ATI RN
Needs of Maternal and Reproductive Health Clients Questions
Question 1 of 5
A woman who had a miscarriage 6 months ago becomes pregnant. Which instruction is most important is most important for the nurse to provide this client?
Correct Answer: D
Rationale: The most important instruction for a woman who had a miscarriage 6 months ago and is now pregnant is to take prescribed multivitamin and mineral supplements (Option D). This instruction is crucial because proper nutrition, including essential vitamins and minerals, is vital for supporting a healthy pregnancy and reducing the risk of complications. Elevating lower legs while resting (Option A) is not directly related to the specific needs of a pregnant woman who previously experienced a miscarriage. Increasing caloric intake by 200 to 300 calories per day (Option B) can be important during pregnancy, but it is not the most critical instruction in this scenario. Increasing water intake to 8 full glasses per day (Option C) is generally good advice for overall health but is not as directly essential as ensuring proper vitamin and mineral intake during pregnancy. In an educational context, it is important for nurses to understand the specific needs of women who have experienced miscarriages and are now pregnant. Providing targeted and evidence-based instructions, such as the importance of taking prescribed multivitamin and mineral supplements, is crucial for promoting the health and well-being of both the mother and the developing fetus. Nurses play a key role in educating and supporting women through their reproductive health journey, and ensuring they have the necessary information to optimize their outcomes.
Question 2 of 5
A client receiving epidural anesthesia begins to experience nausea and becomes pale and clammy. What intervention should the nurse implement first?
Correct Answer: A
Rationale: These symptoms are suggestive of hypotension which is a side effect of epidural anesthesia. Raising the foot of the bed (A) will increase venous return and provide blood to the vital areas. Increasing the IV fluid rate using a balanced non-dextrose solution and ensuring that the silent is in a lateral position are also appropriate interventions.
Question 3 of 5
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing history, the client indicated that she has delivered premature twins, one full-term baby, and has had no abortions. Which GTPAL should the nurse document in this client's record?
Correct Answer: D
Rationale: (D) describes the correct GTPAL. The client has been pregnant 3 times including the current pregnancy (G-3). She had one full-term infant (T-1). She also had a preterm (P-1) twin pregnancy (a multifetal gestation is considered one birth when calculating parity). There were no abortions (A-0), so this client has a total of 3 living children.
Question 4 of 5
A 35-year-old primigravida client with severe preeclampsia is receiving magnesium sulfate via continuous IV infusion. Which assessment data indicates to the nurse that the client is experiencing magnesium sulfate toxicity?
Correct Answer: D
Rationale: The correct answer is D) Urine output 90 ml/4 hours, indicating magnesium sulfate toxicity in a client with severe preeclampsia. Magnesium sulfate toxicity can lead to decreased urine output due to renal failure, a serious complication. This is a critical sign for the nurse to recognize and intervene promptly to prevent further harm to the client. Option A) Deep tendon reflexes 2+ is a normal finding and not indicative of magnesium sulfate toxicity. Option B) Blood pressure 140/90 is within normal range for a pregnant client with preeclampsia and does not specifically indicate magnesium sulfate toxicity. Option C) Respiratory rate 18/minute is also a normal finding and not a specific indicator of magnesium sulfate toxicity. In an educational context, understanding the signs and symptoms of magnesium sulfate toxicity is crucial for nurses caring for maternal and reproductive health clients. Recognizing these signs promptly can help prevent serious complications and ensure the best outcomes for both the mother and the baby. Regular assessments and knowledge of potential complications are essential in providing safe and effective care to these clients.
Question 5 of 5
The nurse is teaching a client with gestational diabetes about nutrition and insulin need for pregnancy. Which content should the nurse include in this client teaching plan?
Correct Answer: B
Rationale: The correct answer is B) Increase daily caloric intake is needed. During pregnancy, especially in the case of gestational diabetes, it is essential for the client to maintain stable blood sugar levels through a combination of proper nutrition and insulin management. Increasing daily caloric intake is important to support the nutritional needs of both the mother and the developing fetus. Option A) Insulin production is decreased during pregnancy is incorrect because in gestational diabetes, the body may become more resistant to insulin, leading to higher blood sugar levels that require proper management through external insulin administration. Option C) Injection requirements remain the same is incorrect because insulin requirements may change during pregnancy due to hormonal fluctuations and increased insulin resistance. The nurse should educate the client on potential adjustments needed based on blood sugar monitoring. Option D) Blood sugars need less monitoring in the first trimester is incorrect because blood sugar monitoring is crucial throughout the entire pregnancy, including the first trimester, to ensure optimal management of gestational diabetes and the well-being of both the mother and the baby. In an educational context, it is important for nurses to provide comprehensive and accurate information to clients with gestational diabetes to empower them to make informed decisions about their health and the health of their baby. Proper nutrition, insulin management, and monitoring are key components of managing gestational diabetes effectively.