Questions 61

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ATI RN maternal newborn 2019 with NGN Exam 2 Questions

Extract:

A client who has developed eclampsia


Question 1 of 5

A nurse is caring for a client who has developed eclampsia. Which of the following actions should the nurse implement after the client experiences a convulsion?

Correct Answer: A

Rationale: Oxygen at 10 L/min supports post-convulsion respiratory needs. Trendelenburg risks intracranial pressure, voiding isn't urgent, and calcium gluconate isn't for eclampsia.

Extract:

A full-term newborn


Question 2 of 5

A nurse is assessing a full-term newborn. Which of the following findings should the nurse report to the provider?

Correct Answer: D

Rationale: A heart rate of 72/min is below the normal range (120-160/min) and may indicate distress, requiring reporting. Other findings are within normal limits.

Extract:

A client at 34 weeks of gestation with epigastric pain and headache, a client at 12 weeks with nausea, a client at 38 weeks with painful urination, a client at 39 weeks with cramping and spotting


Question 3 of 5

A nurse on an antepartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?

Correct Answer: B

Rationale: Epigastric pain and headache suggest preeclampsia, a serious condition needing immediate assessment. Other symptoms are less urgent.

Extract:

A client who has preeclampsia and is receiving magnesium sulfate


Question 4 of 5

A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?

Correct Answer: D

Rationale: Increased muscle weakness may indicate magnesium toxicity, requiring immediate reporting. Other findings are normal or positive.

Extract:

A newborn with pulse oximetry 91%, irregular respiratory rate, beginning to cough, respiratory rate 32/min


Question 5 of 5

A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?

Correct Answer: A

Rationale: Pulse oximetry of 91% suggests hypoxia, indicating a need for suctioning. Irregular rate, coughing, and 32/min rate are normal or not urgent.

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