ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client receiving intravenous magnesium sulfate for preeclampsia.
Question 1 of 5
A nurse is caring for a client who is receiving intravenous magnesium sulfate for preeclampsia. Which assessment finding would alert the nurse to suspect magnesium toxicity?
Correct Answer: D
Rationale: Absent deep tendon reflexes indicate magnesium toxicity, as high magnesium levels depress neuromuscular function, requiring immediate intervention.
Extract:
Client at 36 weeks of gestation with preeclampsia, reporting continuous severe abdominal pain and vaginal bleeding.
Question 2 of 5
A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has preeclampsia. Suddenly, the client reports continuous severe abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications?
Correct Answer: B
Rationale: Abruptio placentae is characterized by severe abdominal pain and vaginal bleeding due to premature placental separation, a medical emergency in preeclampsia.
Extract:
38-year-old multigravida at 36 weeks, BP 140/90, pulse 80, respiratory rate 16, suspected preeclampsia.
Question 3 of 5
A 38-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation. Assessment findings include: blood pressure 140/90 mm Hg; pulse, 80 beats/min; respiratory rate, 16 breaths/min. The nurse suspects preeclampsia. What additional finding would the nurse assess for?
Correct Answer: C
Rationale: Proteinuria is a key diagnostic criterion for preeclampsia, indicating kidney involvement alongside elevated blood pressure.
Extract:
Client on electronic fetal monitor experiencing tachysystole.
Question 4 of 5
A nurse is caring for a client who is on the electronic fetal monitor and the nurse notices that the client is experiencing tachysystole. Which of the following describes tachysystole?
Correct Answer: C
Rationale: Tachysystole is defined as more than five contractions in 10 minutes, which can reduce fetal blood flow and cause distress.
Extract:
Client 4 hours postpartum following a vaginal delivery, with brisk patellar deep tendon reflexes, moderate lochia, fundus at umbilicus, approximated episiotomy edges.
Question 5 of 5
A nurse is assessing a client who is 4 hours postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: Brisk patellar deep tendon reflexes may indicate central nervous system irritability, potentially linked to preeclampsia, requiring priority assessment.