ATI RN
Maternal Newborn Nursing Questions
Question 1 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 2 of 5
A primigravida is dilated 5cm just received epidural for pain. She complains of feeling lightheaded within 10 minutes after the
Correct Answer: A
Rationale: The incomplete statement suggests a potential medical emergency where the patient's blood pressure may have dropped significantly after the epidural procedure. The drop in blood pressure could be causing the patient to feel lightheaded. In this scenario, the most appropriate course of action would be to promptly address the drop in blood pressure to prevent any potential complications.
Question 3 of 5
After delivery it is determined there is a placental accreta, what intervention should the nurse anticipate?
Correct Answer: A
Rationale: In the case of placental accreta, where the placenta is abnormally attached to the uterine wall, it can be very difficult to detach the placenta without significant bleeding. In severe cases, the safest intervention to prevent life-threatening hemorrhage is a hysterectomy, which involves the removal of the uterus. This is a serious surgical procedure that may be necessary to save the mother's life. Other interventions mentioned in the options (IV antibiotic, IV Pitocin, 2L oxygen by mask) may be part of the management plan but would not address the underlying issue of placental accreta like a hysterectomy would.
Question 4 of 5
A client is warm and asks for a fan to put in the room. The nurse enters the room to assess the mother and infant and finds the infant unwrapped in his crib with the fan blowing on them on high. The nurse instructs the mother that the fan should not be directed at the newborn and the infant should be wrapped in a blanket. The mother asks why?
Correct Answer: A
Rationale: The correct answer is A. Directing a fan towards a newborn can cause heat loss by convection. Convection is the transfer of heat through the movement of air or water. In this case, the fan blowing cool air directly on the infant can cause heat loss from the baby's body. Newborns have limited ability to regulate their body temperature, so it's important to keep them comfortably warm by using appropriate clothing and blankets rather than exposing them to direct air flow from a fan.
Question 5 of 5
What is a statement about premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) that is true?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.