Practice Question
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Answer Choices:
Correct Answer:
Respiratory rate of 16/min
Rationale:
🟢 Magnesium sulfate toxicity can suppress the central nervous system, leading to respiratory depression.
🟢 A respiratory rate of 16/min is within the safe range (>12/min), indicating that respiratory compromise is not occurring.
🟢 The nurse must monitor DTRs, urine output, and respiratory rate to determine magnesium toxicity risk.
🟢 A urine output above 30 mL/hr and the presence of DTRs are additional safety indicators.
🟢 A stable respiratory rate ensures safe continuation of the infusion for seizure prophylaxis in preeclampsia.
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This question is from RN ATI Maternal Newborncare Final Exam which contains 91 questions.
More Questions from This Exam
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Answer Choices:
A. Administer oxygen using a non-rebreather mask.
B. Increase the rate of maintenance IV infusion.
C. Elevate the clients legs.
D. Place the client in the lateral position.
A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination. Which of the following responses should the nurse make?
Answer Choices:
A. A pelvic exam is required if you want birth control pills.
B. Don't worry, I will be with you during the exam.
C. All you need to do is relax.
D. What part of the exam makes you most nervous?
A nurse is observing a new mother bathing her newborn son for the first time. For which of the following actions should the nurse intervene?
Answer Choices:
A. The mother plans to use a cotton-tipped swab to clean the nares.
B. The mother leaves the yellow exudate on the circumcision site.
C. The mother cleans the umbilical cord with tap water.
D. The mother cleans the newborn's eyes from the inner canthus outwards.
A nurse is caring for a client who is beginning to breastfeed her newborn after delivery. The new mother states, "l don't want to take anything for pain because I am breastfeeding." Which of the following statements should the nurse make?
Answer Choices:
A. We can time your pain medication so that you have an hour or two before the next feeding.
B. You need to take pain medications so you are more comfortable.
C. All medications are found in breast milk to some extent.
D. You have the option of not taking pain medication if you are concerned.
A nurse in a clinic is teaching the mother of a 4-month-old infant who has been breastfed. The mother plans to switch her infant to an iron-fortified formula. Which of the following should be included in the teaching?
Answer Choices:
A. Iron is poorly absorbed in infants.
B. Iron facilitates growth of bones in infants.
C. Iron stores in infants begin to deplete.
D. Iron facilitates development of vision in infants.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4