ATI RN
Ethical Issues in Maternal Newborn Nursing Questions
Question 1 of 5
A client is concerned that her breasts are engorged and uncomfortable. What is the nurse's explanation for this physiologic change?
Correct Answer: D
Rationale: The correct answer is D) Congestion of veins and lymphatic vessels. Engorgement in breastfeeding mothers occurs due to the increased blood flow to the breasts, leading to congestion of veins and lymphatic vessels. This causes swelling, tenderness, and discomfort in the breasts. Option A) Overproduction of colostrum is incorrect because engorgement is not due to colostrum production but rather to fluid accumulation and increased blood flow. Option B) Accumulation of milk in the lactiferous ducts and glands is incorrect as engorgement typically occurs before the milk production is fully established. Option C) Hyperplasia of mammary tissue is incorrect because engorgement is primarily a result of increased blood and fluid in the breast tissues, not due to increased tissue growth. Educationally, understanding the physiological changes in breast engorgement is crucial for nurses providing care to breastfeeding mothers. By knowing the correct explanation for this common issue, nurses can offer appropriate interventions and support to relieve discomfort and promote successful breastfeeding.
Question 2 of 5
The nurse is providing instruction to the newly delivered client regarding postbirth uterine and vaginal discharge, called lochiWhich statement is the most appropriate?
Correct Answer: D
Rationale: The correct answer is D: "It should smell like normal menstrual flow unless an infection is present." This statement is most appropriate because it accurately reflects the expected odor of lochia, which is typically described as similar to a normal menstrual flow unless an infection is present. This information is crucial for the client to monitor their postpartum recovery for signs of infection, such as foul-smelling discharge. Option A is incorrect because lochia is typically heavier and more prolonged than a light menstrual period in the immediate postpartum period. Option B is incorrect as the amount of lochia is not necessarily greater after cesarean births compared to vaginal deliveries. Option C is incorrect as while ambulation and breastfeeding can help with uterine involution and reduce bleeding, they do not directly impact the amount of lochia. In an educational context, understanding postpartum discharge is essential for maternal newborn nurses to educate clients on normal postpartum changes, signs of complications, and the importance of seeking medical attention if any abnormalities are noted. Proper education on lochia can empower clients to monitor their health effectively during the postpartum period.
Question 3 of 5
Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?
Correct Answer: C
Rationale: In maternal newborn nursing, understanding the normal postpartum involution process is crucial for providing appropriate care. Option C, "Fundus below the symphysis and nonpalpable," indicates a normal involution process on postpartum day 14. This finding suggests that the uterus has involuted to its pre-pregnancy size and is descending back into the pelvis, which is expected at this stage postpartum. Options A, B, and D are incorrect. Option A, "Moderate bright red lochial flow," may indicate a normal lochial discharge, but it does not specifically reflect the involution process of the uterus. Option B, "Breasts firm and tender," pertains to breast changes related to lactation and not uterine involution. Option D, "Episiotomy slightly red and puffy," focuses on the healing process of an episiotomy site and is not directly related to uterine involution. Educationally, it is essential for nurses to accurately interpret and document postpartum assessments to monitor the mother's recovery effectively. Understanding the significance of specific findings, such as the position of the fundus, helps in identifying deviations from normal and initiating timely interventions. This knowledge ensures optimal postpartum care and promotes maternal well-being.
Question 4 of 5
A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring. Which of the following is an indication that the nurse should discontinue the infusion?
Correct Answer: B
Rationale: In this scenario, option B, "Contraction duration of 100 seconds," is the correct answer that indicates the nurse should discontinue the oxytocin infusion. Prolonged contractions can lead to uteroplacental insufficiency, compromising fetal oxygenation and perfusion. This can result in fetal distress and hypoxia, necessitating urgent intervention. Option A, "Contraction frequency every 3 min," is within the normal range for labor progression. Optimal contraction frequency is typically every 2-3 minutes in active labor. Option C, "Fetal heart rate with moderate variability," is a reassuring sign of fetal well-being. Moderate variability indicates a healthy autonomic nervous system and adequate oxygenation to the fetus. Option D, "Fetal heart rate of 118/min," is within the normal range for a fetal heart rate. A normal fetal heart rate typically ranges from 110 to 160 beats per minute. In an educational context, understanding the significance of monitoring parameters during labor is crucial for nurses providing care to laboring women. Recognizing abnormal patterns and knowing when to intervene is essential to ensure optimal outcomes for both the mother and the baby. Regular assessment and vigilance are key in maternal newborn nursing to promote safe and effective care.
Question 5 of 5
A nurse is assessing a newborn who is 10 hr olWhich of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Nasal flaring. Nasal flaring in a newborn can indicate respiratory distress, which is a critical finding requiring immediate attention from the healthcare provider. Newborns have smaller airways and are more susceptible to respiratory issues, so any signs of respiratory distress should be promptly reported to prevent further complications. Option A) Axillary temperature of 36.5°C is within the normal range for a newborn and does not indicate an immediate concern. Option C) Heart rate of 158/min is slightly elevated but can be normal in newborns due to various factors and may not necessitate an urgent report. Option D) One void since birth is a common finding in newborns within the first few hours of life and is not a cause for alarm unless it persists for an extended period. In an educational context, this question highlights the importance of recognizing and prioritizing critical findings in newborn assessments. It reinforces the need for nurses to have a thorough understanding of newborn physiology and common signs of distress to provide safe and effective care. By emphasizing the significance of prompt reporting of abnormal findings, this question helps students develop critical thinking skills essential for maternal-newborn nursing practice.