ATI RN
Maternal Newborn Nursing Questions
Question 1 of 5
Before giving a client oral combination contraceptives, which side effects should the nurse tell the patient to be aware of? Select all that apply.
Correct Answer: B
Rationale: In the context of maternal newborn nursing and pharmacology, it is crucial for a nurse to educate patients about the potential side effects of oral combination contraceptives to ensure their safety and understanding. In this scenario, the correct answer is B) Thick vaginal discharge. This is because oral contraceptives can alter vaginal discharge consistency in some individuals, which is important for patients to be aware of for monitoring purposes and to differentiate from any concerning symptoms. Regarding the incorrect options: A) Irregular bleeding: While this can be a side effect of oral contraceptives, it is not specifically related to combination contraceptives. It is more commonly associated with progestin-only pills. C) Nausea: Nausea is a common side effect of starting oral contraceptives, but it is not one of the primary side effects that patients need to be specifically aware of. D) Breast tenderness: While breast tenderness can occur as a side effect of oral contraceptives, it is not a key side effect that patients need to be specifically watch for. Educational context: By understanding the unique side effects of different types of contraceptives, nurses can provide tailored education to patients, enhancing their ability to recognize and manage potential side effects effectively. This empowers patients to make informed decisions about their healthcare and promotes medication adherence and safety.
Question 2 of 5
A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method?
Correct Answer: C
Rationale: Facial Palsy is a complication that may occur following a forceps-assisted birth. Forceps delivery carries the risk of exerting pressure on the infant's facial nerves, leading to temporary facial weakness or paralysis. This condition is known as facial palsy. It typically resolves on its own without long-term consequences, but careful monitoring and follow-up are necessary.
Question 3 of 5
A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct statement indicating an understanding of car seat safety is "I should place the car seat rear facing until my baby is 12 months old." This statement reflects the current recommendation by the American Academy of Pediatrics (AAP), which suggests that infants should ride in a rear-facing car seat until they are at least 2 years old or until they reach the maximum height or weight limit allowed by the car seat manufacturer. This position provides the best protection for the baby's head, neck, and spine in the event of a crash. The other statements are incorrect:
Question 4 of 5
A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (Select all that apply).
Correct Answer: A
Rationale: The correct answer is A) Amnionitis. Amnionitis, also known as chorioamnionitis, is a serious complication following an amniocentesis characterized by infection of the amniotic fluid. This condition can lead to maternal and fetal complications, making it crucial for the nurse to recognize and address promptly. Option B) Urinary tract infection is incorrect because it is not directly related to the amniocentesis procedure. While urinary tract infections are common in pregnancy, they are not a known complication of amniocentesis. Option C) Polyhydramnios is also incorrect as it refers to an excessive accumulation of amniotic fluid in the gestational sac, which is generally not associated with amniocentesis. Option D) Leakage of amniotic fluid is a potential immediate complication of amniocentesis, but it is not a recognized finding to be assessed post-procedure for complications related to infection like amnionitis. In the field of maternal newborn nursing, recognizing complications following procedures like amniocentesis is crucial for ensuring the well-being of both the mother and the fetus. Understanding these potential complications allows nurses to provide timely interventions and prevent further health issues.
Question 5 of 5
A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol?
Correct Answer: C
Rationale: Misoprostol is a prostaglandin E1 analog that is commonly used for labor induction. It is particularly useful in clients with a previous uterine incision, such as a cesarean section scar, because it helps soften the cervix and promote uterine contractions, which can lead to successful vaginal birth after cesarean (VBAC). Misoprostol can be an effective method for inducing labor in these clients while minimizing the risk of uterine rupture. However, it is important to closely monitor clients for signs of uterine hyperstimulation when using misoprostol for labor induction.