ATI RN
Antenatal and postnatal complications Questions
Question 1 of 5
A patient has tested HIV-positive and has now discovered that she is pregnant. Which statement indicates that she understands the risks of this diagnosis?
Correct Answer: B
Rationale: The correct answer is B because it shows understanding that a positive HIV test in the mother doesn't guarantee transmission to the baby. This reflects knowledge of the possibility of preventing mother-to-child transmission with proper medical care. Option A is incorrect as abortion is not the standard recommendation for HIV-positive pregnant women. Option C is incorrect as not all babies born to HIV-positive mothers will have AIDS or die within the first year. Option D is incorrect as pregnancy does not decrease the mother's chance of developing AIDS.
Question 2 of 5
Several hours after delivery, a new mother expresses ambivalence regarding her infant. How will the nurse promote bonding?
Correct Answer: A
Rationale: The correct answer is A, having the mother feed the infant. This helps promote bonding through physical closeness, eye contact, and the release of oxytocin. Feeding also fosters a sense of responsibility and nurturing. Choice B may disrupt bonding by creating separation anxiety. Choice C is a comforting position but not as interactive as feeding. Choice D delays bonding and can impact the establishment of a strong maternal-infant relationship.
Question 3 of 5
Which intervention would the nurse initiate when a fetal heart pattern signifying uteroplacental insufficiency occurs?
Correct Answer: C
Rationale: The correct answer is C: Helping the client turn to the side-lying position. This intervention facilitates increased blood flow to the placenta, improving oxygenation to the fetus during uteroplacental insufficiency. The side-lying position relieves pressure on the vena cava, enhancing blood flow. Inserting a urinary catheter (A) is not indicated for addressing uteroplacental insufficiency. Administering oxygen (B) is important, but turning the client to the side is the priority as it directly improves blood flow. Encouraging panting (D) is not effective in addressing uteroplacental insufficiency.
Question 4 of 5
The nurse applies fetal and uterine monitors to the abdomen of a client in active labor. When the client has contractions, the nurse notes a 15 beats/min deceleration of the fetal heart rate below the baseline lasting 15 seconds. Which is the next nursing action?
Correct Answer: B
Rationale: The correct answer is B: Changing the maternal position. Deceleration of fetal heart rate during contractions can indicate umbilical cord compression. Changing the maternal position can relieve pressure on the cord, improving blood flow to the fetus. This action is a non-invasive and immediate intervention that can potentially improve fetal oxygenation. Calling the primary health care provider (A) can be done after addressing the immediate concern. Obtaining maternal blood pressure (C) is not the priority in this situation. Preparing for an immediate birth (D) is premature without first attempting non-invasive interventions.
Question 5 of 5
Which cardiac disease has the lowest risk for maternal mortality?
Correct Answer: C
Rationale: The correct answer is C: Patent ductus arteriosus. This condition typically does not pose a significant risk for maternal mortality because it is a relatively benign cardiac defect that does not significantly impact maternal health during pregnancy. Other choices, such as endocarditis, aortic stenosis, and pulmonary hypertension, have higher risks for maternal mortality due to complications like heart failure, arrhythmias, and increased risk of thromboembolic events. Therefore, patent ductus arteriosus is the lowest risk for maternal mortality among the given options.