ATI PN Maternal Newborn Rn X1 | Nurselytic

Questions 47

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ATI PN Maternal Newborn Rn X1 Questions

Extract:

newborn, mother positive for hepatitis B surface antigen


Question 1 of 5

A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive?

Correct Answer: C

Rationale: Administering both hepatitis B immune globulin and the vaccine within 12 hours of birth provides immediate protection and initiates long-term immunity against hepatitis B.

Extract:

client, vaginal birth 2 hours ago


Question 2 of 5

A nurse is reviewing the medical record of a client who experienced a vaginal birth 2 hours ago. The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?

Correct Answer: A

Rationale: Precipitous birth increases the risk of uterine atony, a major cause of postpartum hemorrhage due to rapid delivery.

Extract:

patient, magnesium sulfate, preterm labor, 1 gram/hour


Question 3 of 5

Your patient is receiving magnesium sulfate for neuroprotection and preterm labor at 1 gram/hour. The most concerning vital sign below is:

Correct Answer: B

Rationale: A respiratory rate of 9 indicates potential magnesium toxicity, requiring immediate cessation of the infusion and administration of calcium gluconate.

Extract:

client, 38 weeks gestation, biophysical profile score of 10


Question 4 of 5

A nurse is caring for a client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: A biophysical profile score of 10 is normal, indicating fetal well-being, so reassurance is appropriate.

Extract:

client, epidural anesthesia, BP 80/40 mm Hg, fetal heart rate 100 beats/min


Question 5 of 5

A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 100 beats/min. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: A lateral position relieves vena cava compression, improving maternal BP and fetal perfusion, addressing hypotension and fetal bradycardia.

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