ATI RN
Maternal Newborn Nursing Questions
Question 1 of 5
A newborn's birth was prolonged because the shoulders were very wide. The nurse performing the assessment would be particularly observant for a problem with the:
Correct Answer: A
Rationale: The Moro reflex is a normal infantile reflex that is typically present at birth and disappears around 4-6 months of age. This reflex is triggered by a sudden loss of support or a loud noise, causing the infant to throw back the head and extend the arms in a gesture as if trying to grab something. In a situation where the newborn's birth was prolonged due to wide shoulders, there is a higher risk of injury to the brachial plexus (nerves that control arm movement) during delivery. Damage to the brachial plexus can result in weakness or paralysis of the affected arm, and this may impact the Moro reflex as it involves the arms' movement. Therefore, the nurse would be particularly observant for any abnormality or lack of response in the Moro reflex as it may indicate potential nerve injury related to the difficult birth.
Question 2 of 5
What is the nurse's role when preparing a mother for epidural anesthesia?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
What is the priority action for a newborn with a positive Coombs test?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 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 5 of 5
With regard to the care management of preterm labor should the nurse should be aware of?
Correct Answer: A
Rationale: Preterm labor is diagnosed based on a combination of factors including gestational age (typically less than 37 weeks), uterine activity (regular, painful contractions), and progressive changes in the cervix (dilation, effacement, or both). It is important for the nurse to be aware of these criteria to promptly recognize and manage preterm labor to reduce the risk of complications for both the mother and the baby. Early detection and timely intervention can help improve outcomes for preterm infants.