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ATI RN MATERNAL OB UPDATED 2023
1.A nurse is assessing a client who is at 34 weeks gestation and has a mild placental abruption.
Which finding should the nurse expect?
Dark red vaginal bleeding
2.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(to stimulate fetal lung maturity and prevent respiratory depression)
3.A nurse is teaching a client who is at 30 weeks of gestation about warning signs of
complications that she should report to her provider. Which finding should the nurse include in
the teaching?
Vaginal bleeding
4.A nurse is reviewing the medical record of a client who is at 39 weeks of gestation and has
polyhydramnios. Which finding should the nurse expect?
Fetal gastrointestinal anomaly
5.A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate via
continuous IV infusion about expected adverse effects. Which adverse effect should the nurse
include in the teaching?
Feeling of warmth
6.A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational
hypertension. Which finding should the nurse identify as priority?
Low urine output (<30mL per hour)
7.A nurse is teaching a client who is at 12 weeks of gestation about the manifestations of
potential complications that she should report to her provider. Which information should the
nurse include in the teaching?
Swelling of the face
8.A nurse is reviewing lab results for a client who is at 37 weeks of gestation. The nurse notes
that the client is rubella non-immune, positive for group A beta-hemolytic strep, and has a blood
type of O negative. Which action should the nurse take?
Instruct the client to obtain a rubella immunization after delivery
9.A nurse is caring for a client who has oligohydramnios. Which fetal anomaly should the nurse
expect?
Renal agenesis
10.A nurse is caring for a client who believes she may be pregnant. Which finding should the
nurse identify as a positive sign of pregnancy?
Palpable fetal movement
11.A nurse is assessing a client who is at 37 weeks of gestation and has a suspected pelvic
fracture due to blunt abdominal trauma. What finding should the nurse expect?
Uterine contractions
12.A nurse is caring for a client at 26 weeks of gestation and reports constipation. How should
the nurse respond?
“You should walk for at least 30 min/day”
13.A nurse is caring for a client who is in the latent phase of labor and is experiencing low back
pain. Which action should the nurse take?
Apply pressure to the client’s sacral area during contractions
14.A nurse is assessing a client who is at 35 weeks of gestation and is receiving magnesium
sulfate via continuous IV infusion for severe pre-eclampsia. Which finding should the nurse
report to the provider?
Urinary output 20mL/hour
15.A nurse is teaching a client who is at 10 weeks of gestation about an abdominal ultrasound in
the first trimester. What should the nurse include in the teaching?
“You will need to have a full bladder during the ultrasound”
16.A nurse is caring for a client who is at 35 weeks of gestation and has severe pre-eclampsia.
Which assessment provides the most accurate reading of fluid and electrolyte status?