ATI Maternal Newborn 2019 Exam 3 | Nurselytic

Questions 39

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ATI Maternal Newborn 2019 Exam 3 Questions

Extract:

A client and her partner during labor


Question 1 of 5

A nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate?

Correct Answer: B

Rationale: Counter pressure on the lower back relieves labor pain by counteracting contraction pressure. Pressure on the uterus, thumb, or abdomen is ineffective or inappropriate for labor pain relief.

Extract:

A client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion


Question 2 of 5

A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?

Correct Answer: C

Rationale: Absent deep-tendon reflexes indicate magnesium toxicity, a serious adverse effect requiring immediate reporting. Decreased contractions are expected, elevated BP is common in preeclampsia, and 35 mL/hr urine output is normal.

Extract:

A client who is at 32 weeks of gestation and has gestational diabetes mellitus


Question 3 of 5

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?

Correct Answer: A

Rationale: A fundal height of 38 cm at 32 weeks suggests macrosomia or polyhydramnios, complications of gestational diabetes, requiring reporting. Normal glucose, fetal movements, and edema are not concerning.

Extract:

A client who is 2 days postpartum following a vaginal delivery and reports constipation


Question 4 of 5

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?

Correct Answer: B

Rationale: A third-degree perineal laceration contraindicates suppositories due to risk of further trauma. Distention, candidiasis, and afterpains do not preclude suppository use.

Extract:

A client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia


Question 5 of 5

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 as an adverse reaction to the medication?

Correct Answer: D

Rationale: Urine output of 20 mL/hr indicates oliguria, an adverse effect of magnesium sulfate signaling potential toxicity. Hypertension is preeclampsia-related, hyperglycemia is unrelated, and 16/min respiration is normal.

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