ATI RN
Maternal Newborn ATI Quizlet Questions
Question 1 of 5
What is one difference between the copper IUC and the LNG-IUC?
Correct Answer: B
Rationale: The correct answer is B: placement in the uterus. The copper IUC and LNG-IUC differ in where they are positioned in the uterus. The copper IUC is a T-shaped device placed in the uterus to prevent pregnancy through copper ions, while the LNG-IUC releases hormones and is also placed in the uterus but is a different shape, typically a smaller T or a rounded shape. The placement of the device is crucial for its effectiveness and type of hormone release. Other choices (A) efficacy, (C) presence of a normal period, and (D) shape, do not directly differentiate between the two types of IUCs.
Question 2 of 5
A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Titrate the infusion rate by 4 milliunits/min. This is the appropriate intervention because oxytocin is a potent uterotonic agent used for labor induction. By titrating the infusion rate by 4 milliunits/min, the nurse can closely monitor and adjust the dose to achieve the desired uterine contractions without causing hyperstimulation. Increasing the infusion rate every 30 to 60 min (A) can lead to rapid and uncontrolled contractions. Maintaining the client in a supine position (B) can decrease blood flow to the placenta. Limiting IV intake to 4 L per 24 hr (D) is not necessary and may lead to dehydration.
Question 3 of 5
A nurse is caring for newborn who is 1 hr. old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to reposition the newborn. The vital signs provided indicate that the newborn may be experiencing cold stress, which can lead to hypothermia. Repositioning the newborn can help conserve heat and maintain a stable temperature. Giving a warm bath (choice A) may further decrease body temperature. Applying a cap (choice B) may help retain heat but does not address the underlying issue. Obtaining an oxygen saturation level (choice D) is not necessary based on the information provided.
Question 4 of 5
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?
Correct Answer: C
Rationale: The correct answer is C: Bilateral crackles. When a client is receiving an opioid analgesic via an epidural block, a potential adverse effect is respiratory depression, leading to the accumulation of fluid in the lungs and the development of bilateral crackles upon auscultation. Hypnosis (choice A) is not typically associated with opioid analgesics. Polyuria (choice B) is not a common side effect of opioids or epidural blocks. Hyperglycemia (choice D) is not a direct adverse effect of opioid analgesics administered through an epidural block. Monitoring for bilateral crackles is crucial to detect and address respiratory depression promptly.
Question 5 of 5
A nurse is reviewing a laboratory results for a client who is at 33 weeks of gestation and has preeclampsia. Which of the following laboratory results should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: BUN 35 mg/dL. In preeclampsia, elevated BUN levels indicate impaired kidney function, a serious complication. High BUN can lead to renal damage. Hgb, Hct, and Bilirubin levels are within normal ranges for pregnancy, so they do not indicate a critical issue. Reporting BUN level is crucial for monitoring kidney function and preventing further complications in preeclampsia.