Questions 42

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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.

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