What was on the ATI Maternal Newborn
Proctored Exam 2023

Placental abruption is a condition characterized by the separation of the placenta from the uterine wall before delivery. One of the hallmark signs of placental abruption is dark red vaginal bleeding. The nurse should anticipate this finding and provide appropriate care and monitoring for the client.

Betamethasone is a corticosteroid administered to promote fetal lung maturity and prevent respiratory depression in preterm infants. Administering betamethasone to the client helps enhance the baby's lung development and prepares them for early delivery.

Vaginal bleeding during pregnancy can indicate various complications, such as placenta previa or placental abruption. Educating the client about the importance of reporting vaginal bleeding promptly ensures timely medical evaluation and appropriate management.

Polyhydramnios refers to an excessive accumulation of amniotic fluid in the uterus. While it can occur for various reasons, one potential cause is a fetal gastrointestinal anomaly. The nurse should know this possibility and collaborate with the healthcare team to address any potential complications.

Magnesium sulfate is commonly used to prevent seizures in clients with pre-eclampsia. One of the expected adverse effects of magnesium sulfate administration is a feeling of warmth. Educating the client about this common side effect helps alleviate concerns and ensures their safety during treatment.

Mild gestational hypertension requires close monitoring, particularly for signs of worsening conditions or preeclampsia. A low urine output (less than 30 mL per hour) can indicate decreased renal perfusion and potential complications. The nurse should prioritize this finding and promptly report it to the healthcare provider for further assessment and management.

Swelling of the face, particularly in conjunction with other signs such as sudden weight gain or increased blood pressure, can be indicative of preeclampsia. Educating the client about reporting facial swelling helps ensure early detection and appropriate intervention to prevent complications.

Identifying a rubella non-immune status during pregnancy provides an opportunity to offer immunization after delivery. The nurse should instruct the client to obtain a rubella immunization postpartum to ensure protection against rubella in future pregnancies and potential exposure to the virus.

Oligohydramnios refers to a deficiency of amniotic fluid, which can be associated with various fetal anomalies. One potential anomaly that can lead to reduced amniotic fluid is renal agenesis, where the kidneys fail to develop. The nurse should anticipate this condition and collaborate with the healthcare team to provide appropriate care and support.

Palpable fetal movement is considered a positive sign of pregnancy. It indicates the presence of a developing fetus and confirms the client's suspicion of pregnancy. The nurse should acknowledge this finding and provide appropriate education and support for the client throughout her pregnancy