ATI RN
Maternal Newborn Nursing Questions
Question 1 of 5
What is the first action when a newborn has a heart rate below 100 bpm immediately after birth?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 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 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
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.
Question 5 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.