ATI RN
VATI Maternal Newborn Assessment Questions
Question 1 of 5
A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Which of the following information should the nurse include?
Correct Answer: C
Rationale: The correct information that the nurse should include is that "Hypnosis can be beneficial if you practiced it during the prenatal period." This statement is true because hypnosis is a tool that can help individuals manage pain and stress through focused attention and suggestion. By practicing hypnosis techniques during the prenatal period, the individual can become more familiar and comfortable with the practice, making it more effective during labor. It is important to establish a routine and practice hypnosis consistently to maximize its benefits during labor.
Question 2 of 5
The nurse is seeing a 17-year-old female in the clinic for complaints of acne. The nurse plans on taking advantage of this teachable moment with the teen. Which topics will the nurse include in the teen's teaching plan?
Correct Answer: D
Rationale: The most appropriate topics for the nurse to include in the teaching plan for the 17-year-old female with acne are optimum weight, hypothyroidism, and sexually transmitted diseases. Acne can be influenced by hormonal changes, which can be impacted by weight, thyroid function, and hormonal fluctuations related to sexual health. Educating the teen about these topics can help her understand potential contributing factors to her acne and empower her to make informed decisions about her health and lifestyle. It is important to address issues that are relevant to the teen's current health concerns while also providing valuable information for her overall well-being.
Question 3 of 5
A patient is about to undergo an amniocentesis. tion on her postpartum clients. Which client has a Which procedures should the nurse perform? Select high risk for postpartum hemorrhage? Select all all that apply.
Correct Answer: A
Rationale: In this scenario, option A is the correct answer as having the patient give verbal consent for the procedure is a crucial step before conducting an amniocentesis. Verbal consent ensures the patient understands the procedure, risks, and benefits, and gives their permission willingly. This is ethically and legally necessary to respect the patient's autonomy. Option B is incorrect because the method of delivery and gestational age do not directly correlate with the risk of postpartum hemorrhage in the context of amniocentesis. Option C is incorrect as the mode of delivery does not inherently increase the risk of postpartum hemorrhage in this situation. Option D is also incorrect because assessing for bleeding disorders, while important in general maternal care, is not directly related to the immediate risk of postpartum hemorrhage post-amniocentesis. Educationally, this question highlights the importance of obtaining informed consent before any medical procedure. It emphasizes the nurse's responsibility to ensure the patient understands the procedure and consents to it voluntarily. Understanding this concept is crucial for providing patient-centered care and upholding ethical standards in healthcare practice.
Question 4 of 5
Which circumstance is most likely to cause uterine partum assessment with a woman who is 4 days atony and lead to excessive blood loss?
Correct Answer: A
Rationale: Orthostatic hypotension, which is a sudden drop in blood pressure upon standing, can result in decreased perfusion to the uterus, leading to poor contraction of the uterine muscles. This can result in uterine atony, where the uterus fails to contract properly after delivery. Uterine atony is a common cause of excessive postpartum bleeding (postpartum hemorrhage). Without proper contraction of the uterus, the blood vessels that supplied the placenta during pregnancy remain open and bleeding can continue unchecked.
Question 5 of 5
How would a patient who has taken Lamaze education respond when the health-care provider recommends breaking the bag of waters in early labor?
Correct Answer: C
Rationale: In the context of Lamaze education, the correct response is option C: "What are the risks and benefits of breaking my water right now?" This response reflects an informed and empowered approach to decision-making during labor, which is a key principle of Lamaze education. Option A demonstrates a lack of consideration for the potential risks and benefits of the intervention, which goes against the principles of informed decision-making promoted in Lamaze education. Option B reflects blind trust in the healthcare provider without seeking necessary information to make an informed decision, which contradicts the emphasis on active participation in decision-making in Lamaze education. Option D focuses on a separate intervention (epidural) rather than addressing the immediate recommendation to break the bag of waters. This response indicates a misunderstanding of the situation at hand and does not align with the principles of informed decision-making and active participation in the birth process, which are central to Lamaze education. In an educational context, understanding the rationale behind each response helps individuals grasp the importance of informed decision-making, advocating for themselves during labor, and actively participating in the decision-making process regarding their care. This question highlights the significance of being well-informed and engaged in discussions with healthcare providers to make decisions that align with personal preferences and values during the childbirth experience.