Practice Question
A nurse is caring for a client with preeclampsia who is being treated with IV magnesium sulfate. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. What action should the nurse take?
Answer Choices:
Correct Answer:
Discontinue the medication infusion
Rationale:
🔷 A respiratory rate <12/min and absent reflexes are signs of magnesium sulfate toxicity.
🔷 The nurse’s immediate action is to stop the infusion to prevent further central nervous system depression.
🔷 Calcium gluconate should be kept readily available as an antidote.
🔷 Continuing the infusion risks respiratory arrest and cardiac complications.
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This question is from RN ATI Maternal newborn Final Exam which contains 73 questions.
More Questions from This Exam
A nurse is conducting an assessment on a client who is 4 hours postpartum following a vaginal delivery. Which of the following findings should the nurse prioritize?
Answer Choices:
A. Fundus at the level of the umbilicus
B. Saturated perineal pad in 30 minutes
C. Approximated edges of episiotomy
D. Deep tendon reflexes 4+
A nurse is caring for a newborn immediately after birth. Once a patent airway has been ensured, what should be the nurse's priority action?
Answer Choices:
A. Administer Vitamin K
B. Administer eye prophylaxis
C. Place an identification bracelet
D. Dry the skin
A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple soreness. Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding? (Select all that apply.)
Answer Choices:
A. Start breastfeeding with the nipple that is less sore
B. Change the infants position on the nipples
C. Apply breast milk to the nipples before each feeding
D. Massage the breasts and nipples prior to feeding
E. Place breast pads inside the nursing bra
A nurse is caring for a client who is a primigravida, at term, and having contractions but is unsure if she is in labor. Which of the following should the nurse recognize as a sign of true labor?
Answer Choices:
A. Pattern of contractions
B. Changes in the cervix
C. Rupture of the membranes
D. Station of the presenting part
A nurse is caring for a newborn who is 30 minutes old. After reviewing the information in the newborn's medical record, which of the following complications should the nurse identify as posing the greatest risk?
Answer Choices:
A. Meconium aspiration syndrome
B. Meconium ileus
C. Hypoglycemia
D. Jaundice due to color of amniotic fluid
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4