ATI RN
Needs of Maternal and Reproductive Health Clients Questions
Question 1 of 5
At the present time, which agency governs surrogate parenting?
Correct Answer: C
Rationale: In the context of surrogate parenting, the correct answer is C) Individual court decision. Surrogate parenting is a complex legal issue that is often determined on a case-by-case basis by courts. This is because laws regarding surrogate parenting can vary widely between states, leading to inconsistencies in how it is regulated. State law (option A) may provide some guidance on surrogate parenting, but it is not uniform across the country, leading to the need for court decisions to clarify specific cases. Federal law (option B) typically does not govern the specifics of surrogate parenting, as family law matters are primarily under state jurisdiction. Protective child services (option D) is also not directly involved in the regulation of surrogate parenting arrangements. In an educational context, understanding how surrogate parenting is governed is crucial for healthcare providers working with clients in maternal and reproductive health. By knowing that individual court decisions play a significant role in this area, professionals can navigate the legal landscape and provide informed support to clients seeking to build their families through surrogacy. It also highlights the importance of staying up-to-date with legal developments and seeking expert legal guidance when necessary in this complex and evolving field.
Question 2 of 5
A nurse is working with an active labor patient who is in preterm labor and has been designated as high risk. The patient is very apprehensive and asks the nurse, 'Is everything going to be all right?' The nurse replies, 'Yes, everything will be okay.' Following delivery via an emergency cesarean birth, the newborn undergoes resuscitation and does not survive. The patient is distraught over the outcome and blames the nurse for telling her that everything would be okay. Which ethical principle did the nurse violate?
Correct Answer: B
Rationale: The correct answer is B) Fidelity. Fidelity refers to the ethical principle of being faithful and true to one's commitments and promises. In this scenario, the nurse violated fidelity by assuring the patient that everything would be okay without having certainty or control over the outcome. This breach of trust led to a sense of betrayal for the patient when the outcome was tragic. Option A) Autonomy pertains to respecting the patient's right to make their own decisions. In this case, the nurse did not violate the patient's autonomy but failed in maintaining fidelity. Option C) Beneficence involves acting in the patient's best interest. While the nurse's intention may have been to provide comfort, the lack of truthful information compromised beneficence. Option D) Accountability refers to the responsibility of healthcare professionals for their actions. While accountability is important, the primary ethical principle violated in this scenario is fidelity. In an educational context, this scenario highlights the significance of honesty and transparency in patient communication, especially in high-stress situations. Nurses must balance providing reassurance with being truthful and realistic to maintain trust and uphold ethical principles like fidelity in their practice.
Question 3 of 5
A multigravida client arrives at the labor and delivery unit and tells the nurse that her bag of water has broken. The nurse identifies the presence of meconium fluid on the perineum and determines the fetal heart rate is between 140 to 150 beats/minute. What action should the nurse implement next?
Correct Answer: A
Rationale: In this scenario, the correct action for the nurse to implement next is to complete a sterile vaginal exam (Option A). This is crucial in assessing the extent of cervical dilation and the position of the fetus to determine the progress of labor and the need for immediate interventions. Taking the maternal temperature every 2 hours (Option B) is important for monitoring signs of infection but is not the immediate priority in this situation where fetal distress is a concern. Preparing for an immediate cesarean birth (Option C) may be necessary in cases of fetal distress or other complications, but it should not be the immediate next step without further assessment through a vaginal exam. Obtaining sterile suction equipment (Option D) is important in case meconium aspiration occurs during delivery, but it is not the most immediate action needed in this scenario. Educationally, this question highlights the importance of prompt assessment and decision-making in labor and delivery situations to ensure the safety and well-being of both the mother and the baby. Understanding the significance of different assessments and interventions in such critical moments is vital for nurses working in maternal and reproductive health settings.
Question 4 of 5
A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for observation. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal examination reveals that her cervix is closed, thick, and high. Based on these data, which intervention should the nurse implement first?
Correct Answer: C
Rationale: In this scenario, the correct intervention is to obtain a specimen for urine analysis (Option C) first. The client's symptoms suggest a possibility of a urinary tract infection (UTI) or other urinary issues, which can contribute to uterine irritability and contractions. By analyzing the urine, the nurse can assess for any signs of infection or other abnormalities that may be causing the client's symptoms. Providing oral hydration (Option A) is important for pregnant clients, but in this case, addressing the potential underlying issue takes precedence. Having a complete blood count (CBC) drawn (Option B) may be necessary at some point, but it is not the initial priority. Placing the client on strict bedrest (Option D) is not supported as the first intervention without further assessment. In an educational context, this question highlights the importance of assessing and addressing potential medical issues that can impact maternal and fetal health during pregnancy. Understanding the implications of different symptoms and prioritizing interventions based on assessment findings are crucial skills for nurses caring for maternal and reproductive health clients.
Question 5 of 5
The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a tool to assist her in conceiving a child. Which temperature pattern indicates the occurrence of ovulation, and therefore, the best time for intercourse to ensure conception?
Correct Answer: A
Rationale: The correct answer is A) Between the time the temperature falls and rises. This temperature pattern indicates the occurrence of ovulation, which is crucial for conception. Basal body temperature typically drops just before ovulation and then rises and remains elevated after ovulation. This shift in temperature signifies the release of an egg and the fertile window for conception. Option B) Between 36 and 48 hours after the temperature rises is incorrect because ovulation usually occurs before the temperature rises, not after. Therefore, this timing would not align with the fertile window for conception. Option C) When the temperature falls and remains low for 36 hours is incorrect because a sustained low temperature does not indicate ovulation. Ovulation is typically associated with a temperature rise, not a prolonged low temperature. Option D) Within 72 hours before the temperature falls is incorrect because ovulation occurs before the temperature falls. Therefore, this timing would not align with the fertile window for conception. In an educational context, understanding basal body temperature patterns is essential for women who are trying to conceive. By tracking these patterns accurately, women can identify their most fertile days and optimize their chances of conception. Education on this topic empowers women to take control of their reproductive health and make informed decisions regarding family planning.