Questions 56

ATI RN

ATI RN Test Bank

ATI RN VATI Maternal Newborn Questions

Extract:

Client in latent phase of labor


Question 1 of 5

A nurse is developing a plan of care for a client who is in the latent phase of labor. Which of the following interventions should the nurse include in the plan to manage the client's pain?

Correct Answer: A

Rationale: Music is a non-pharmacological method to manage pain and anxiety in the latent phase.

Extract:

Client with preeclampsia, received calcium gluconate for magnesium sulfate toxicity


Question 2 of 5

A nurse is assessing a client who has preeclampsia and received a dose of calcium gluconate to treat magnesium sulfate toxicity. Which of the following findings should the nurse identify as an indication that calcium gluconate was effective?

Correct Answer: A

Rationale: A respiratory rate of 12/min indicates reversal of respiratory depression, a key sign of magnesium sulfate toxicity.

Extract:

Client 6 hr postpartum, tachycardic, cool skin, excessive bleeding


Question 3 of 5

A nurse is assessing a client who is 6 hr postpartum, tachycardic, and has cool skin. The client reports that they have been bleeding excessively. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Oxytocin promotes uterine contractions to reduce postpartum bleeding, addressing the excessive bleeding.

Extract:

28-year-old female in fourth stage of labor, boggy fundus, heavy lochia rubra


Question 4 of 5

A nurse is caring for a 28-year-old female client in the labor and delivery unit who is in the fourth stage of labor. The nurse should first monitor the client's __ followed by the client's __.

Correct Answer: A,B

Rationale: Monitoring fundal tone addresses uterine atony, a cause of hemorrhage, followed by blood pressure to detect hypovolemic shock.

Extract:


Question 5 of 5

A charge nurse is teaching a newly licensed nurse about substance use disorders during pregnancy. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer: A

Rationale: Methadone is safe for breastfeeding, providing benefits like bonding and antibody transfer to the infant.

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