ATI RN
Maternal Newborn Nursing Questions
Question 1 of 9
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify
Correct Answer: D
Rationale: In a labor where the fetal position is persistent occiput posterior, the baby is positioned face up, which can lead to a longer and more difficult labor. In this position, the baby's head is pressing against the mother's spine, causing severe backache for the mother. This malposition can slow down the progress of labor, making it more prolonged and challenging. It can also increase the likelihood of complications such as increased risk of instrumental delivery or cesarean section. Therefore, identifying the fetal position as persistent occiput posterior as a contributing cause to the difficult, prolonged labor with severe backache is crucial for effective management and intervention.
Question 2 of 9
Which factor is a major barrier to health care for adolescent mothers?
Correct Answer: C
Rationale: The major barrier to health care for adolescent mothers is seeing a different nurse and/or health care provider at every visit. Continuity of care is crucial for adolescent mothers as they need consistent support and guidance throughout their pregnancy and postpartum period. When they see different healthcare providers at each visit, it can lead to fragmented care, lack of trust in the healthcare system, and hinder the establishment of a therapeutic relationship. This barrier can impact the quality of care received and ultimately affect the health outcomes for both the adolescent mother and her baby.
Question 3 of 9
The family is the basic unit of society. Which statement correctly illustrates the importance of this concept related to how society functions?
Correct Answer: A
Rationale: The family is the basic unit of society. In order for this to work well, members of the family must work together. Families make a central contribution to enhance the quality of our society.
Question 4 of 9
Before giving a client oral combination contraceptives, which side effects should the nurse tell the patient to be aware of? Select all that apply.
Correct Answer: B
Rationale: Common side effects of oral combination contraceptives include irregular bleeding, nausea, and breast tenderness. Choice B, thick vaginal discharge, is not typically associated with oral contraceptives.
Question 5 of 9
A patient has expressed interest in receiving an implant for contraception. Which statements by the patient show that she understands the teaching given to her about her procedure and medication? Select one that does not apply.
Correct Answer: D
Rationale: The implant provides long-term contraception for 3 years, so the patient should understand it is a long-term method. Choice A is correct, and the patient must be aware of this. Choice B is correct, as the procedure involves a minor surgical process, and the patient will need someone to drive them home. Choice C is correct because irregular bleeding is a common side effect of the implant. Choice D is incorrect, as the implant does not provide STI protection.
Question 6 of 9
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg. Which of the following is the priority action for the nurse to take?
Correct Answer: A
Rationale: The priority action for the nurse in this situation is to notify the provider of the vital signs and the client's condition. The maternal blood pressure of 92/54 mm Hg is low, which can indicate hypotension. Hypotension during labor can lead to decreased perfusion to both the mother and baby, potentially causing harm. Therefore, the provider needs to be notified promptly so that appropriate interventions can be initiated to address the maternal hypotension and ensure the well-being of both the mother and the baby. Positioning the client with one hip elevated, asking about pain medication, and having the client void can be important interventions, but they are not the priority in this situation where maternal hypotension is a concern.
Question 7 of 9
The pediatric nurse knows that the children being treated are considered minors. Which statement accurately describes the regulations related to consent for medical treatment?
Correct Answer: C
Rationale: Parents ultimately are the decision makers for their children. Generally, only persons over the age of majority (18 years of age) can legally provide consent for health care.
Question 8 of 9
A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (Select all that apply).
Correct Answer: A
Rationale: A. Amnionitis: This is the inflammation of the amniotic sac or membranes and is a potential complication following an amniocentesis procedure. It can lead to maternal fever, fetal tachycardia, and other signs of infection.
Question 9 of 9
The nurse is assessing a client at 36 weeks' gestation who reports sharp abdominal pain and heavy vaginal bleeding. What condition should the nurse suspect?
Correct Answer: A
Rationale: Abruptio placentae is characterized by painful bleeding and requires immediate intervention.