ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client who has just delivered her first newborn with anticipated hyperbilirubinemia due to Rh incompatibility
Question 1 of 5
A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of the following reasons?
Correct Answer: A
Rationale: Rh-negative maternal antibodies attack Rh-positive fetal red blood cells, causing hemolysis and hyperbilirubinemia.
Extract:
Client with preeclampsia receiving magnesium sulfate IV, respiratory rate 10/min, absent deep-tendon reflexes
Question 2 of 5
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Respiratory depression and absent reflexes indicate magnesium toxicity; discontinuing the infusion prevents further complications.
Extract:
Client at 38 weeks of gestation with severe preeclampsia
Question 3 of 5
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?
Correct Answer: A
Rationale: Severe headaches are a common symptom of preeclampsia due to hypertension and cerebral edema, indicating a need for immediate management.
Extract:
Client receiving magnesium sulfate for preterm labor
Question 4 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 primigravida, at term, having contractions
Question 5 of 5
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is 'not really sure if she is in labor or not.' Which of the following should the nurse recognize as a sign of true labor?
Correct Answer: C
Rationale: Progressive cervical effacement and dilation confirm true labor, distinguishing it from false labor.