ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client in preterm labor receiving magnesium sulfate IV
Question 1 of 5
A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor. Which of the following is the priority nursing assessment for this client?
Correct Answer: D
Rationale: Magnesium sulfate can cause respiratory depression; monitoring respiratory rate is critical to detect toxicity.
Extract:
Client who is pregnant
Question 2 of 5
A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: B
Rationale: Elevated blood pressure (>140/90 mm Hg) is a hallmark of preeclampsia, warranting further evaluation.
Extract:
Client in the first stage of labor with prolapsed umbilical cord
Question 3 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: The knee-chest position relieves pressure on a prolapsed cord, preventing fetal hypoxia as the first priority.
Extract:
Client at 38 weeks of gestation with severe preeclampsia
Question 4 of 5
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?
Correct Answer: A
Rationale: Severe headaches are a common symptom of preeclampsia due to hypertension and cerebral edema, indicating a need for immediate management.
Extract:
Client at 40 weeks gestation in active labor with 6 cm cervical dilation, 100% effacement, BP 82/52 mm Hg
Question 5 of 5
A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: A
Rationale: Low blood pressure suggests supine hypotensive syndrome; turning the client to her side relieves uterine pressure on the vena cava, improving blood flow.