Questions 46

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ATI RN Test Bank

ATI OB Obstetrics RN 300 Exam Questions

Extract:


Question 1 of 5

What is the recommended antibiotic therapy for the treatment of pyelonephritis in pregnancy?

Correct Answer: B

Rationale: Ceftriaxone is safe and effective for pyelonephritis in pregnancy, targeting common uropathogens without fetal harm.

Extract:

A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction.


Question 2 of 5

Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Late decelerations indicate uteroplacental insufficiency. Repositioning to the lateral position improves placental blood flow, making it the first action.

Extract:

A nurse is providing teaching to a client who is at 30 weeks of gestation and is to have a nonstress test (NST).


Question 3 of 5

Which of the following statements by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Lying on the back can cause supine hypotension; the client should be in a semi-Fowler's or lateral position during an NST.

Extract:

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr.


Question 4 of 5

Which of the following findings indicates that it is safe for the nurse to continue the infusion?

Correct Answer: D

Rationale: A respiratory rate of 16/min indicates no respiratory depression, a key safety indicator for continuing magnesium sulfate infusion.

Extract:

A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent.


Question 5 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Absent reflexes and respiratory rate <12/min indicate magnesium toxicity, requiring immediate discontinuation of the infusion to prevent further complications.

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