ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client in labor
Question 1 of 5
A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: C
Rationale: An urge to have a bowel movement during contractions may indicate fetal descent and progression to the second stage of labor, requiring immediate reassessment for cervical dilation and delivery readiness.
Extract:
Client at 30 weeks of gestation receiving magnesium sulfate for preeclampsia
Question 2 of 5
A nurse is caring for a client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication.
Correct Answer: D
Rationale: A urine output of 20 mL/hr indicates an adverse reaction to magnesium sulfate, as it suggests decreased renal function, which can lead to toxicity. Normal urine output should be at least 30 mL/hr.
Extract:
Client with preeclampsia receiving magnesium sulfate
Question 3 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: C
Rationale: Increased muscle weakness may indicate magnesium sulfate toxicity, which can lead to serious complications like respiratory depression, and should be reported immediately.
Extract:
Client with pudendal nerve block
Question 4 of 5
A nurse is caring for a client who has had a pudendal nerve block. The nurse should monitor for which of the following findings as an adverse effect?
Correct Answer: C
Rationale: Fetal bradycardia is a potential adverse effect of a pudendal nerve block, as the anesthesia may affect fetal heart rate, requiring close monitoring.
Extract:
Term newborn
Question 5 of 5
A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position, which of the following methods should the nurse use to elicit the Moro reflex?
Correct Answer: C
Rationale: Making a loud noise above the newborn elicits the Moro reflex, characterized by arm extension and crying, indicating neurological health.