ATI RN
Maternal and Newborn Nursing Questions
Question 1 of 9
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 9
The nurse is teaching a prenatal class about fetal development. When does the heart begin to beat?
Correct Answer: A
Rationale: The fetal heart begins beating as early as 4 weeks' gestation, signaling early circulatory development.
Question 3 of 9
A nurse is caring for a person who is blind. What intervention could the nurse implement to deliver culturally responsive care?
Correct Answer: C
Rationale: Introducing oneself clearly helps build trust and ensures the patient knows who is providing care.
Question 4 of 9
The nurse is working with a group of community health members to develop a plan to address the special health needs of women. Which educational program would the group most likely identify as the priority?
Correct Answer: C
Rationale: The group needs to address cardiovascular disease, the number one cause of death in women regardless of racial or ethnic group. Thus, education for adopting a heart-healthy lifestyle would be the priority.
Question 5 of 9
A neonate born at 34 weeks' gestation and weighing 6lbs, 10oz (2750g) is admitted to the nursery, The vital signs are: apical heart rate 130; respiration 58, BP- 60/20. Temp. 98 degrees F; Apgar score of 4 and 8. The nurse should designate the highest priority health outcomes to be:
Correct Answer: A
Rationale: Oxygenation is critical for pre-term infants.
Question 6 of 9
Which aspect of client wellness has not been a focus of health during the 21st century ?
Correct Answer: D
Rationale: The focus on health has shifted to disease prevention, health promotion, and wellness. In the last century, much of the focus was on analyzing morbidity and mortality rates.
Question 7 of 9
Which statement best describes the problem of regulation of body temperature in a 3-lb. (1361g) premature infant?
Correct Answer: B
Rationale: Lack of subcutaneous fat contributes to poor thermoregulation.
Question 8 of 9
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 9 of 9
What comment by a perimenopausal client indicates the need for further teaching?
Correct Answer: A
Rationale: The calendar method is unreliable for perimenopausal women.