ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Adolescent client with pelvic inflammatory disease from a sexually transmitted infection
Question 1 of 5
A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection and will need intravenous antibiotic therapy. The client tells the nurse 'My parents think I am a virgin. I don't think I can tell them I have this kind of an infection.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Acknowledging the client's fear encourages therapeutic communication and respects confidentiality.
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 undergoing an amniotomy
Question 3 of 5
A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
Correct Answer: B
Rationale: Obtaining a 30-minute EFM strip before amniotomy establishes a baseline fetal heart rate, identifying potential distress.
Extract:
Client with preeclampsia receiving magnesium sulfate IV, respiratory rate 10/min, absent deep-tendon reflexes
Question 4 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:
Client undergoing an amniotomy
Question 5 of 5
A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
Correct Answer: D
Rationale: Assessing fetal heart rate post-amniotomy detects complications like cord prolapse, ensuring fetal well-being.