ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia.
Question 1 of 5
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Urinary output of 40 mL in 2 hr is below the expected amount and indicates renal impairment, a potential sign of magnesium toxicity or worsening pre-eclampsia, which should be reported to the provider.
Extract:
Client was middle aged and married. She was in labor for 25 hours and forceps were used to assist with the delivery. She was given an epidural for anesthesia that was effective. The labor and delivery nurse reported that the client had a 4th degree laceration, and her pain was currently at a 4 on a 0 to 10 pain scale. Her vital signs were stable, and she was catheterized for 500 mL of light-yellow urine just prior to delivery. Her spouse was at the bedside for delivery.
Question 2 of 5
The nurse is reviewing the client's chart. Click to highlight areas of client history and physical that increase the risk for postpartum hemorrhage.
Correct Answer: B, C, D
Rationale: Forceps-assisted delivery, a 4th degree laceration, and prolonged labor (25 hours) increase the risk of postpartum hemorrhage due to potential trauma to the birth canal and uterine atony.
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR.
Question 3 of 5
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Administering oxygen at 10 L/min via a nonrebreather mask is the first action to increase oxygen saturation and prevent fetal hypoxia caused by uteroplacental insufficiency indicated by late decelerations.
Extract:
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Blood pressure 80/56 mm Hg, Temperature 38.2°C (100.8°F), reports weakness of the lower extremities, reports profuse itching.
Question 4 of 5
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: Blood pressure 80/56 mm Hg indicates hypotension, a serious complication of epidural analgesia that can compromise maternal and fetal perfusion, making it the priority finding requiring immediate intervention.
Extract:
A nurse is caring for a group of clients on an intrapartum unit. A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved headache; A client who has a diagnosis of preeclampsia has 2+ proteinuria and 2+ patellar reflexes; A client who is at 28 weeks of gestation and receiving terbutaline reports fine tremors; A tearful client who is at 32 weeks of gestation and is experiencing irregular, frequent contractions.
Question 5 of 5
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?
Correct Answer: A
Rationale: Epigastric pain and unresolved headache in a client with preeclampsia indicate severe preeclampsia, which can progress to eclampsia, requiring immediate reporting and intervention.