ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Question 1 of 5
A nurse reviews assessment findings. For each assessment finding, specify if the finding is consistent with a urinary tract infection or preterm labor. Each finding may support more than one disease process.
Correct Answer: A,B,C
Rationale: Pain and vaginal discharge can occur in both UTI and preterm labor; fever is specific to UTI unless infection complicates preterm labor.
Question 2 of 5
The nurse is aware that which of the following magnesium sulfate levels should be reported to the MD and is most likely to result in toxicity?
Correct Answer: B
Rationale: A magnesium sulfate level of 70 mEq/L is critically high, indicating toxicity risk.
Extract:
Client at 25 weeks gestation in preterm labor with pre-eclampsia, receiving Nifedipine and magnesium sulfate.
Question 3 of 5
The client at 25 weeks gestation in preterm labor has developed pre-eclampsia. After receiving Nifedipine to stop her contractions, she is started on magnesium sulfate to control her pre-eclampsia. When assessing the client, which findings by the nurse indicate that the client is experiencing an adverse effect from the magnesium sulfate? (Select all that apply).
Correct Answer: A,F,G
Rationale: Respiratory depression, confusion, and oliguria are signs of magnesium sulfate toxicity.
Extract:
Primigravida dilated to 5 cm, received epidural, feeling lightheaded, BP 80/52.
Question 4 of 5
A primigravida dilated to 5 cm has just received an epidural for pain. She complains of feeling lightheaded and dizzy within 10 minutes after the procedure. Her blood pressure before the procedure was 120/80 and is now 80/52. Which of the following medications is used in this situation?
Correct Answer: D
Rationale: Ephedrine treats epidural-induced hypotension by increasing blood pressure.
Extract:
Client in active labor, 7 cm dilated, 100% effaced, 0 station, sudden urge to push.
Question 5 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 0 station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Quick shallow breathing manages the urge to push, preventing premature pushing and cervical injury.