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ATI RN · ATI Maternal Newborn · Complications in Early Pregnancy

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is caring for a client who is G1P0 and 36 weeks gestation who has been diagnosed with severe pre-eclampsia. Her blood pressure is 165/110. The physician has ordered hydralazine. The nurse knows she should do which of the following when administering this medication?

A. Position the client supine with the head of the bed elevated 30 degrees.

B. Get baseline blood pressure and pulse and monitor frequently during administration.

C. Administer medication every 5 minutes until blood pressure is stabilized.

D. Inform the client that this may cause a positive direct Coombs test result.

Expert Explanatory Rationale

Correct Answer: Get baseline blood pressure and pulse and monitor frequently during administration.

Question 2 of 5

Which factor places the client at the highest risk of pre-eclampsia?

A. White race

B. Multiparity

C. Obesity

D. Infertility

Expert Explanatory Rationale

Correct Answer: Obesity

Question 3 of 5

A client who is 30 weeks pregnant comes into the labor and delivery unit complaining of having a gush of fluid come from her vagina. Which complication is this client at risk for?

A. Infection

B. Fluid volume deficit

C. Hypotension

D. Decreased urinary output

Expert Explanatory Rationale

Correct Answer: Fluid volume deficit

Question 4 of 5

The nurse is caring for a client with a suspected hydatidiform mole. Based on the diagnosis, what does the nurse anticipate? Select all that apply.

A. Dark brown vaginal bleeding

B. Strong fetal heart tones

C. Fundal height larger than expected

D. Elevated blood pressure

Expert Explanatory Rationale

Correct Answer: Strong fetal heart tones

Question 5 of 5

The doctor suspects that the client is in preterm labor. Which symptom is consistent with this diagnosis?

A. Severe pain in the lower quadrant

B. Severe pain and hard abdomen to palpation

C. Painless vaginal bleeding

D. Abdominal cramping and lower back pain

Expert Explanatory Rationale

Correct Answer: Abdominal cramping and lower back pain

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