ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client receiving magnesium sulfate for preterm labor
Question 1 of 5
A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?
Correct Answer: A
Rationale: Respiratory depression is a critical sign of magnesium toxicity, necessitating immediate reporting and intervention.
Extract:
Client who is postpartum
Question 2 of 5
A nurse is caring for a client who is postpartum. The nurse should recognize which of the following statements as an indication of inhibition of parental attachment?
Correct Answer: D
Rationale: Focusing on a perceived imperfection suggests potential inhibition of parental attachment, requiring further assessment.
Extract:
Client at 40 weeks of gestation in labor with external fetal monitoring
Question 3 of 5
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Late decelerations suggest uteroplacental insufficiency; placing the client in the lateral position first improves blood flow to the fetus, addressing potential hypoxia.
Extract:
Client experiencing rapidly progressing labor
Question 4 of 5
A nurse is caring for a client who presents to a labor and delivery unit experiencing rapidly progressing labor. Which of the following is the priority action for the nurse to take?
Correct Answer: C
Rationale: Applying perineal pressure controls delivery speed, preventing uncontrolled delivery and fetal injury in rapid labor.
Extract:
Client who just delivered a newborn
Question 5 of 5
A nurse is caring for a client who just delivered a newborn. Following the delivery, the mother asks, 'How will I know to care for the newborn?'
Correct Answer: A
Rationale: Drying and covering the newborn prevents heat loss, a critical immediate care step post-delivery.