ATI RN
Maternal Newborn Practice Questions Questions
Question 1 of 5
A nurse is teaching a client who is 28 weeks of gestation and not up-to date on current immunization. Which of the following immunizations should the nurse inform the client to anticipate receiving following birth?
Correct Answer: D
Rationale: The CDC recommends that women who are not up-to-date with the MMR (measles, mumps, rubella) vaccine should receive it immediately postpartum. Rubella, also known as German measles, is particularly important during pregnancy because contracting rubella during pregnancy can lead to serious complications in the baby, such as birth defects and miscarriage. By ensuring the client receives the MMR vaccine postpartum, it helps protect both the mother and any future pregnancies from the risk of rubella infection.
Question 2 of 5
A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations...Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Recurrent variable decelerations during labor can indicate umbilical cord compression, which can result in fetal hypoxia and distress. Discontinuing the oxytocin infusion is the priority in this situation as oxytocin can cause or exacerbate uteroplacental insufficiency leading to fetal distress. By discontinuing the oxytocin, the nurse can help improve fetal oxygenation and alleviate the variable decelerations. After stopping the oxytocin infusion, the nurse should continue to monitor the fetal heart rate pattern and follow the healthcare provider's orders for further management if needed.
Question 3 of 5
A patient at 24 weeks of gestation reports that she has a glass of wine with dinner every evening. Which rationale should the nurse provide this patient regarding the necessity to eliminate alcohol intake? N R I G B.C M U S N T O
Correct Answer: A
Rationale: The correct rationale that the nurse should provide to the patient regarding the necessity to eliminate alcohol intake during pregnancy is that the fetus is placed at risk for altered brain growth. Alcohol consumption during pregnancy can lead to a condition known as Fetal Alcohol Syndrome (FAS), which is characterized by various physical and intellectual disabilities in the child. One of the major consequences of alcohol exposure during pregnancy is impaired brain development in the fetus. This can result in cognitive, behavioral, and neurological problems that may persist throughout the child's life. Therefore, it is crucial for pregnant women to completely abstain from alcohol to protect the health and well-being of the developing fetus.
Question 4 of 5
Which of the following is true about the three layers juries, and parents are concerned about the long-term of involuntary smooth muscles of the uterus?
Correct Answer: A
Rationale: The correct statement about the three layers juries, and parents are concerned about the long-term of involuntary smooth muscles of the uterus is that they are designed to provide expansion of the growing fetus. The three layers of the uterus, consisting of the perimetrium, myometrium, and endometrium, play essential roles during pregnancy. The myometrium, which is the middle layer of the uterus, contains involuntary smooth muscle fibers that contract during labor to help expel the fetus. These muscles are designed to expand and contract to accommodate the growing fetus during pregnancy and aid in the birthing process.
Question 5 of 5
A mother is learning how to breastfeed her newborn. tions, moderate variability The lactation nurse is assisting her with this process.
Correct Answer: B
Rationale: Having the mother stroke the infant's mouth with her nipple so the infant will turn toward the mother's breast for feeding is the correct technique when assisting a mother in learning how to breastfeed her newborn. This technique helps stimulate the baby's rooting reflex, which is a natural reflex babies have to turn their head and open their mouth when their cheek is stroked.