ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client with preeclampsia who is being treated with IV magnesium sulfate, respiratory rate is 10/min, deep-tendon reflexes are absent
Question 1 of 5
What action should the nurse take?
Correct Answer: C
Rationale: Respiratory rate of 10/min and absent reflexes indicate magnesium toxicity, requiring immediate discontinuation of the infusion to prevent respiratory depression or cardiac arrest. Cesarean preparation, Trendelenburg positioning, and glucose assessment are not indicated for magnesium toxicity.
Extract:
A client who is at 34 weeks of gestation and at risk for placental abruption
Question 2 of 5
What is the most common risk factor for abruption?
Correct Answer: D
Rationale: Hypertension (chronic or gestational) is the most common risk factor for placental abruption, damaging uterine vessels. Trauma, smoking, and cocaine are less common causes.
Extract:
A newborn immediately after birth
Question 3 of 5
Once a patent airway has been ensured, what should be the nurse's priority action?
Correct Answer: D
Rationale: Drying the skin prevents hypothermia due to evaporation of amniotic fluid, a critical immediate need to maintain thermoregulation. Vitamin K, eye prophylaxis, and identification are important but not as urgent as preventing heat loss.
Extract:
A client who is experiencing preterm labor, receiving magnesium sulfate IV
Question 4 of 5
Which of the following is the priority nursing assessment for this client?
Correct Answer: C
Rationale: Respiratory rate is the priority due to magnesium sulfate's risk of respiratory depression. FHR, temperature, and bowel sounds are monitored but are less critical.
Extract:
An adolescent client who has pelvic inflammatory disease due to a sexually transmitted infection, concerned about parental disclosure
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Acknowledging the client's fear validates emotions and supports autonomy, respecting confidentiality laws. Other responses risk undermining privacy or pressuring disclosure.