ATI RN
Current Issues in Maternal Newborn Nursing Questions
Question 1 of 5
A nurse is entering information on the patient’s electronic health record (EHR) and is called to assist in an emergency situation with regard to another patient in the labor and birth suite. The nurse rushes to the scene to assist; however, she leaves the chart open on the computer screen. The emergent patient situation is resolved satisfactorily, and the nurse comes back to the computer entry screen to complete charting. At the end of the shift, the nurse manager asks to speak with the nurse and tells her that she is concerned with what happened today on the unit because there was a breach in confidentiality. Which response by the nurse indicates that she understands the nurse manager’s concerns?
Correct Answer: B
Rationale: Step-by-step rationale: 1. The correct answer is B because logging out of the EHR prior to attending to the emergency is crucial to maintain patient confidentiality. 2. By leaving the EHR open, the nurse exposed sensitive patient information to potential unauthorized access. 3. This action violates patient privacy rights and is a breach of confidentiality. 4. Choice A is incorrect as it does not address the specific issue of breaching patient confidentiality by leaving the EHR open. 5. Choice C is irrelevant as understaffing does not excuse the breach of patient confidentiality. 6. Choice D is incorrect as changing the password after the breach does not rectify the initial mistake of leaving the EHR open. Summary: Choice B is the correct response as it directly addresses the breach of confidentiality by acknowledging the importance of logging out of the EHR to protect patient information. Choices A, C, and D are incorrect as they do not effectively address the issue of breaching patient confidentiality.
Question 2 of 5
The nurse is reviewing the principles of family-centered care with a primiparous patient. Which patient statement will the nurse need to correct?
Correct Answer: C
Rationale: The correct answer is C because it inaccurately suggests that family dynamics will not change after childbirth. The nurse needs to correct this statement as childbirth often leads to significant changes in family dynamics. This is important for the patient to understand to prepare for potential adjustments and challenges. Choices A, B, and D are incorrect because they align with the principles of family-centered care. Choice A highlights the importance of family support, choice B emphasizes the commonality of uncomplicated childbirth, and choice D empowers the patient to make informed decisions about her healthcare.
Question 3 of 5
Which patient may require more help and understanding when integrating the newborn into the family?
Correct Answer: D
Rationale: The correct answer is D because a multipara with six pregnancies and two young children may require more help and understanding due to the potential challenges of caring for multiple young children simultaneously. The presence of two children younger than 3 years old indicates that the mother may be experiencing higher levels of stress and demands on her time and energy. This situation could lead to difficulties in integrating the newborn into the family dynamics. Choice A is incorrect because being from an upper-income family does not necessarily indicate a need for more help and understanding. Choice B is incorrect because coming from a large family does not directly correlate with requiring more assistance when integrating a newborn. Choice C is incorrect because having a supportive husband and mother can provide valuable assistance and may not necessarily indicate a greater need for help compared to the scenario described in choice D.
Question 4 of 5
Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B because giving a report to the oncoming nurse in a private area maintains patient confidentiality, which is a key aspect of HIPAA compliance. This action ensures that patient information is not disclosed to unauthorized individuals. Explanation of other choices: A: Posting patient updates on social media violates patient privacy and is a breach of HIPAA. C: Giving patient information over the phone to a friend is a violation of patient confidentiality under HIPAA. D: Logging off the computer screen before leaving unattended is a good practice for data security but does not directly relate to HIPAA compliance regarding patient information privacy.
Question 5 of 5
Expectant parents ask a prenaNtal RnursIe eGducaBto.rC, “WMhich setting for childbirth limits the U S N T O amount of parent–infant interaction?” Which answer should the nurse provide for these parents in order to assist them in choosing an appropriate birth setting?
Correct Answer: C
Rationale: Rationale: 1. Traditional hospital birth setting often involves medical interventions that can limit parent-infant interaction, such as continuous fetal monitoring and medication administration. 2. These interventions may restrict movement and bonding opportunities between the parent and infant during labor and immediately after birth. 3. In contrast, birth center and home birth settings typically prioritize natural childbirth experiences with minimal interventions to encourage bonding and parent-infant interaction. 4. Labor, birth, and recovery room, while providing a more private setting than a traditional hospital, may still involve medical interventions that can impact parent-infant interaction. Summary: A: Birth center and B: Home birth promote parent-infant interaction. D: Labor, birth, and recovery room may still involve interventions. C: Traditional hospital birth setting often limits parent-infant interaction due to medical interventions.