ATI RN
Maternal and Newborn Nursing Questions
Question 1 of 5
A patient would like to use the calendar method for contraception. She has charted her menstrual cycles for several months. Her longest menstrual cycle was 39 days long, and her shortest period was 29 days long. The nurse educates the patient to avoid condomless intercourse during what range of days of the cycle?
Correct Answer: B
Rationale: In the calendar method of contraception, a woman tracks her menstrual cycle to determine the fertile window in which she is most likely to conceive. The fertile window is typically considered to be the days leading up to and including ovulation.
Question 2 of 5
A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?
Correct Answer: B
Rationale: Tocolytic therapy is a medication given to delay preterm labor and prolong the pregnancy. It is safe and appropriate to administer tocolytic therapy to a client who is experiencing preterm labor at 26 weeks of gestation (option B) to help delay delivery and give time for other interventions to be initiated, such as administration of corticosteroids for fetal lung maturation and transfer to a facility with a NICU if necessary. The goal is to prevent premature birth and its associated complications.
Question 3 of 5
The nurse is teaching a prenatal class about breastfeeding. What is a key benefit of colostrum?
Correct Answer: B
Rationale: Colostrum is rich in antibodies, which provide passive immunity and protect the newborn from infections.
Question 4 of 5
A pregnant client is diagnosed with anemia. What dietary recommendation should the nurse provide?
Correct Answer: B
Rationale: Lean red meat is rich in iron, which is essential for managing anemia during pregnancy.
Question 5 of 5
During the first few minutes after birth which physiologic changes occurs in the newborn as response to vascular pressure changes in increased oxygen levels?
Correct Answer: A
Rationale: Immediately after birth, as the newborn takes its first breaths and transitions to breathing air, there is a rapid increase in oxygen levels in the blood. This sudden increase in oxygen causes the pulmonary vessels in the newborn's lungs to dilate. This dilation helps improve blood flow through the lungs, allowing for efficient exchange of oxygen and carbon dioxide. The dilation of pulmonary vessels is a normal physiologic response to the changing environment in the newborn's body after birth.