Case Study
Ati rn maternal newborn 2023 proctored exam
Select All That Apply
A nurse is caring for a client at 39 weeks gestation Exhibits Click to highlight the findings below that would indicate that the client has a potential problem. To deselect a finding, click on the finding again. Vital Signs 1130 Oral temperature 38.3 C (101 F ) Heart rate 98min Respiratory rate 18/min Blood pressure 112/59 mm Hg Oxygen saturation 98% on room air Nurses Notes 1130 Client states, ‘I think my water broke. The pad under me is soaked’. Clear fluid noted on pad. Nitrazine positive. Uterine contractions every 3 mins moderate to palpation. Fetal heart rate is 140/min. Diagnostic Results 1200 HGB 10 g/dl (greater than 11 g/dl) HCT 34% (greater that 33%) WBC 22,000 ( 5,000 – 11,000)
Explanation & Rationale
Oral temperature 38.3°C (101°F) Elevated temperature indicates maternal fever, which could suggest infection such as chorioamnionitis, especially concerning with ruptured membranes. HGB 10 g/dL (normal > 11 g/dL) Low hemoglobin indicates anemia, which could compromise oxygen delivery to the fetus and affect maternal health during labor. Explanation for non-highlighted findings: Heart rate 98/min: Slightly elevated but within normal range for labor. Blood pressure 112/59 mm Hg: Normal blood pressure for pregnancy. Uterine contractions every 3 mins moderate to palpation: Normal pattern for active labor.
🔒 Submit your answer to reveal
Your Progress
Correct0
Incorrect0
Skipped0
Accuracy0%