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Practice Question

A nurse is assisting with monitoring a client who is admitted for preterm labor and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?

Answer Choices:

Correct Answer:

Calcium gluconate

Rationale:

🔸 Magnesium sulfate is used to prevent seizures in preeclampsia, but it can cause respiratory depression if levels become too high.

🔸 Calcium gluconate is the antidote for magnesium toxicity, especially when respiratory rates drop below 12/min.

🔸 Immediate administration of calcium gluconate reverses the effects of magnesium toxicity and prevents further complications.

🔸 Monitoring of respiratory rate and reflexes is essential when administering magnesium.

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This question is from ATI PN Maternal Newborn OB Cohort 65 (I) which contains 40 questions.

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The nurse is preparing to assist the nurse midwife with an amnioinfusion. The patient asks, "Why do I need this?" The best response by the nurse is:

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A. "We need to decrease the fluid in your uterus."
B. “The decreased fluid in the uterus is causing the baby to lie on the umbilical cord."
C. "You need extra amniotic fluid to prevent a dry birth."
D. This will replace fluid in your uterus to prevent an infection."
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A nurse is discussing intermittent fetal heart monitoring with a newly licensed nurse. Which of the following statements should the nurse include?

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A. "Count the fetal heart rate for 15 seconds to determine the baseline."
B. "Auscultate the fetal heart rate every 5 minutes during the active phase of the first stage of labor."
C. "Auscultate the fetal heart rate every 30 minutes during the second stage of labor."
D. "Count the fetal heart rate after a contraction to determine baseline changes."
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A major responsibility of the nurse caring for a patient receiving oxytocin for labor induction is to

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A. Monitor the patient's urinary output.
B. Monitor for tachysystole.
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The 5 factors that affect and define the labor and birth process are:

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A. Presentation, latent phase, powers, position and attitude
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A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?

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A. "This is a cephalhematoma, which will resolve on its own in 3 to 5 days."
B. "This is a caput succedaneum, which is a collection of fluid from pressure of the vacuum extractor."
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ATI PN Maternal Newborn OB Cohort 65 (I)

40 Questions

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Question Details
  • Category: LPN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: MATERNAL & NEWBORN PN
  • Answer Choices: 4
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