ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8 breaths/min and the nurse suspects toxic levels of magnesium.
Question 1 of 5
Which of the following should the nurse administer?
Correct Answer: A
Rationale: Calcium gluconate is the antidote for magnesium sulfate toxicity, which can cause respiratory depression when levels are too high. It restores neuromuscular function by competing with magnesium. Flumazenil reverses benzodiazepines, naloxone reverses opioids, and protamine sulfate reverses heparin—none address magnesium toxicity.
Extract:
A nurse is reinforcing teaching about umbilical cord care with a client who is postpartum.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The stump typically falls off in 10-14 days, a key teaching point. Baby oil, immersion, and diaper covering are incorrect for infection prevention and healing.
Extract:
A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Betamethasone enhances fetal lung maturity by promoting surfactant production, reducing respiratory distress risk in preterm birth.
Extract:
A nurse is reinforcing teaching with a new mother about the purpose of administering vitamin K to her newborn following delivery.
Question 4 of 5
The nurse should explain that the purpose of administering vitamin K is to prevent which of the following complications?
Correct Answer: A
Rationale: Vitamin K prevents bleeding (e.g., hemorrhagic disease) by aiding clotting, as newborns have low levels initially. It doesn't address bilirubin, potassium, or infection.
Extract:
A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption.
Question 5 of 5
The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
Correct Answer: A
Rationale: Maternal hypertension is the most common risk factor for placental abruption, as it damages placental blood vessels, increasing separation risk. Other factors like trauma, smoking, or cocaine use are less frequent causes.