nurse should pan to prepare the client. 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. C) Blood pressure 148/98 mm Hg. ▫ Listening and managing any complaint . The nurse is assisting a client undergoing induction of labor at 41 weeks' 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 (baby’s heart slowed or showed. A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in preterm labor. The nurse observes red marks on the head with swelling that does not cross the suture line. The nurse would document the GTPAL for this client as: A. 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. Which of the following actions should the nurse take at the time?. A nurse is caring for a client who is at 30 weeks of gestation and observes the client choking while eating lunch. A contraction stress test is necessary. 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. 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. Which of the following actions should the nurse include in the. 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. Starting at 16 weeks, the base- whereas fetuses of more than 36 weeks' gestation. 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. A nurse is performing a contraction stress test (CST) on a client who is at 40 weeks of gestation. It is a screening test for spinal defects in the fetus. Rationale 1: Downy fine hair called lanugo covers a 20-week fetus. Which of the following laboratory tests should the nurse anticipate? Urine Ketones. The nurse explained that the enlarging fetus is pressing the bladder which causes frequent urination. infusion of ritodrine (Yutopar) is started. The nurse is caring for a 5-year-old child with Reye's syndrome. The nurse should plan to prepare the client for which of the following diagnostic tests? Biophysical profile A positive contraction stress test indicates t. A client is seen at 8 weeks' gestation for her first prenatal visit. Which of the following assessment finding is the highest priority? 52. A client who has felt quickening for the first time. It is a vaginal swab taken at 34-37 weeks and it detects how much beta strep bacteria is present. The nurse should plan to prepare the client for which of the following diagnostic test? a. 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. Report of Braxton-Hicks contractions Braxton-Hicks contractions can be expected for a client who is at 38 weeks of gestation. 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 nurse is caring for a newborn who is 24 hr old. An internal fetal heart rate monitor is in place. b Rationale: The client needs further instructions when she says she should clean her nipples with. 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. A nurse is planning care for a full-term newborn who is receiving phototherapy. She has three living children (one born at 35 weeks and two at 38 and 39 weeks) . The patient was exposed to rubella at 36 weeks' gestation d. 20 weeks is considered viability by most texts. 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. If a patient is at 34 weeks' gestation or more and has ruptured membranes, abnormal fetal testing, or progressive labor in the setting of . 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. "A white, cheesy substance called vernix caseosa will be on the skin. A nurse is caring for a client at 40 weeks of gestation who is experiencing contraction every 3 to 5 min and becoming stronger. returns to her patient in L&D once she is sure the resource nurse has . This is normally occuring during the first and third trimesters of pregnancy. Which statement by the woman would indicate a correct understanding of the test? A. Women may get a contraction stress test at 32 weeks or later. A primigravida at 36 weeks' gestation tells the nurse that she has moderate breast tenderness. 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. A vaginal exam reveals that the client's cervix is 3 cm dilated, 80% effaced and -1 station. After providing the client with some suggestions for relief measures, the nurse determines that the client needs further instructions when she says: A. Pad the side rails and head of the bed. A woman who is at 36 weeks of gestation is having a nonstress test. drink large volume of water before the test b. 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. The patient has never been pregnant before. 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. At 20 weeks of gestation, identify the location where the nurse anticipates the uterine fundus. She asks the nurse why the test was not conducted earlier in her pregnancy. 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 . period started on January 14 and ended on. At 20 weeks, the uterine fundus should be palpated approximately at the umbilicus. The nurse notes persistent late decelerations despite doing POISE. After the fetus is delivered vaginally, the nurse implements routine demise protocol and identification procedures. The term neonatal comes from neo, new, and natal, pertaining to birth or origin. The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. A pregnant client is scheduled to have an ultrasound to determine the growth of the 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. 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. The nurse should give priority to assessing the client for: Facial swelling. The results of the test indicate a negative CST. Monitor for premature ventricular contractions. A nurse is teaching a client who is 28 weeks of gestation and not up-to date on current immunization. urine output of 280 mL w/ 8 hr d. 