ATI RN
Maternal Newborn Nursing Questions
Question 1 of 5
A client at 32 weeks' gestation is experiencing preterm labor. What is the primary goal of tocolytic therapy?
Correct Answer: B
Rationale: Tocolytics are used to delay preterm delivery, allowing time for fetal lung maturity with corticosteroid administration.
Question 2 of 5
A nurse is monitoring a client with severe preeclampsia who is
Correct Answer: D
Rationale: The absence of deep tendon reflexes (DTR) is a concerning sign of toxicity of magnesium sulfate in a client with preeclampsia. Magnesium sulfate is commonly used for seizure prophylaxis in preeclampsia, but toxicity can occur, leading to neuromuscular deficits. Absence of DTR indicates muscle relaxation or paralysis, which is a serious sign of magnesium toxicity and requires immediate intervention to prevent further complications. Monitoring and recognizing this symptom promptly is crucial to prevent severe outcomes such as respiratory depression or cardiac arrest. Other signs of magnesium toxicity include decreased level of consciousness, decreased respiratory rate, and cardiac arrhythmias.
Question 3 of 5
The nurse is monitoring a client receiving magnesium sulfate for preeclampsia. What finding indicates the need to discontinue the infusion?
Correct Answer: B
Rationale: A respiratory rate below 12 breaths per minute is a sign of magnesium sulfate toxicity, requiring immediate discontinuation.
Question 4 of 5
A neonate is being discharged home with a fiber-optic blanket for treatment of physiologic jaundice. What is important for the nurse to include in the discharge instructions?
Correct Answer: C
Rationale: Frequent feeding aids in bilirubin excretion.
Question 5 of 5
What should be included in counseling about Gardasil, a vaccine for human papillomavirus (HPV)?
Correct Answer: C
Rationale: Pain at the injection site is the most common side effect.