NCLEX Maternal and Newborn Nursing 3

Question 1

A client with preeclampsia is receiving magnesium sulfate. Which finding indicates magnesium toxicity?

Accepted Answer

Respiratory rate of 10 per minute

Answer

A respiratory rate below 12 indicates magnesium toxicity and requires stopping the infusion.

Question 2

What is the antidote for magnesium sulfate toxicity?

Accepted Answer

Calcium gluconate

Answer

Calcium gluconate reverses the effects of magnesium sulfate toxicity.

Question 3

A nurse is monitoring fetal heart rate and notes late decelerations. What is the priority action?

Accepted Answer

Reposition the mother to her side

Answer

Late decelerations indicate uteroplacental insufficiency, so repositioning to improve perfusion is the first action.

Question 4

A client at 38 weeks reports a gush of clear fluid from the vagina. What should the nurse assess first?

Accepted Answer

Fetal heart rate

Answer

After membrane rupture, fetal heart rate is assessed first to detect cord prolapse or distress.

Question 5

Which newborn reflex is checked by stroking the cheek and observing the head turn toward the stimulus?

Accepted Answer

Rooting reflex

Answer

The rooting reflex is elicited by stroking the cheek, causing the newborn to turn toward the touch to feed.

NCLEX Practice Test