ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is reinforcing teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation.
Question 1 of 5
Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Weight gain of 0.5-1.5 kg from fluid or edema often precedes labor. Other signs are inaccurate or variable.
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 2 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 with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination.
Question 3 of 5
Which of the following information should the nurse include?
Correct Answer: C
Rationale: MSAFP screens for neural tube defects by measuring alpha-fetoprotein levels, which elevate with open defects like spina bifida.
Extract:
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7°C (100°F); pulse rate 88/min; respiratory rate 18/min.
Question 4 of 5
Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: A temperature of 37.7°C (100°F) is elevated postpartum and may suggest infection, requiring reporting. Bladder emptying addresses fundal deviation, not temperature.
Extract:
A nurse is caring for a client who is experiencing shaking chills during the immediate postpartum period.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Shaking chills may indicate infection (e.g., endometritis); determining temperature assesses for fever, guiding further action.