ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Client with preeclampsia receiving magnesium sulfate, respiratory rate 8/min
Question 1 of 5
A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?
Correct Answer: D
Rationale: Respiratory depression (8/min) indicates magnesium sulfate toxicity. Calcium gluconate is the antidote, stabilizing cell membranes and counteracting magnesium's effects. Protamine sulfate, naloxone, and flumazenil treat other overdoses, not magnesium toxicity.
Extract:
Newborn for PKU testing
Question 2 of 5
A nurse is reinforcing teaching about phenylketonuria (PKU) testing with the parent of a newborn. Which of the following statements by the parent indicates a need for further teaching?
Correct Answer: A
Rationale: Special lights treat jaundice, not PKU, indicating a need for further teaching. PKU is managed by diet, may require repeat testing, and should be tested after fasting, not feeding.
Extract:
Question 3 of 5
What is perinatal injury?
Correct Answer: D
Rationale: Perinatal injury occurs around birth, affecting the newborn due to labor forces or interventions, like fractures or nerve damage. Perineal, maternal, or fetal injuries are distinct categories.
Extract:
Term newborn following cesarean birth, slightly yellow skin
Question 4 of 5
A nurse is admitting a term newborn to the nursery following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow. This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: A
Rationale: Yellow skin within 24 hours suggests pathologic jaundice, often from blood group incompatibility causing hemolysis and bilirubin rise. Vitamin K deficiency causes bleeding, cocaine abuse unrelated to jaundice, and physiologic jaundice appears later.
Extract:
Newborn
Question 5 of 5
A nurse is collecting data about reflexes from a newborn. Which of the following actions should the nurse take to elicit the newborn's Moro reflex?
Correct Answer: C
Rationale: A sharp hand clap elicits the Moro reflex, causing arm extension and crying due to a startle response. Other actions trigger stepping, tonic neck, or Babinski reflexes.