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. Midwives work across the continuum from pre-pregnancy, pregnancy, labour and birth, postpartum, and the early weeks of newborn infants' life. Administering a tocolytic agent. A nurse is admitting a client who is at 33 weeks of gestation and has preeclampsia with severe features. The client has a biophysical profile done. Which of the following interventions is the nurse's priority? a. The nurse should expect a client who has a vaginal hematoma. Infant of a Mother with Diabetes. The client is unable to speak or cough. The non-stress tests can initiate at 26 to 28 weeks. A nurse is caring for a client who is at 40 weeks gestation and receiving a NST. “Have you begun prenatal classes?” C. Steroid therapy: most effective for increasing lung surfactant when the fetus is between 30 and 32 weeks’ gestation. Advise the client to not take any over-the-counter. to report pressure in the vagina due to the blood that leaked into. Before that, the test may not be . NURS306/ATI MATERNAL NEWBORN FALL 2019 1. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Hematocrit test should be repeated at 28 and 36 weeks of. At 28 weeks' gestation, a client is admitted to the labor and delivery area in preterm labor. The patient has a history of preterm labor at 32 weeks’ gestation. The nurse in charge is reviewing a patient's prenatal history. The nurse should plain to prepare the client for which of the following diagnostic tests? Biophysical profile. Your client at 39 weeks gestation with a previous history of a C/section comes to labor and delivery with. Which of the following findings should the nurse expect?. Nurse caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. 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. Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown? a. As the PAC enters the right ventricle, what is the priority nursing assessment? A. There are 545 NCLEX -style practice questions partitioned into 8 sets. It can be done at the end of pregnancy or early in labor. deflating the balloon while providing perineal care. The nurse determines that delivery is imminent. ATI RN Maternal Newborn Online Practice 2019 A&B,100% CORRECT. What intervention is the most important at this time? a. A nurse is caring for an adolescent client who is gravida 1 and para 0. A client at 36 weeks' gestation with type 1 diabetes is scheduled for a contraction stress test. NSTs before 32 weeks varies and has high false-positive rates due to the immaturity . The nurse is preparing to discharge a 30-year-old woman who has experienced a miscarriage at 10 weeks of gestation. I should cleanse my nipples with soap c. ) Turn the patient on the left side. 1) A nurse is caring for a full-term newborn immediately following birth. Maternity Nursing and Newborn Nursing Test Bank. 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 in a prenatal clinic is assessing a group of clients. 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. Which of the following physician orders should the nurse question? 1. Assess fetal heart rate every 10 minutes 3. I should wear a supportive bra at all times b. Dietary intake prior to the episode C. Initiate seizure precautions for the client. Search: A Nurse Is Assessing A Client Who Is At 12 Weeks Of Gestation And Has A Hydatidiform Mole. 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 baby may need a group B strep test if he or she has symptoms . increased above baseline, lasting 15 seconds, in response to fetal movement two times in a 20-. 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. HESI OB 2021 HESI OB 2021 - Notes (fix) 1 The nurse is providing care for a newborn who was delivered vaginally assisted by forceps. Provide the client with needed stimulation. The nurse should plan the client for which of the . The client reports being positive for group B streptococcus (GBS) when screened at 36 weeks of gestation. Having the client lie in a supine position C. Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). The nurse can expect to find the presence of: Mongolian spots. Which of the following statements should the charge nurse make? 25. MCA client at 33 weeks gestation calls. 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. maintain the client NPO throughout the procedure b. A nurse is caring for a client who has hyperemesis gravidarum. The nurse should plan to prepare the client for which of the following diagnostic test? Biophysicial profile. A client who has an ultrasound that confirms a molar pregnancy. Explanation: Remediation: Question 2 See full question. performed at the time of the 17 to 22 weeks' gestation detailed. She has a history of C-section and complains of severe abdominal pain that started less than 1 hour earlier. A client who has preeclampsia and a creatinine level of 1. The client has a history of herpes simplex virus 2. ATI RN MATERNAL NEWBORN ONLINE PRACTICE 2019 A 14 QUESTIONS WITH 100% CORRECT ANSWERS(GRADED A) 1. A client is caring for a client who is at 40 weeks of gestation and has a positive contraction stress test. Correct response: • maternal vital signs and fetal heart rate (FHR). Sometimes uses vibroacoustic stimulation A nurse is caring for a woman with mitral stenosis who is in the active stage. 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. A adult female patient is using the rhythm (calendar-basal body temperature) method of family planning. A nurse is caring for a client in labor and prepares to auscultate the fetal heart rate by using a Doppler ultrasound device. The contraction stress is performed if the patient's NST is non-reactive. 