ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulphate via continuous IV infusion.
Question 1 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Absent deep tendon reflexes indicate magnesium toxicity, a serious complication requiring immediate reporting to the provider to prevent respiratory depression or cardiac arrest. Decreased contractions are a desired effect, high blood pressure is unrelated to magnesium toxicity, and urinary output of 35 mL/hr is low but not critical unless it persists.
Extract:
A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia.
Question 2 of 5
Which of the following manifestations should the nurse recognize as an adverse reaction to the medication?
Correct Answer: D
Rationale: Urine output of 20 mL/hr suggests magnesium sulfate toxicity, impairing renal function, and requires reporting to prevent further complications. Hypertension is expected in preeclampsia, hypoglycemia is unrelated, and a respiratory rate of 16/min is normal.
Extract:
A nurse in a newborn nursery is receiving change-of-shift report for four newborns.
Question 3 of 5
Which of the following newborns should the nurse assess first?
Correct Answer: D
Rationale: New onset tachypnea (respiratory rate >60/min) in a 10-hour-old newborn suggests respiratory distress or serious conditions like sepsis, requiring immediate assessment. Feeding issues, delayed meconium, and blood-tinged discharge are less urgent.
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 4 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: A third-degree perineal laceration is a contraindication to suppositories, as they may cause trauma or delay healing in the perineal area. Abdominal distention may benefit from suppositories, vaginal candidiasis is unrelated, and afterpain does not affect suppository use.
Extract:
A nurse is caring for a client who is in labor and just received epidural anaesthesia. The client's blood pressure is 90/50 mm Hg.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Turning the client to their side improves blood flow and corrects hypotension caused by epidural-induced vasodilation. Amnioinfusion is for fetal distress, naloxone is for opioid overdose, and monitoring alone delays intervention.