ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client who has just delivered her first newborn with anticipated hyperbilirubinemia due to Rh incompatibility
Question 1 of 5
A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
Correct Answer: A
Rationale: Rh-negative maternal antibodies attack Rh-positive fetal red blood cells, causing hemolysis and hyperbilirubinemia.
Extract:
Client with preeclampsia receiving magnesium sulfate IV, respiratory rate 10/min, absent deep-tendon reflexes
Question 2 of 5
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Respiratory depression and absent reflexes indicate magnesium toxicity; discontinuing the infusion prevents further complications.
Extract:
Client at 10 weeks of gestation with abdominal pain and moderate vaginal discharge, tentative diagnosis of inevitable abortion
Question 3 of 5
A nurse is planning care for a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal discharge. The tentative diagnosis is inevitable abortion. Which of the following nursing interventions should be included in the plan of care?
Correct Answer: A
Rationale: Bed rest reduces complications and provides comfort during an inevitable abortion.
Extract:
Client at 40 weeks of gestation in labor with suspected placenta previa, reports saturated pads
Question 4 of 5
A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two pads with blood. The nurse caring for her suspects placenta previa. Which of the following is an appropriate nursing action?
Correct Answer: A
Rationale: Placenta previa often requires cesarean birth to prevent severe bleeding, as vaginal delivery can exacerbate hemorrhage.
Extract:
Client at 40 weeks of gestation in labor with fetus small for gestational age (SGA)
Question 5 of 5
A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client's ultrasound examination indicates that the fetus is small for gestational age (SGA). Which of the following interventions should be included in the newborn's plan of care?
Correct Answer: C
Rationale: SGA newborns are at risk for meconium aspiration syndrome due to intrauterine stress, requiring monitoring of respiratory secretions.