ATI RN
ATI Maternal Newborn Exam 2 Questions
Extract:
A client who is at 32 weeks of gestation and is receiving magnesium sulphate via continuous IV infusion
Question 1 of 5
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulphate via continuous IV infusion. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Absent deep tendon reflexes indicate magnesium toxicity, a serious complication requiring immediate reporting to prevent further harm, unlike reduced contractions (desired effect), elevated BP (monitor but less urgent), or low-normal urine output.
Extract:
A client who is postpartum and experiencing hypovolemic shock
Question 2 of 5
A nurse is caring for a client who is postpartum and experiencing hypovolemic shock. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Cool, clammy skin results from vasoconstriction in hypovolemic shock, unlike normal respiratory rate, bounding pulses (compensatory tachycardia typical), or low-normal urine output.
Extract:
A client who is 2 days postpartum and wants to continue using her diaphragm for contraception
Question 3 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Postpartum vaginal changes require diaphragm refitting for effectiveness, unlike incorrect washing (correct but not primary), 4-hour retention (6 hours minimum), or oil-based lubricant (damages diaphragm).
Extract:
A newborn undergoing Babinski reflex assessment
Question 4 of 5
A nurse is performing an assessment of a newborn's Babinski reflex. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A positive Babinski reflex in newborns shows dorsiflexion and fanning of toes, unlike forearm flexion, toe curling, or leg extension.
Extract:
A client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia
Question 5 of 5
A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations is an adverse reaction to the medication?
Correct Answer: D
Rationale: Urine output of 20 mL/hr suggests oliguria, risking magnesium toxicity due to poor renal excretion, unlike hypertension (preeclampsia symptom), hypoglycemia (unrelated), or normal respiratory rate.