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A nurse in the ED is caring for a patient who reports abrupt, sharp, right sided lower quadrant abdominal pain and bright red vaginal bleeding. the pt states "i missed one menses and can't be pregnant because I have an IUD". What should the nurse suspect
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A nurse is providing care for a patient who has a marginal abruptio placentae. which of the following findings are risk factors for developing this condition?
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Maternal Newborn
ATI Chapter Questions 7-10
| Question | Answer |
|---|---|
| A nurse in the ED is caring for a patient who reports abrupt, sharp, right sided lower quadrant abdominal pain and bright red vaginal bleeding. the pt states "i missed one menses and can't be pregnant because I have an IUD". What should the nurse suspect | a. missed abortion b. ectopic pregnancy c. severe preeclampsia d. hydatidiform mole B |
| A nurse is providing care for a patient who has a marginal abruptio placentae. which of the following findings are risk factors for developing this condition? | a. fetal position b. blunt abdominal trauma c. cocaine use d. maternal age e. cigarette smoking B,C,E |
| A nurse is caring for a patient who is at 32 weeks of gestation and has a placenta previa. the nurse notes that the pt is actively bleeding. which of the following medications should the nurse expect the provider will prescribe? | a. betamethasone b. indomethacin c. nifedipine d. methylergonovine A |
| A nurse at an antepartum clinic is caring for a patient who is at 4 months of gestation. the pt reports continued nausea, vomiting, and scant, prune-colored discharge. the pt has experienced no weight loss and has a fundal height larger than expected. | a. hyperemesis gravidarum b. threatened abortion c. hydatidiform mole d. preterm labor C |
| A nurse is caring for a patient who is experiencing a ruptured extopic pregnancy. which of the following findings is expected with this condition? | a. no alteration in menses b. transvaginal ultrasound indicating a fetus in the uterus c. blood progesterone greater than the expected reference range d. report of severe shoulder pain D |
| A nurse is admitting a patient who is in labor and has HIV. Which of the following interventions should the nurse identify as contraindicated for this patient? | a. vacuum extractor b. oxytocin infusion c. forceps d. c/s e. internal fetal monitoring A,C,E |
| A nurse in an antepartum clinic is assessing a patient who has TORCH infection. Which of the following findings should the nurse expect? | a. joint pain b. malaise c. rash d. urinary frequency e. tender lymph nodes A,B,C,E |
| A nurse is caring for a patient who has gonorrhea. Which of the following medications should the nurse expect the provider will prescribe? | a. ceftriaxone b. fluconazole c. metronidazole d. zidovudine A |
| A nurse is caring for a patient who is in labor. The nurse should identify that which of the following infections can be treated during labor or immediately following birth? | a. gonorrhea b. chlamydia c. HIV d. GBS e. TORCH A,B,C,D |
| A nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by a nurse indicates understanding of the teaching? | a. "obtain an immunization against rubella early in pregnancy" b. "seek prophylactic treatment if cytomegalovirus is detected during pregnancy" c. "a pt should avoid crowded places during pregnancy" d. " a pt should avoid consuming undercooked meat D |
| A nurse is caring for a patient who is at 14 weeks of gestation and has hyperemesis gravidarum. The nurse should identify which of the following are risk factors for the patient? | a. diabetes b. multifetal pregnancy c. maternal age >40 d. gestational trophoblastic disease e. oligohydramnios A,B,D |
| A nurse is caring for a patient who has suspected hyperemesis gravidarum and is reviewing the patient's laboratory reports. Which of the following findings is a manifestation of this condition? | a. hgb 12.2g/dL b. urine ketones present c. alanine aminotransferase 20 IU/L d. bg 114mg/dL B |
| a nurse is administering magnesium sulfate IV for seizure prophylaxis to a patient who has severe preeclampsia. which of the following indicate magnesium sulfate toxicity? | a. respirations less than 12/min b. urinary output less than 25mL/hr c. hyperreflexic deep-tendon reflexes d. decreased level of consciousness e. flushing and sweating A,B,D |
| A nurse is caring for a patient who is receiving IV magnesium sulfate. which of the following medications should the nurse anticipate administering if magnesium sulfate toxicity is suspected? | a. nifedipine b. pyridoxine c. ferrous sulfate d. calcium gluconate D |
| A nurse is reviewing a new prescription for ferrous sulfate with a client who is at 12 weeks of gestation. which of the following statements by the client indicated understanding of the teaching? | a. "I will take this pill with my breakfast" b. "I will take this medication with a glass of milk" c. "I plan to drink more orange juice while taking this pill d. "I plan to add more calcium rich foods to my diet while taking this medication" C |
| A nurse is caring for a client who reports manifestations of preterm labor. Which of the following findings are risk factors of this condition? (SATA) | A. UTI B. Multifetal pregnancy C. Oligohydramnios D. Diabetes E. Uterine abnomalitites A,B,D,E |
| A nurse is providing care for a client who is in preterm labor at 32 weeks of gestation. Which of the following medications should the nurse anticipate the provider will prescribe to hasten fetal lung maturity? | A. Calcium gluconate B. Indomethacin C. Nifedipine D. Betamethasone D |
| A nurse is caring for a client who is receiving nifedipine for prevention of preterm labor. The nurse should monitor the client for which of the following manifestations? | A. Blood-tinged sputum B. Dizziness C. Pallor D. Somnolence B |
| A nurse is caring for a client who has prescription for magnesium sulfate. The nurse should recognize that which of the following are contraindications for use of this medication? (SATA) | A. Fetal distress B. Preterm labor C. Vaginal bleeding D. Cervical dilation greater than 6 cm E. Severe gestational hypertension |
| A nurse is reviewing discharge teaching with a client who has premature rupture of membranes at 26 weeks gestation. Which of the following instructions should the nurse include in the teaching? | A. Use a condom with sexual intercourse B. Avoid bubble bath solution when taking a tub bath C. Wipe back to front for perineal hygiene D. Keep daily record of fetal kick counts |
Created by:
jowalker