Practice Question
A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus. Which of the following findings should the nurse report to the provider?
Answer Choices:
Correct Answer:
The client has a fundal height of 38 cm
Rationale:
🔵 Fundal height at 32 weeks gestation should measure approximately 32 cm, give or take 2 cm.
🔵 A measurement of 38 cm suggests possible macrosomia or polyhydramnios, both of which are complications of gestational diabetes mellitus (GDM).
🔵 This finding may indicate poor glycemic control or fetal overgrowth, necessitating further evaluation.
🔵 Monitoring fetal size via ultrasound and reviewing maternal glucose management should be initiated.
🔵 This is more significant than a normal fasting glucose or fetal movement count.
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This question is from RN ATI Maternal Newborn Exam 2 which contains 19 questions.
More Questions from This Exam
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulphate via continuous IV infusion. Which of the following findings should the nurse report to the provider?
Answer Choices:
A. Decrease in frequency of contractions
B. BP 150/100 mm Hg
C. Absent deep tendon reflexes
D. Urinary output 35 mL/hr
A nurse is teaching a client and her partner about the technique of counterpressure during labor. Which of the following statements by the nurse is appropriate?
Answer Choices:
A. your partner will apply pressure to the top of your uterus during contractions."
B. "Your partner will apply continuous, firm pressure between your thumb and index finger."
C. "Your partner will apply steady pressure with a tennis ball to your lower back."
D. "Your partner will apply upward pressure on your lower abdomen between contractions."
A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations is an adverse reaction to the medication.
Answer Choices:
A. Hypertension
B. Hypoglycemia
C. Respiratory rate 16/min
D. Urine output 20 mL/hr
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Answer Choices:
A. Abdominal distention
B. Third-degree perineal laceration
C. After pain
D. Vaginal candidiasis
A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors places the client at risk for an infection.
Answer Choices:
A. Midline episiotomy
B. Gestational hypertension
C. Meconium-stained fluid
D. Placenta previa
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4