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ATI MATERNITY PROCTORED EXAM WITH 5 VERSIONS A nurse is caring for a client who is at 14 weeks gestation and has hyperemesis gravidarum. The nurse should identify that which of the following are risk factors for the client? (SATA) A. Obesity. B. Multifetal pregnancy. C. Maternal age greater than 40. D. Migraine headache. E. Oligohydramnios. B. Urine ketones present. A nurse is caring for a client who has suspected hyperemesis gravidarum and is reviewing the client's laboratory reports. Which of the following findings is a manifestation of this condition? A. Hgb 12.2g/dL. B. Urine ketones present. C. Alanin aminotransferase 20 IU/L. D. Serum glucose 114 mg/dL. A. Respirations less than 12/min. B. Urinary output less than 30 mL/hr. D. Decreased level of consciousness. A nurse is administering magnisium sulfate IV to a client who has severe preeclampsia for seizure prophylaxis. Which of the following indicates magnesium sulfate toxicity? (SATA) A. Respirations less than 12/min. B. Urinary output less than 30 mL/hr. C. Hyperreflexic deep-tendon reflexes. D. Decreased level of consciousness. E. Flushing and sweating. D. Calcium gluconate. A nurse is caring for a client who is receiving IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if magnesium sulfate toxicity is suspected? A. Nifedipine. B. Pyridoxine. C. Ferrous sulfate. D. Calcium gluconate. C. "I plan to drink more orange juice while taking this pill." A nurse is reviewing a new prescription for ferrous sulfate with a client who is at 12 weeks of gestation. Which of the following statements by the client indicates understanding of the teaching? A. "I will take this pill with my breakfast." B. "I will take this medication with a glass of milk." C. "I plan to drink more orange juice while taking this pill." D. "I plan to add more calcium-rich foods to my diet while taking this medication." A. Urinary tract infection. B. Multifetal pregnancy. D. Diabetes mellitus. E. Uterine abnormalities.