ATI RN
Maternal Newborn Nursing Questions
Question 1 of 5
A public health nurse visits the home of a young toddler. What aspect of the home environment would the nurse expect to address with the parents?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Cartoons playing on a television in the child's room. This is the most relevant aspect of the home environment for a public health nurse to address with the parents of a young toddler. The presence of power cords plugged into capped outlets (Option A) is a safety concern, but it is not as immediate as ensuring appropriate content on the TV in the child's room. The family dog being present in the house during the visit (Option C) could be a consideration for pet safety and hygiene but is not as critical as monitoring the child's exposure to screen time. The presence of pots on the stove with handles pointing toward the back (Option D) is a safety issue, but it is not as urgent as addressing the child's screen time. Educationally, this question highlights the importance of understanding the developmental needs of young toddlers in relation to their environment. It emphasizes the significance of monitoring screen time and ensuring that the content children are exposed to is age-appropriate and beneficial to their growth and development. It also underscores the role of public health nurses in providing education and guidance to parents on creating safe and conducive home environments for their children.
Question 2 of 5
The nurse is caring for a woman with a broken arm. Her partner brings in flowers and balloons and is overly affectionate. What phase of the cycle of violence would the nurse suspect?
Correct Answer: C
Rationale: In the context of maternal newborn nursing and understanding the dynamics of domestic violence, it is crucial for nurses to recognize the different phases of the cycle of violence. In this scenario, the nurse would suspect the honeymoon phase. The honeymoon phase is characterized by the abuser showing remorse, apologizing, and attempting to reconcile after a violent episode. In this case, the partner's overly affectionate behavior, bringing gifts like flowers and balloons, aligns with the typical behavior seen in the honeymoon phase. The tension-building phase (option A) precedes the acute battering incident (option B) and is marked by increasing tension, arguing, and potential threats. The acute battering incident is the actual violent episode. The loving phase (option D) is not a recognized phase in the cycle of violence and does not reflect the dynamics typically seen in abusive relationships. Educationally, understanding the cycle of violence is essential for nurses working in maternal newborn settings as they often encounter women experiencing intimate partner violence. Recognizing the signs and phases of abuse enables nurses to provide appropriate support, resources, and interventions to ensure the safety and well-being of both the mother and the newborn. By identifying the honeymoon phase, nurses can take necessary steps to address the situation and provide the woman with the help she needs.
Question 3 of 5
The nurse is preparing to teach a prenatal class about fetal circulation. Which statements should be included in the teaching plan?
Correct Answer: A
Rationale: The correct answer is A) The ductus arteriosus allows blood to bypass the fetal lungs. This statement is crucial in understanding fetal circulation. During fetal life, the ductus arteriosus is a shunt that diverts blood away from the non-functional lungs and directly into the systemic circulation. This adaptation is essential for fetal oxygenation until birth when the lungs take over. Option B is incorrect because two veins, the umbilical vein, and the ductus venosus, carry oxygenated blood from the placenta to the fetus. Option C is incorrect as the normal fetal heart rate range in early pregnancy is 110 to 160 beats per minute, not 140 to 160. Option D is incorrect because two arteries, not veins, the umbilical arteries, carry deoxygenated blood and waste products away from the fetus to the placenta for exchange. Understanding fetal circulation is vital for nurses caring for pregnant women and newborns. Teaching this concept in prenatal classes helps parents grasp the importance of fetal development and prepares them for potential complications that may arise during pregnancy and birth.
Question 4 of 5
The nurse is performing a prenatal assessment on a client with gestational diabetes. What statement by the client indicates effective teaching?
Correct Answer: C
Rationale: In this scenario, option C, "I will check my blood sugar multiple times a day as prescribed," is the correct statement indicating effective teaching by the client with gestational diabetes. This response demonstrates understanding and adherence to the essential aspect of monitoring blood sugar levels regularly to manage gestational diabetes effectively. Option A, "I will monitor my blood sugar once a week," is incorrect as gestational diabetes requires more frequent monitoring, typically multiple times a day, to ensure tight control and prompt intervention if needed. Option B, "I will increase my physical activity if my blood sugar is high," while promoting a healthy lifestyle, does not address the immediate need for monitoring blood sugar levels. Option D, "I can reduce my insulin dose on days I eat less," is incorrect because altering insulin doses without healthcare provider guidance can be dangerous and lead to uncontrolled blood sugar levels. In the context of maternal newborn nursing, educating clients with gestational diabetes about the importance of frequent blood sugar monitoring is crucial for their health and the well-being of the fetus. It empowers clients to take an active role in managing their condition and helps prevent complications associated with uncontrolled diabetes during pregnancy. Regular monitoring allows for timely adjustments in treatment plans and promotes better outcomes for both the mother and the baby.
Question 5 of 5
The nurse is teaching a prenatal class about signs of labor. Which statement indicates the need for further teaching?
Correct Answer: B
Rationale: In the context of teaching a prenatal class about signs of labor, option B, "The baby dropping is a sign of true labor," indicates a need for further teaching. This statement is inaccurate as the baby dropping, also known as lightening, occurs before labor begins and is not a definitive sign of imminent labor. Option A is correct as true labor contractions do indeed increase in intensity and regularity, which is a key characteristic distinguishing them from false labor. Option C is also accurate as false labor contractions, known as Braxton Hicks contractions, often subside with activity and rest, unlike true labor contractions. Option D is correct as true labor results in cervical changes such as effacement and dilation. To enhance understanding, it is crucial for prenatal educators to clarify the distinction between signs of true labor and false labor, emphasizing the importance of recognizing true labor onset to seek appropriate medical care. Providing practical examples, encouraging questions, and offering hands-on activities can aid in reinforcing this crucial information for expectant parents.