ATI RN
Maternal and Reproductive Health Nursing Questions
Question 1 of 5
A patient with Type 1 Diabetes delivers a 9-pound 10 oz. baby by cesarian birth in her 36th week of pregnancy. When monitoring the infant of a mother with diabetes, the nurse should monitor for signs of:
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Respiratory distress. Infants born to mothers with diabetes, especially those with large birth weights like the 9-pound 10 oz. baby in this case, are at higher risk for respiratory distress syndrome due to factors such as delayed lung maturation and surfactant deficiency. Option A) Meconium ileus is incorrect as it is a condition related to cystic fibrosis, not maternal diabetes. Option C) Physiologic jaundice is a common occurrence in newborns and is not specifically associated with maternal diabetes. Option D) Increased intracranial pressure is not typically a direct concern in infants born to mothers with diabetes unless there are other underlying issues present. In an educational context, understanding the potential complications for infants born to mothers with diabetes is crucial for nurses working in maternal and reproductive health. This knowledge allows nurses to provide appropriate care, closely monitor for potential issues such as respiratory distress, and intervene promptly to ensure the well-being of both the mother and the infant.
Question 2 of 5
The nurse is aware that a pre-term neonate may have a potential nutritional problem because of:
Correct Answer: A
Rationale: In maternal and reproductive health nursing, understanding the nutritional needs of pre-term neonates is crucial for providing optimal care. The correct answer is A) Poor sucking reflex. Pre-term neonates often have underdeveloped sucking reflexes, which can impede their ability to effectively latch onto a nipple or bottle for feeding. This can lead to inadequate intake of nutrients, resulting in a potential nutritional problem. Option B) A decreased metabolic rate is incorrect because pre-term neonates actually have higher metabolic rates compared to full-term infants due to their need to support growth and development outside the womb. Option C) Decreased caloric requirement is incorrect because pre-term neonates typically have higher caloric requirements to support their rapid growth and development compared to full-term infants. Option D) Increased absorption of nutrients is incorrect because pre-term neonates may actually have challenges with nutrient absorption due to their immature gastrointestinal systems. Educationally, it is important for nurses to be able to recognize the unique nutritional challenges faced by pre-term neonates to provide appropriate interventions and support for optimal growth and development. By understanding the impact of poor sucking reflexes on nutritional intake, nurses can implement strategies such as alternative feeding methods or nutritional supplementation to address these challenges effectively.
Question 3 of 5
A mother's laboratory results indicate the presence of cocaine and alcohol. The characteristic in her newborn that would indicate to the nurse that the baby has been affected with fetal alcohol syndrome would be:
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Small upturned nose. Fetal Alcohol Syndrome (FAS) is a condition caused by maternal alcohol consumption during pregnancy. One of the common physical features associated with FAS is a small upturned nose. This characteristic is a result of the alcohol exposure affecting the development of the baby's facial features in the womb. Regarding the incorrect options: A) Cleft lip is a congenital condition that can have various causes but is not specifically linked to fetal alcohol exposure. B) Polydactyly refers to extra fingers or toes and is not a typical feature of FAS. C) Umbilical Hernia is a condition where part of the intestine protrudes through the abdominal muscles near the belly button, which is not directly related to FAS. Educationally, understanding the physical manifestations of fetal alcohol exposure is crucial for nurses and healthcare providers working in maternal and reproductive health. Recognizing these signs early can lead to appropriate interventions and support for affected infants and families. It also underscores the importance of educating expectant mothers about the risks of alcohol consumption during pregnancy to prevent FAS and other related conditions.
Question 4 of 5
During the counseling sessions about hepatitis B vaccination, what should the nurse advise the client to receive?
Correct Answer: C
Rationale: In counseling sessions about hepatitis B vaccination, advising the client to receive the complete series of three intramuscular injections (Option C) is crucial. This recommendation aligns with the standard vaccination protocol for hepatitis B. The correct series of three doses ensures optimal protection against hepatitis B by stimulating the body to produce antibodies. Each dose is essential for building and maintaining immunity. Option A, advising to receive hepatitis B immune globulin before the vaccine, is incorrect. Hepatitis B immune globulin is typically used for post-exposure prophylaxis, not as a routine preventive measure during counseling sessions. Option B, suggesting a vaccine booster every 10 years, is also incorrect. The standard hepatitis B vaccination schedule involves a primary series of three doses without the need for regular boosters unless the individual has specific risk factors. Option D, advising to get the vaccine as soon as she becomes 21, is incorrect because the timing of vaccination should be based on the recommended schedule, not tied to a specific age milestone. In an educational context, understanding the importance of completing the full series of hepatitis B vaccine doses empowers nurses to provide evidence-based recommendations to clients, ensuring optimal protection against this infectious disease in both individual and community health perspectives.
Question 5 of 5
Which statement by the client indicates understanding about the intrauterine device (IUD)?
Correct Answer: A
Rationale: The correct answer is A) The IUD can remain in place for a year or more. This statement indicates an understanding of the longevity of the device, as most IUDs are effective for several years before needing replacement. This knowledge is crucial for the client to make informed decisions about their contraceptive options. Option B) I will not menstruate while the IUD is in is incorrect because most women still experience their regular menstrual cycles while using an IUD, although there may be changes in bleeding patterns. Option C) Pain during intercourse is a common side effect is incorrect as pain during intercourse is not a common side effect of using an IUD. If a client experiences pain during intercourse, they should seek medical advice to rule out other underlying causes. Option D) The device will reduce my chances of getting infected is incorrect as while the IUD is a highly effective form of contraception, it does not protect against sexually transmitted infections (STIs). It is important for clients to use barrier methods such as condoms to prevent STIs. In an educational context, it is important for healthcare providers to ensure that clients have accurate information about contraceptive methods to make informed choices that align with their reproductive health goals. Understanding the specifics of each contraceptive method, including their efficacy, side effects, and limitations, empowers clients to take control of their reproductive health.