Practice Question
A nurse is assessing a client who is at 31 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for preterm labor. Which of the following findings should the nurse report to the provider?
Answer Choices:
Correct Answer:
Respiratory rate 11 min
Rationale:
🦠A respiratory rate of 11/min is below the safe threshold for clients receiving magnesium sulfate, which can cause respiratory depression if serum levels are high.
🦠 The nurse should report this immediately.
🦠Urine output and BP are within acceptable limits; reflexes at 2+ are normal.
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This question is from RN ATI Maternal&Newborn Assessment which contains 43 questions.
More Questions from This Exam
A nurse is reviewing the laboratory results of a newborn who is 32 hours old and has a cephalohematoma. Which of the following findings should the nurse expect as a result of this condition?
Answer Choices:
A. WBC count (9,000 to 30,000/mm3)
B. Glucose 35 mg/dL (greater than 40 to 45 mg/dL)
C. Bilirubin 14.0 mg/dL (1.0 to 12.0 mg/dL)
D. Platelet count 350,000tmm3 (150,000 to 300,000tmmY)
A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsia. Which of the following laboratory results should the nurse expect?
Answer Choices:
A. BUN 30 mg/dL (10 to 20 mg/dL)
B. Hgb 9.9 g/dL (11 to 16 gtdL)
C. Serum uric acid 2.5 mg/dl (2.7 to 7.3 mg/dL)
D. Casual blood glucose 228 mg,/dL (less than 200 mg,'dL)
A nurse is assessing a newborn who is 48 hours old and has a maternal history of methadone use during pregnancy. Which of the following manifestations should the nurse identify as an indication of neonatal abstinence syndrome?
Answer Choices:
A. Hypo reactivity
B. Excessive high-pitched cry
C. Acrocyanosis
D. Respiratory rate of 50/min
A nurse is caring for a client who is postoperative following a mastectomy. The client expresses concern that they will no longer be attractive to their partner. Which of the following actions should the nurse take?
Answer Choices:
A. Discourage the client from looking at their breasts.
B. Recommend a support group for the client to attend.
C. Tell the client you are so sorry for how devastated they must feel.
D. Tell the client to focus on their postoperative recovery for now.
A nurse is planning care for a client who is breastfeeding and has mastitis. Which of the following interventions should the nurse include? (Select all that apply.)
Answer Choices:
A. Instruct the client to wash their hands prior to breastfeeding.
B. Teach the client about proper latching-on techniques.
C. Encourage the client to alternate breastfeeding with formula feeding.
D. Instruct the client to avoid using a breast pump.
E. Encourage the client to allow their nipples to air dry after feedings.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4