ATI RN
ATI Maternal Newborn Exam 2 Questions
Extract:
A client who is at 32 weeks of gestation and is receiving magnesium sulphate via continuous IV infusion
Question 1 of 5
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?
Correct Answer: C
Rationale: Absent deep tendon reflexes indicate magnesium toxicity, a serious complication requiring immediate reporting to prevent further harm, unlike reduced contractions (desired effect), elevated BP (monitor but less urgent), or low-normal urine output.
Extract:
A client and her partner during labor
Question 2 of 5
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?
Correct Answer: B
Rationale: Counterpressure on the lower back with a tennis ball relieves labor pain, unlike uterine pressure (harmful), hand pressure (ineffective), or abdominal pressure (unrelated to pain relief).
Extract:
A client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia
Question 3 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 is an adverse reaction to the medication?
Correct Answer: D
Rationale: Urine output of 20 mL/hr suggests oliguria, risking magnesium toxicity due to poor renal excretion, unlike hypertension (preeclampsia symptom), hypoglycemia (unrelated), or normal respiratory rate.
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 to avoid further trauma and delayed healing, unlike distention, candidiasis, or afterpain, which are not contraindications.
Extract:
A client who is at 32 weeks of gestation and has gestational diabetes mellitus
Question 5 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, a gestational diabetes complication, requiring reporting, unlike normal glucose, fetal movements, or edema.