ATI RN
ATI RN VATI Maternal Newborn Questions
Extract:
Client with preeclampsia, received calcium gluconate for magnesium sulfate toxicity
Question 1 of 5
A nurse is assessing a client who has preeclampsia and received a dose of calcium gluconate to treat magnesium sulfate toxicity. Which of the following findings should the nurse identify as an indication that calcium gluconate was effective?
Correct Answer: A
Rationale: A respiratory rate of 12/min indicates reversal of respiratory depression, a key sign of magnesium sulfate toxicity.
Extract:
Client at 9 weeks of gestation in active labor
Question 2 of 5
A nurse is admitting a client who is at 9 weeks of gestation and in active labor when screened at 6 weeks of gestation. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: IV antibiotic prophylaxis is critical to prevent infections in early gestation labor, protecting mother and fetus.
Extract:
2-day-old newborn with bilirubin level of 14 mg/dL
Question 3 of 5
A nurse is caring for a 2-day-old newborn who has a bilirubin level of 14 mg/dL (1 to 12 mg/dL) and is to begin phototherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Monitoring intake and output ensures hydration and assesses phototherapy effectiveness in reducing bilirubin levels.
Extract:
Client requiring amniotomy during labor
Question 4 of 5
A charge nurse is preparing to discuss actions to take for clients who require an amniotomy during labor with a newly licensed nurse. Which of the following statements should the charge nurse include during the discussion?
Correct Answer: A
Rationale: Frequent temperature checks monitor for infection, a risk post-amniotomy.
Extract:
30-year-old female 3 days postpartum, prolonged rupture of membranes
Question 5 of 5
A nurse is caring for a client who is 3 days postpartum in the postpartum unit. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Fever, malodorous lochia, and tender fundus suggest postpartum infection, requiring antibiotics.