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. 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. The patient has a child with cystic fibrosis. A client who has a positive urine pregnancy test 1 week after missed menses. 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. Decreases risk for injury with the fetus. The nurse should plan to prepare the client for which of the following diagnostic tests? Biophysical profile. A nurse providing care for the antepartum woman should understand that the contraction stress test (CST): A. During the measurement the client begins to feel lightheaded. This fetus is at the greatest risk for which condition?. Which statement by the woman would indicate a correct understanding of the discharge instructions? A. When assessing this client, the nurse's highest priority is to eval uate: You Selected: • maternal vital signs and fetal heart rate (FHR). The nurse is performing a measurement of fundal height in a client whose pregnancy has reached 36 weeks of gestation. An appropriate nursing intervention for catheter care includes A. Neonatal nursing is a sub-specialty of nursing care for newborn infants up to 28 days after birth. 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. instruct the client to massage the abd to stimulate fetal movement d. Mild to moderate cases, later in pregnancy – at 36 weeks' gestation or . 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. Her EDD should be which of the following? A. A client who is 1 day postpartum and has a vaginal hematoma will report lochia rubra. The patient had one completed pregnancy or birth at 20 weeks gestation or greater. A nurse is caring for a pt who is at 26 weeks of gestation and has epilepsy. A nurse is caring for a client who received terbutaline subcutaneously. "The client remains free from polyuria. The patient has a child with cystic fibrosis c. The position the client was in during the nap period. She had a positive home pregnancy test after she noticed breast tenderness,. The client's contractions are moderate and occurring every 2 to 3 minutes, with a duration of 60 seconds. Group beta strep also known as GBS is a test on every woman close to delivery. LATEST 2021 QUESTIONS AND ANSWERS - 100% VERIFIED VERSION 1. Which of the following immunizations should the nurse inform the client to anticipate receiving following birth. Fractures include the pelvis, femur, and ulna. The baseline fetal heart rate (FHR) is 144 beats/minute. What should the nurse tell the client that the test results indicate? a. The patient was exposed to rubella at 36 weeks’ gestation. Maternity HESI Flashcards. The nurse most accurately determines that the fetal heart sounds are heard by: Noting if the heart rate is greater than 140 BPM. Maternity Practice questions 1) A nurse is caring for a client who is at 41 weeks gestation and has a positive contraction stress test. Because the mother has diabetes, the baby is at risk for problems. Which of the following findings is an indication the medication was effective? 23. place the client in a supine position c. Provide the client with grief counseling. The available solution is Lactated Ringers 1,000 ml with Pitocin 20 units. k CN: Physiological adaptation; CL: Synthesize-implement. flushing the catheter with sterile irrigant daily. Biophysical profile MY ANSWER: A positive contraction stress test indicates that further evaluation of the fetus is necessary. Which of the following actions is the nurse's priority? • Massage the client's fundus Uterine atony and postpa. "I will not experience mood swings since I was only at 10 weeks of gestation. A nurse is caring for a client who is 36 weeks gestation and has a prescription for an amniocentesis. The client has 6 cm of cervical dilation and 100 % cervical effacement. To assess the client’s preparation for parenting, the nurse might ask which question? A. Overall, pregnancy increases maternal blood volume by ≈40% for a singleton and 67% for twins, with peak values at ≈32 weeks of gestation . Which of the following findings should the nurse expect? A. She has a Category 1 FHR strip (reassuring). 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. client for which of the following diagnostic tests?. A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. positive contraction stress test. The patient will either be positive or negative. 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. a nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. Tape a tongue blade to the head of the bed. For which of the following diagnostic tests should the nurse prepare the client? Biophysical profile (BPP). 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. How Often the Test Is Done During Your Pregnancy. Which action should the nurse take? Assist the client to the restroom to void. The nurse caring for her suspects placenta previa. 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. A contraction stress test can help determine how well a baby handles contractions. 