ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A client who is at 34 weeks of gestation and at risk for placental abruption.
Question 1 of 5
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: B
Rationale: Hypertension is the primary risk factor for abruption, causing vasospasm and placental detachment in about half of cases.
Extract:
A client who is receiving magnesium sulfate to treat severe preeclampsia.
Question 2 of 5
Which compound would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia?
Correct Answer: D
Rationale: Calcium gluconate reverses magnesium sulfate toxicity, critical for managing respiratory depression or cardiac issues.
Extract:
A client who is at 37 weeks of gestation and has severe gestational hypertension.
Question 3 of 5
A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension. Which of the following actions should the nurse expect to implement?
Correct Answer: A,D,E
Rationale: Dark environment, calcium gluconate availability, and magnesium sulfate prevent seizures and manage toxicity in severe hypertension. Frequent assessments are needed.
Extract:
A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment, the nurse finds the following vital signs: temperature 37.3°C, pulse rate 88 beats per minute, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. The client complains, 'I'm so thirsty and warm.'
Question 4 of 5
A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment, the nurse finds the following vital signs: temperature 37.3°C, pulse rate 88 beats per minute, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. The client complains, 'I'm so thirsty and warm.' What is the nurse's immediate action?
Correct Answer: C
Rationale: Absent reflexes and low respiratory rate indicate magnesium toxicity, requiring immediate infusion discontinuation to prevent respiratory arrest.
Extract:
A client who is at 36 weeks of gestation and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding.
Question 5 of 5
A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications?
Correct Answer: D
Rationale: Abruptio placentae causes painful bleeding and is associated with hypertension, unlike painless previa, cord prolapse, or painless cervical issues.