ATI RN Maternal Newborn 2023 III | Nurselytic

Questions 67

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ATI RN Maternal Newborn 2023 III Questions

Extract:

A nurse is assessing a client who is in labor and has received epidural analgesia.


Question 1 of 5

What findings should the nurse recognize and document as an adverse effect of epidural analgesia?

Correct Answer: A

Rationale: Hypotension is a known adverse effect of epidural analgesia due to sympathetic nerve blockade causing vasodilation.

Extract:

A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord.


Question 2 of 5

What clinical findings should the nurse expect?

Correct Answer: A

Rationale: Facial petechiae result from pressure on the face and neck from a nuchal cord, a common finding in such deliveries.

Extract:

A nurse on the postpartum unit is caring for four patients.


Question 3 of 5

For which of the following patients should the nurse notify the provider?

Correct Answer: C

Rationale: Absent deep tendon reflexes in a patient on magnesium sulfate indicate magnesium toxicity, requiring immediate provider notification.

Extract:

A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization.


Question 4 of 5

Which of the following client statements indicates understanding of the teaching?

Correct Answer: C

Rationale: Avoiding pregnancy for at least 1 month post-rubella immunization is correct due to the live virus, ensuring fetal safety.

Extract:

A nurse is assessing a client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min.


Question 5 of 5

What actions should the nurse take first?

Correct Answer: B

Rationale: Administering oxygen at 10 L/min addresses potential hypoxia from significant blood loss, indicated by saturating pads every 10-15 minutes, as the first priority.

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