ATI RN
Maternal Newborn Nursing Questions
Question 1 of 5
The nurse is performing a prenatal assessment on a client with gestational diabetes. What statement by the client indicates effective teaching?
Correct Answer: C
Rationale: Regular blood sugar monitoring is crucial to manage gestational diabetes effectively and avoid complications.
Question 2 of 5
Upon delivery of the newborn, the nursing intervention that most promotes parental attachment is:
Correct Answer: C
Rationale: Skin-to-skin contact enhances bonding.
Question 3 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 4 of 5
A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method?
Correct Answer: C
Rationale: Facial Palsy is a complication that may occur following a forceps-assisted birth. Forceps delivery carries the risk of exerting pressure on the infant's facial nerves, leading to temporary facial weakness or paralysis. This condition is known as facial palsy. It typically resolves on its own without long-term consequences, but careful monitoring and follow-up are necessary.
Question 5 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.