ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who has preeclampsia and is receiving magnesium sulfate
Question 1 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: A
Rationale: Muscle weakness may indicate magnesium toxicity, a serious adverse effect requiring immediate reporting. Increased fetal movement, respiratory rate, or urinary output are not concerning.
Extract:
A client who has placenta previa
Question 2 of 5
A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Painless vaginal bleeding is the hallmark of placenta previa due to the placenta covering the cervix. Headaches, hypertonicity, or a rigid abdomen are more associated with other conditions like preeclampsia or abruption.
Extract:
None
Question 3 of 5
A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching?
Correct Answer: C
Rationale: Retained placental fragments prevent uterine contraction, leading to excessive bleeding, a primary cause of postpartum hemorrhage. Pregnancy-induced hypertension, meconium-stained fluid, and oligohydramnios are not direct risk factors for postpartum hemorrhage.
Extract:
A client who reports spontaneous rupture of membranes, fetal bradycardia, umbilical cord protruding
Question 4 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: Applying upward pressure on the presenting part relieves cord compression, addressing fetal bradycardia. Covering the cord, oxygen, and fluids are secondary actions.
Extract:
A client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion
Question 5 of 5
A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy?
Correct Answer: B
Rationale: Monitoring serum magnesium levels prevents toxicity during tocolytic therapy. Coombs test, liver enzymes, and uric acid are unrelated to magnesium sulfate management.