ATI RN
Maternal Newborn Nclex Practice Questions Questions
Question 1 of 5
A woman with a multiple fetus pregnancy asks, <What are the chances of having an uncomplicated pregnancy?= The nurse's best response is that
Correct Answer: C
Rationale: The nurse's best response would be that twins are less likely to have complications than single babies. This is because multiple pregnancies do have an increased risk of complications compared to singleton pregnancies, but within the realm of multiple pregnancies, twins typically have better outcomes compared to higher-order multiples like triplets or quadruplets. Twins are more likely to be born at term, have higher birth weights, and are less likely to experience certain complications such as prematurity-related issues. Therefore, the chances of having an uncomplicated pregnancy are generally better with twins compared to higher-order multiples.
Question 2 of 5
A new mother states that her infant must be cold because the baby's head and feet are blue? The nurse should explain that this is a common and temporary condition called:
Correct Answer: A
Rationale: Acrocyanosis is a common and benign condition in newborn infants characterized by temporary blueness or cyanosis of the hands, feet, and sometimes the face. This blueness is caused by the temporary constriction of blood vessels in those areas, resulting in reduced blood flow and less oxygen reaching the skin. Acrocyanosis typically resolves on its own and does not indicate any serious health concerns in newborns. It is important for healthcare providers to reassure parents that acrocyanosis is a normal phenomenon in newborns and does not require treatment.
Question 3 of 5
What is a common risk factor for breast cancer? Select all that apply.
Correct Answer: A,B,C
Rationale: In the context of pharmacology and maternal newborn care, understanding risk factors for breast cancer is crucial for nurses and healthcare professionals. Option A, being assigned female at birth, is a common risk factor for breast cancer because breast tissue development occurs predominantly in individuals who are biologically female. This increases their susceptibility to breast cancer compared to individuals assigned male at birth. Option B, having a first-degree relative with breast cancer, is a significant risk factor because genetic predisposition plays a key role in breast cancer development. Inheriting certain gene mutations, such as BRCA1 and BRCA2 (Option C), significantly increases the risk of developing breast cancer. These genes are involved in repairing damaged DNA, and mutations in them can lead to uncontrolled cell growth and tumor formation. Option D, being of African American ethnicity, is not a direct risk factor for breast cancer development. However, research has shown that African American women are more likely to be diagnosed with more aggressive types of breast cancer at a younger age, highlighting the importance of considering race and ethnicity in breast cancer screening and treatment. Educationally, by understanding these risk factors, healthcare providers can better assess individual risk, provide appropriate counseling, and recommend personalized screening and prevention strategies to improve maternal and newborn outcomes.
Question 4 of 5
What symptom is related to perimenopausal hormone fluctuations? Select all that apply.
Correct Answer: A,B,C
Rationale: In perimenopausal women, hormone fluctuations can lead to various symptoms. Musculoskeletal complaints such as joint pain and stiffness can occur due to hormonal changes affecting bone density and muscle function. Heart palpitations are linked to hormonal imbalances affecting the cardiovascular system. Sleeping difficulties are common during perimenopause due to fluctuating estrogen levels impacting the sleep-wake cycle. Severe pelvic pain is not typically associated with perimenopausal hormone fluctuations but may indicate other underlying gynecological issues. Educationally, understanding the diverse symptoms of perimenopausal hormone fluctuations is crucial for healthcare providers to provide appropriate care and support to women experiencing this transitional phase. By recognizing these symptoms, healthcare professionals can offer targeted interventions and advice to improve quality of life during perimenopause. This knowledge is also important for nursing students preparing for the NCLEX exam, as it demonstrates the importance of considering hormonal influences on various body systems and their potential effects on patient health.
Question 5 of 5
What does the nurse know about the definition of a family?
Correct Answer: D
Rationale: The correct answer is option D: "Families are made of kinships defined by the family." This definition of a family is the most inclusive and broad, recognizing that families can take many different forms beyond just traditional nuclear families. In the context of maternal newborn care, it is crucial for nurses to have a comprehensive understanding of what constitutes a family to provide effective and culturally sensitive care. Option A: "Families are made up of couples with biological children," is too narrow and excludes families formed through adoption, fostering, or other non-biological means. This definition does not encompass the diverse ways families can be created and maintained. Option B: "Families are created through marriage or birth," also limits the definition to legal or biological connections, overlooking the importance of chosen families, extended families, or families formed through other types of bonds. Option C: "Families can be blended but are not called families," is incorrect as it disregards the validity and importance of blended families and suggests that they do not fit the definition of a family, which is not true. Understanding the diverse nature of families is crucial for nurses working in maternal newborn care as it allows them to provide holistic and individualized care that respects and supports the unique family dynamics of each patient. By acknowledging and respecting the various forms that families can take, nurses can establish trust, promote family-centered care, and enhance the overall well-being of both the mother and newborn.