ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client in labor with epidural anesthesia, BP 80/40 mmHg, fetal heart rate 140/min
Question 1 of 5
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40mmHg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Hypotension from epidural anesthesia requires lateral positioning to improve maternal and fetal circulation.
Extract:
Woman contemplating pregnancy
Question 2 of 5
A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Folic acid reduces neural tube defect risk by supporting early neural tube formation in the fetus.
Extract:
Client with preeclampsia receiving magnesium sulfate IV, respiratory rate 10/min, absent deep-tendon reflexes
Question 3 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:
Newborn immediately following a scheduled cesarean delivery
Question 4 of 5
A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse's priority?
Correct Answer: B
Rationale: Respiratory distress is the priority assessment post-cesarean to ensure adequate newborn oxygenation.
Extract:
Client receiving magnesium sulfate for preterm labor
Question 5 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.