ATI RN
VATI Maternal Newborn Assessment Questions
Question 1 of 5
A patient is taking oral contraceptives and asks whether they will still be effective if she has diarrhea. What should the nurse respond?
Correct Answer: B
Rationale: Diarrhea can reduce the absorption of oral contraceptives, potentially making them less effective. Choice A is incorrect because food does not always affect oral contraceptive absorption. Choice C is incorrect because there is no need to stop the contraceptives, but additional methods may be recommended during diarrhea. Choice D is incorrect because diarrhea does not increase the effectiveness of oral contraceptives.
Question 2 of 5
The nurse provides education regarding female sterilization. What important information is provided?
Correct Answer: D
Rationale: The important information provided regarding female sterilization is that tubal ligation, which is a form of female sterilization, is generally considered irreversible. This means that it is a permanent method of contraception and should not be relied upon as a temporary solution. It is important for individuals considering this procedure to understand that it is meant to be permanent and should be approached as such. If there is any consideration for future fertility, alternative contraceptive options should be discussed with a healthcare provider.
Question 3 of 5
A nurse is providing teaching to a client about exercise safety during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply).
Correct Answer: C
Rationale: In this scenario, option C, "will check my heart rate every 15 minutes during exercise sessions," indicates an understanding of exercise safety during pregnancy. Monitoring heart rate is crucial to ensure that the client is not overexerting themselves, which can be harmful during pregnancy. By checking their heart rate regularly, the client can adjust the intensity of their exercise to maintain a safe level. Option A is incorrect because limiting time in a hot tub after exercise is not a recommended safety practice during pregnancy. Hot tubs can raise body temperature to potentially harmful levels for the fetus. Option B is incorrect as consuming three 8-ounce glasses of water after exercise may not be sufficient for adequate hydration during pregnancy. Pregnant individuals generally need more water to stay hydrated, especially after exercising. Option D is incorrect because limiting exercise sessions to 30 minutes based on humid weather conditions is not a standard guideline for exercising during pregnancy. The focus should be on monitoring intensity and staying properly hydrated and not solely on the duration of exercise sessions. Educationally, this question emphasizes the importance of safe exercise practices during pregnancy, highlighting the need for monitoring heart rate as a key indicator of exertion levels. It reinforces the idea that pregnant individuals should be well-informed about exercise safety guidelines to promote both their own health and that of the developing fetus.
Question 4 of 5
A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr. postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication?
Correct Answer: A
Rationale: Methylergonovine is a medication used to help contract the uterus and control postpartum hemorrhage. One of its side effects is vasoconstriction, which can lead to increased blood pressure. The client's blood pressure of 142/92 mm Hg is elevated, and administering methylergonovine could further increase the blood pressure, potentially causing harm to the client. It is important to withhold the medication in this situation to prevent worsening of hypertension. The other assessment findings are within normal ranges and do not contraindicate the administration of methylergonovine.
Question 5 of 5
A nurse is planning to teach a group of clients who are about breastfeeding after returning to work. Which of the following infection should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct information for breastfeeding after returning to work is that thawed breast milk that is unused should not be refrozen. Once breast milk has been thawed, it should be used within 24 hours and should not be refrozen. This is important to prevent contamination and maintain the quality of the breast milk for the baby. The other statements provided in the options are correct guidelines regarding the storage of breast milk. Thawed breast milk can be refrigerated for up to 24 hours, breast milk can be stored in a deep freezer for up to 12 months, and breast milk can be stored at room temperature for up to 4 hours.