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. The nurse can be most helpful to this client by:. Steroid therapy: most effective for increasing lung surfactant when the fetus is between 30 and 32 weeks' gestation. Which of the following fundal heights indicates less than 12 weeks' gestation when the date of the LMP is unknown? A. The nurse is conducting an assessment on a client at 36 weeks-gestation. Applying fundal pressure during contractions 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. EXAMPLE: A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Usually between 20-24 weeks, depending on who you ask. Which condition should the nurse documents in the medical record? A Caput succedaneum. The client should repeat the test in 1 week. The patient has a history of preterm labor at 32 weeks' gestation 5. A primigravida who is at 38 weeks' gestation is undergoing a nonstress test. Identify the sequence of steps the nurse should take to clear the airway obstruction. If you go into labor earlier than 36 weeks, you may be tested at that time. A This serum iron level is within the expected range of 60 to 180 mcg/dL. A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. A sense of excitement and warm, flushed skin d. A charge nurse is providing teaching to a newly licensed nurse who is caring for a client who has postpartum hemorrhagic shock. A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. following diagnostic tests? Biophysical profile-- eval of the fetus is necessary with a real-time ultrasound. To prepare the client for this diagnostic test, the nurse should instruct the client to: a. The nurse should plan to prepare the client for which of the following diagnostic tests? a. 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should pan to prepare the client for which of the. Her cervix is 8 cm dilated and 100% effaced. It rises to 160 on two occasions and 157 once during a 20-minute period. A nurse is collecting data during an admission assessment of a client who is pregnant with twins. A nurse is caring for a client who is at 36 weeks of gestation and has a positive. 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. “I should have my husband drive me home after the test because I may be nauseous. A nurse is assessing a client who is at 27 weeks of gestation and has . The nurse should plan to prepare the client for which of the following diagnostic tests? ~biophysical profile ~amniocentesis ~cordocentesis ~Klelhauer-Betke test. A client is admitted to the L & D suite at 36 weeks’ gestation. lie on her right side during the test d. 23 weeks is the earliest a hospital will revive a fetus (and only some. 9% sodium chloride at 150 mL/hr. The client's fundal measurement is 20 cm. 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. The client tells the nurse that her last menstrual. A nurse on the psychiatric unit of the hospital has been assigned four clients for the shift. The client asks for pain medication. Preterm = before 37 weeks, but after viability. Blood pressure 149/96, P 80 bpm, R 20 breaths/min. docx from NURS 346 at Rhode Island College. Assess hematocrit and hemoglobin. A nurse is assessing a newborn following a forceps assisted birth. 17) A primigravida at 36 weeks gestation tells the nurse that she has moderate breast tenderness. 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. The client has 6cm of cervical dilation and 100% cervical effacement. Fundal height 37 cm, back pain with noticeable lordosis. Her EDD should be which of the following? a. remain NPO for 8 hours before the test. A nurse on an antepartum unit is receiving the assessment findings of four clients who are in the third trimester of pregnancy. ***ATI Practice Test - Final Exam A nurse is caring for a client who has an indwelling urinary catheter. 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. What assessment findings would the nurse report to the health care provider? Select all that apply. Progressive sacral discomfort during contractions 12. 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. The nurse should plan to prepare the client for . A nurse is caring for a client at 36 weeks and has a perscription for an amniocentesis. A client who is 36 weeks pregnant comes to the clinic for a prenatal checkup. A total gain of 25 to 30 pounds. A primigravid client at 36 weeks gestation tells the nurse that she has been experiencing insomnia for 2 weeks. An urge to have a bowel movement during contractions c. When the nurse prepares the teaching plan, it is MOST important for the nurse to include which of the following? A. The client is multigravida and multipara with no history of GBS. 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. A nurse is caring for a client who is at 40 weeks. People with diabetes have high levels of sugar in their blood (hyperglycemia). G = 3, T = 2, P = 0, A = 0, L =1. The nurse would provide which explanation about this test to the client? 1. The nurse is assessing a multigravida, 36 weeks gestation for symptoms of pregnancy-induced hypertension and preeclampsia. prenatal tests are diagnostic tests that can accurately find whether a fetus has a . The nurse is performing an assessment on a client who thinks she may be . A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. Preterm Labor Nursing Care Plan & Management. “I will need to have a full bladder for the test to be done accurately. A 36 weeks gestation pregnant woman is complaining of urinary urgency and frequency. We’ve made a significant effort to provide you with the most informative rationale, so please read them. 5 g/dL is below the expected hemoglobin range for men (14 to 18 g/dL) and women (12 to 16 g/dL). Sharp, continuous abdominal pain. The nurse should plan to prepare the client for which of the following diagnostic tests? A. Suddenly, the client reports abdominal pain and vaginal bleeding.