ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
patient, magnesium sulfate, preterm labor, 1 gram/hour
Question 1 of 5
Your patient is receiving magnesium sulfate for neuroprotection and preterm labor at 1 gram/hour. The most concerning vital sign below is:
Correct Answer: B
Rationale: A respiratory rate of 9 indicates potential magnesium toxicity, requiring immediate cessation of the infusion and administration of calcium gluconate.
Question 2 of 5
Your patient is receiving magnesium sulfate for neuroprotection and preterm labor at 1 gram/hour. The most concerning vital sign below is:
Correct Answer: B
Rationale: A respiratory rate of 9 indicates potential magnesium toxicity, requiring immediate cessation of the infusion and administration of calcium gluconate.
Extract:
baby, shoulder dystocia, turtle sign
Question 3 of 5
The baby's head is delivered at 0900. The shoulders are not delivered and you notice a turtle sign. Interventions to relieve a dystocia include (Select all that apply):
Correct Answer: A,B,C,D,E
Rationale: A, B, C, D, E: These maneuvers relieve shoulder dystocia by repositioning or reducing shoulder impaction. F is contraindicated as it worsens impaction.
Extract:
newborn, phototherapy
Question 4 of 5
A nurse is updating the plan of care for a newborn who is undergoing phototherapy. Which of the following actions should the nurse include in the plan? (Select all that apply):
Correct Answer: C,D
Rationale: C, D: Frequent breastfeeding prevents dehydration, and glucose monitoring detects hypoglycemia. A and B are incorrect as lotion interferes with phototherapy, and prone positioning risks suffocation.
Extract:
client, 4 hr postpartum, lochia rubra, fundus midline and firm
Question 5 of 5
A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at one fingerbreadth above the umbilicus. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Checking for blood under the buttock ensures no hidden bleeding, as pads may not capture all lochia, despite a firm, midline fundus.