Questions 66

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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.

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