ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client who just delivered a newborn
Question 1 of 5
A nurse is caring for a client who just delivered a newborn. Following the delivery, the mother asks, 'How will I know to care for the newborn?'
Correct Answer: A
Rationale: Drying and covering the newborn prevents heat loss, a critical immediate care step post-delivery.
Extract:
Client in labor with epidural anesthesia, BP 80/40 mmHg, fetal heart rate 140/min
Question 2 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:
Client at 40 weeks of gestation in labor with fetus small for gestational age (SGA)
Question 3 of 5
A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client's ultrasound examination indicates that the fetus is small for gestational age (SGA). Which of the following interventions should be included in the newborn's plan of care?
Correct Answer: C
Rationale: SGA newborns are at risk for meconium aspiration syndrome due to intrauterine stress, requiring monitoring of respiratory secretions.
Extract:
Client receiving magnesium sulfate for suspected placenta previa
Question 4 of 5
A nurse is assessing a client who is receiving magnesium sulfate to treat a suspected placenta previa. Which of the following findings must the nurse report to the provider?
Correct Answer: D
Rationale: Urinary output <30 mL/hr indicates potential renal insufficiency, a serious magnesium sulfate side effect requiring immediate reporting.
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.