ATI RN
Ethical Issues in Maternal Newborn Nursing Questions
Question 1 of 5
A charge nurse is working on a postpartum unit and discovers that one of the patients did not receive AM care during her shift assessment. The charge nurse questions the nurse assigned to provide care and finds out that the nurse thought “the patient should just do it by herself because she will have to do this at home.” On further questioning of the nurse, it is determined that the rest of her assigned patients were provided AM care. The assigned nurse has violated which ethical principle?
Correct Answer: A
Rationale: Justice in healthcare ethics refers to the fair and equal distribution of resources, care, and treatment. In this scenario, the nurse's decision to not provide AM care to the specific patient, while providing care to other patients, violates the principle of justice. It is unfair and unjust to selectively provide care based on personal assumptions rather than patients' needs. All patients should be treated equally and receive appropriate care regardless of individual beliefs or assumptions.
Question 2 of 5
Which situation is most representative of an extended family?
Correct Answer: D
Rationale: An extended family is a type of family unit that includes not only the nuclear family (parents and children) but also other relatives such as grandparents, aunts, uncles, cousins, etc., all living together or in close proximity. Option D, which states that the family is composed of children, parents, and grandparents living in the same house, is most representative of an extended family structure. This situation reflects the multi-generational aspect of an extended family where multiple generations live together and contribute to the household dynamics.
Question 3 of 5
The nurse in labor and birth is caring for a Muslim patient during the active phase of labor. The nurse notes that the patient quickly draws away when touched. Which intervention should the nurse implement?
Correct Answer: D
Rationale: The appropriate intervention for the nurse to implement in this situation is to limit touching to a minimum because physical contact may not be acceptable in the patient's culture. In Islam, modesty and privacy are significant aspects of the faith, and physical contact, especially with someone of the opposite gender, may be considered inappropriate or uncomfortable for the patient. Respecting and acknowledging the patient's cultural background and preferences is essential in providing culturally competent care. Therefore, it is important for the nurse to be mindful of the patient's boundaries and minimize any unnecessary physical contact while still providing necessary care and support during labor.
Question 4 of 5
A couple asks the nurse about the procedure for surrogate parenting. Which correct responses should the nurse provide for this couple? (Select all that apply.)
Correct Answer: A
Rationale: In the context of pharmacology, understanding the ethical issues surrounding maternal newborn nursing is crucial for providing comprehensive care. When addressing a couple's inquiry about surrogate parenting, it is essential to provide accurate information to guide them effectively. Option A, "Donated embryos can be implanted into the surrogate mother," is correct because it reflects a common method in surrogate parenting where fertilized embryos are transferred to the surrogate for gestation. Option B, "The surrogate mother needs to have carried one previous birth to term," is incorrect as there is no universal requirement for the number of previous births a surrogate must have had. This statement can lead to misconceptions. Option C, "You both need to be infertile to be eligible for surrogate parenting," is incorrect as infertility in the couple is not a prerequisite for pursuing surrogacy. This answer may misinform the couple about eligibility criteria. Option D, "Conception can take place outside the surrogate mother’s body and then implanted," is incorrect as it describes a different assisted reproductive technology process, not specifically surrogate parenting. Educationally, understanding the nuances of surrogate parenting is vital for nurses to provide accurate information and support to couples considering this option. Correcting misconceptions and providing clear, evidence-based explanations can empower couples to make informed decisions regarding their reproductive choices.
Question 5 of 5
A nurse educator is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session?
Correct Answer: D
Rationale: The statement that parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care is the most accurate regarding the history of family-centered maternity care. Family-centered care evolved in response to the recognition of the importance of family involvement in maternity care and the benefits of promoting bonding between the newborn and their parents. This shift in practice came about in response to increasing parental requests for infants to remain with them rather than being separated in a nursery setting. This marked a significant departure from traditional policies that separated mothers and infants after birth and paved the way for the development of family-centered approaches to maternity care.