ATI RN
Chimat Maternity Needs Assessment Questions
Question 1 of 5
A healthcare provider informs the charge nurse of a labor and delivery unit that a client is coming to the unit with suspected abruptio placentae. What findings should the charge nurse expect the client to demonstrate? (Select ONE that does not apply)
Correct Answer: B
Rationale: In the context of a client suspected of abruptio placentae, the charge nurse should expect findings that are indicative of this serious obstetric emergency. Lower back pain (option B) is not typically associated with abruptio placentae. A) Dark, red vaginal bleeding is a common sign of abruptio placentae due to the separation of the placenta from the uterine wall. C) A rigid abdomen may be present due to the uterine contractions and potential blood accumulation behind the placenta. D) Increased uterine irritability is expected as the uterus tries to expel the separated placenta. Educationally, understanding the signs and symptoms of abruptio placentae is crucial for nurses working in labor and delivery units to provide timely and appropriate care in emergency situations. Recognizing these signs promptly can lead to quick interventions that can potentially save both the mother and baby's lives.
Question 2 of 5
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the first time?
Correct Answer: B
Rationale: In this scenario, option B is the most appropriate maternal behavior when a new mother receives her infant for the first time. This choice reflects a gentle and nurturing approach as the mother traces the infant's profile with her fingertips, showing a sense of care, tenderness, and bonding with the newborn. Option A is incorrect as it describes a more clinical and detached approach to examining the infant, lacking the emotional connection and gentleness seen in the correct response. Option C is incorrect because simply cuddling the infant to her own body does not demonstrate the same level of attentiveness and delicacy as tracing the infant's profile with her fingertips. Option D is also incorrect as it focuses more on holding the infant close without the added element of gentle touch and exploration shown in option B. By choosing option B, the nurse is likely to witness a mother's instinctual and affectionate response to her newborn, fostering early bonding and attachment, which are vital for the infant's emotional and social development. This understanding is crucial for nurses working in maternity care to promote positive parent-infant relationships and support healthy early interactions.
Question 3 of 5
The nurse is teaching care of the newborn to a group of prospective parents and describes the need for administering antibiotic ointment into the eyes of the newborn. Which infectious organism will this treatment prevent from harming the infant?
Correct Answer: C
Rationale: Erythromycin ointment is instilled into the lower conjunctive of each eye within 2 hours after birth to prevent ophthalmic neonatorum, an infection caused by gonorrhea, and inclusion conjunctivitis, an infection caused by chlamydia (C). The infant may be exposed to these bacteria when passing the birth canal.
Question 4 of 5
The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose last menstrual period started on December 1. Which date is most accurate?
Correct Answer: D
Rationale: The correct answer is D) 8-Sep. Nagele's rule is a common method used to estimate the date of confinement by adding 7 days to the first day of the last menstrual period (LMP), then counting forward 3 months and subtracting 3 months. In this scenario, the LMP is December 1, so adding 7 days gives December 8. Counting forward 3 months lands us at September 8 as the estimated date of confinement. Option A) 1-Aug is incorrect because it does not align with the calculation based on Nagele's rule. Option B) 10-Aug is also incorrect as it is too early based on the given LMP. Option C) 3-Sep is incorrect because it does not account for the additional 7 days that need to be added to the LMP according to Nagele's rule. Educationally, understanding how to calculate the estimated date of confinement is crucial for healthcare providers working in maternity care. It helps in providing appropriate prenatal care, planning for childbirth, and assessing fetal growth and development. Nagele's rule is a useful tool in estimating the EDC, but it is important to remember that it is an estimation and the actual date of delivery can vary.
Question 5 of 5
The total bilirubin level of a 36-hour, breastfeeding newborns is 14 mg/dl. Based on this finding, which intervention should the nurse implement?
Correct Answer: B
Rationale: The normal total bilirubin level is 6 to 12 mg/dl after Day 1 of life. This infant's bilirubin is beginning to climb, and the infant should be monitored to prevent further complications. Breast milk provides calories and enhances GI motility, which will assist the bowel in eliminating bilirubin (C).