ATI RN
ATI Maternity Nur230 Questions
Extract:
Client with severe preeclampsia receiving magnesium sulfate IV
Question 1 of 5
A nurse is administering magnesium sulfate IV to a client with severe preeclampsia for seizure prophylaxis. Which of the following are indications of magnesium sulfate toxicity? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Magnesium sulfate toxicity can cause flushing, decreased consciousness, low urinary output, and respiratory depression, requiring immediate intervention.
Extract:
Client at 33 weeks of gestation with placenta previa
Question 2 of 5
A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. What is the priority nursing action?
Correct Answer: A
Rationale: Monitoring vaginal bleeding is critical in placenta previa due to the risk of severe hemorrhage.
Extract:
Patient in labor who has received epidural anesthesia
Question 3 of 5
A nurse is monitoring a patient in labor who has received epidural anesthesia for pain management. What should the nurse recognize as a potential complication from the epidural block?
Correct Answer: C
Rationale: Epidural anesthesia can cause vasodilation, leading to hypotension, a common complication requiring monitoring.
Extract:
8-year-old child diagnosed with acute rheumatic fever
Question 4 of 5
A nurse is attending to an 8-year-old child diagnosed with acute rheumatic fever. What should be the nurse's immediate priority assessment after admission?
Correct Answer: B
Rationale: Auscultating heart sounds is critical due to the risk of cardiac complications like carditis in acute rheumatic fever.
Extract:
Client at 8th week of gestation who does not like milk
Question 5 of 5
A nurse in a prenatal clinic is providing education to a client who is in the 8th week of gestation. The client states that she does not like milk. What is a good source of calcium that the nurse can recommend to the client?
Correct Answer: D
Rationale: Dark green, leafy vegetables are rich in calcium, suitable for a client avoiding milk.