ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate. The client's respiratory rate is 10/min, and deep-tendon reflexes are absent.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Respiratory rate of 10/min and absent reflexes indicate magnesium sulfate toxicity, requiring immediate discontinuation of the infusion to prevent further complications like respiratory arrest.
Extract:
A nurse is caring for a client who experienced a vaginal birth 12 hours ago. The nurse recognizes the client is in the dependent, taking-in phase of maternal postpartum adjustment.
Question 2 of 5
Which of the following findings should the nurse expect during this phase?
Correct Answer: C
Rationale: Expressions of excitement are typical in the taking-in phase, where mothers process the birth experience, unlike learning skills, appetite changes, or family focus, which occur later.
Extract:
A nurse is preparing to administer methylergonovine IM to a client who has experienced a vaginal delivery.
Question 3 of 5
The nurse should explain to the client that the purpose of this medication is to prevent which of the following conditions?
Correct Answer: A
Rationale: Methylergonovine promotes uterine contractions to prevent postpartum hemorrhage by compressing blood vessels, not infections, thromboembolism, or hypertension.
Extract:
A nurse is caring for a client who experienced a vaginal delivery 12 hours ago.
Question 4 of 5
When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?
Correct Answer: B
Rationale: At 12 hours postpartum, the fundus is expected at the umbilicus, indicating normal involution, unlike higher, lower, or displaced positions.
Extract:
A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer.
Question 5 of 5
Which of the following is the correct interpretation of this data?
Correct Answer: D
Rationale: A negative rubella titer indicates no immunity, requiring immunization post-delivery to protect future pregnancies, as vaccination during pregnancy is contraindicated.