ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client in labor with epidural anesthesia
Question 1 of 5
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: A
Rationale: Hypotension is a common epidural complication due to sympathetic nerve blockade, requiring prompt intervention.
Extract:
Client who is postpartum and received methylergonovine
Question 2 of 5
A nurse is caring for a client who is postpartum and received methylergonovine. Which one of the following findings indicate that the medication was effective?
Correct Answer: C
Rationale: A firm fundus indicates effective uterine contraction, the desired effect of methylergonovine to prevent postpartum hemorrhage.
Extract:
Newborn's parent
Question 3 of 5
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Sponge baths keep the cord stump dry, promoting healing and preventing infection, unlike petroleum jelly or covering with a diaper, which can retain moisture.
Extract:
Client receiving magnesium sulfate for suspected placenta previa
Question 4 of 5
A nurse is assessing a client who is receiving magnesium sulfate to treat a suspected placenta previa. Which of the following findings must the nurse report to the provider?
Correct Answer: D
Rationale: Urinary output <30 mL/hr indicates potential renal insufficiency, a serious magnesium sulfate side effect requiring immediate reporting.
Extract:
Client in her first trimester of pregnancy
Question 5 of 5
A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client tells the nurse that she is upset because, although she and her husband planned this pregnancy, she has been having many doubts and second thoughts about the upcoming changes in her life. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Ambivalent feelings are normal in early pregnancy due to hormonal and life changes; this response validates the client's emotions.