Maternal Newborn ATI Practice Questions

Maternal Newborn ATI Practice Questions Related

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A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take?

  • A. Discontinue the medication infusion.
  • B. Prepare for an emergency cesarean birth.
  • C. Assess maternal blood glucose.
  • D. Place the client in Trendelenburg position.
Correct Answer: A

Rationale: The most appropriate action for the nurse to take in this situation is to discontinue the medication infusion. The client is showing signs of magnesium sulfate toxicity, which can include respiratory depression (low respiratory rate) and absent deep-tendon reflexes. These are early signs of magnesium toxicity, and prompt action is needed to prevent further complications. Discontinuing the medication infusion will help reduce the risk of magnesium toxicity worsening. The other options are not appropriate in this situation as they do not address the immediate concern of magnesium toxicity.

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The nurse is performing Leopold's maneuvers on a pregnant client. What is the primary purpose?

  • A. Assess fetal heart tones.
  • B. Determine fetal position.
  • C. Evaluate amniotic fluid volume.
  • D. Check for uterine contractions.
Correct Answer: B

Rationale: Leopold's maneuvers help determine the position and presentation of the fetus within the uterus.

What education does the nurse provide to a person taking Ella for emergency contraception?

  • A. abstain from sex or use a barrier method for 5 days and then restart their COCs
  • B. abstain from sex or use a barrier method until their menses occur and then restart their COCs
  • C. restart their COCs the next day; no backup method is needed
  • D. restart their COCs the next day and use a backup method for 7 days
Correct Answer: D

Rationale: The education the nurse should provide to a person taking Ella for emergency contraception is to restart their COCs the next day and use a backup method, such as condoms, for 7 days. This is important to ensure continued protection against pregnancy, as Ella may potentially reduce the effectiveness of the COCs. Using a backup method during this time is essential to prevent unintended pregnancy.

The nurse is caring for a client with gestational diabetes. What fetal complication should the nurse monitor for after birth?

  • A. Hyperglycemia.
  • B. Macrosomia.
  • C. Hypoglycemia.
  • D. Hyperbilirubinemia.
Correct Answer: C

Rationale: Newborns of mothers with gestational diabetes are at risk for hypoglycemia due to high insulin levels after birth.

Which statement by the patient helps the nurse know

  • A. Follicle-stimulating hormone she understands the teaching about condom use?
  • B. Gonadotropin-releasing hormone
  • C. A condom can be worn for two sexual encounters
  • D. Progesterone as long as it does not break.
Correct Answer: A

Rationale: The statement "Condoms come in different sizes; it is important I get the right size to ensure proper protection" indicates that the patient understands the teaching about condom use. This statement shows an understanding of the importance of choosing the appropriate condom size for effective protection during sexual encounters. It reflects the patient's grasp of the information provided by the nurse regarding condom use, which is crucial in promoting safe practices to prevent sexually transmitted infections and unintended pregnancies.

The nurse is teaching a client about kick counts. When should the client contact the healthcare provider?

  • A. Fewer than 10 movements in 2 hours.
  • B. Fewer than 20 movements in 1 hour.
  • C. No movement in 4 hours.
  • D. No movement after eating a meal.
Correct Answer: A

Rationale: Fewer than 10 fetal movements in 2 hours is concerning and warrants further evaluation.

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