ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Question 1 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.
Question 2 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.
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:
Client in first stage of labor with protruding umbilical cord.
Question 4 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse NOT perform?
Correct Answer: D
Rationale: Attempting to reinsert the cord risks further compression and infection, worsening fetal distress.
Extract:
Question 5 of 5
The nurse knows that the third stage of labor has a high risk for which of the following complications?
Correct Answer: D
Rationale: Incomplete placental delivery can cause postpartum hemorrhage, a primary concern in the third stage.