Questions 39

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ATI RN Test Bank

ATI Maternal Newborn 2019 Exam 3 Questions

Extract:

A newborn's Babinski reflex


Question 1 of 5

A nurse is performing an assessment of a newborn's Babinski reflex. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Dorsiflexion of the great toe is the normal Babinski reflex in newborns, persisting until about age 2. Other responses indicate abnormal reflexes.

Extract:

A client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion


Question 2 of 5

A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?

Correct Answer: C

Rationale: Absent deep-tendon reflexes indicate magnesium toxicity, a serious adverse effect requiring immediate reporting. Decreased contractions are expected, elevated BP is common in preeclampsia, and 35 mL/hr urine output is normal.

Extract:

A newborn's Babinski reflex


Question 3 of 5

A nurse is performing an assessment of a newborn's Babinski reflex. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Dorsiflexion of the great toe is the normal Babinski reflex in newborns, persisting until about age 2. Other responses indicate abnormal reflexes.

Extract:

A client who is in the latent phase of the first stage of labor and is in pain


Question 4 of 5

A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain. Which of the following nursing interventions are appropriate to reduce pain?

Correct Answer: A,C,D

Rationale: Nitrous oxide, counterpressure, and hydrotherapy reduce labor pain effectively. Ambulation may not suit the latent phase, and Leopold maneuvers assess position, not pain.

Extract:

A group of clients about birth control


Question 5 of 5

A nurse is conducting a class for a group of clients about birth control. Which of the following information should the nurse include in the teaching?

Correct Answer: C

Rationale: Annual diaphragm assessments ensure proper fit and effectiveness. Spermicide timing, emergency contraception, and IUD fertility return are incorrect.

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