ATI MATERNAL NEWBORN WITH BEST EXPLANATIONS

ATI MATERNAL NEWBORN WITH BEST EXPLANATIONS

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

Rationale:

The nurse should expect the client to be experiencing uterine contractions due to abdominal trauma.

A nurse is assessing a client who is at 12 weeks of gestation and has hyatidiform mole. Which of the following findings should the nurse expect? - Dark brown vaginal discharge

Rationale:

A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic villi, which gives rise to multiple cysts. The products of conception transform into a large number of edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually dark brown and can contain grapelike clusters.

A nurse is assessing a client who is at 35 weeks of gestation and has preeclampsia without severe features. Which of the following findings should the nurse identify as the priority? - 480 mL urine output in 24 hr

Rationale:

When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine output in an adult client is 30 mL/hr. This can indicate progression of preeclampsia to preeclampsia with severe features, which requires immediate intervention. Therefore, this is the priority finding.

A nurse is teaching a client who is at 12 weeks of gestation and has HIV. Which of the following statements should the nurse include in the teaching? - "You should continue to take zidovudine throughout the pregnancy."

Rationale:

The nurse should inform the client that taking prescription antiviral medication every day decreases the risk of transmission of HIV to her newborn.

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? - Betamethasone

Rationale:

The nurse should plan to administer betamethasone IM, a glucocorticoid, to stimulate fetal lung maturity and thereby prevent respiratory depression.

a diet teaching for hyperemesis gravidarum

"I will eat foods that taste good instead of balancing my meals." "I will avoid having a snack before I go to bed each night."

"I will have a cup of hot tea with each meal."

"I will eliminate products that contain dairy from my diet." - "I will eat foods that taste good instead of balancing my meals."

Clients who have hyperemesis gravidarum should eat foods they like in order to avoid nausea, rather than trying to consume a well-balanced diet.

hyperemesis gravidarum should avoid going to bed with an empty stomach. The nurse should instruct the client to eat a healthy snack before going to bed.

should alternate liquids and solids every 2 to 3 hr to avoid an empty stomach and over filling at each meal.

do not need to eliminate dairy products from their diet. The client should be encouraged to consume dairy products, because they are less likely to cause nausea than other foods.

performing Leopold maneuvers steps?

- The first step- palpate the client's fundus to identify the FETAL part.