ATI RN
Maternal Newborn Nursing Practice Questions Questions
Question 1 of 5
During which stage of the menstrual cycle does the endometrium layer thicken?
Correct Answer: D
Rationale: The endometrium layer thickens during the secretory phase of the menstrual cycle. This phase occurs after ovulation and is characterized by the endometrium preparing for possible implantation of a fertilized egg by further thickening and becoming more vascularized. If pregnancy does not occur, the thickened endometrial lining will be shed during menstruation. The secretory phase is under the control of the hormone progesterone, which is produced by the corpus luteum formed in the ovary after ovulation.
Question 2 of 5
The nurse is preparing a client for a nonstress test. What instruction is most appropriate?
Correct Answer: C
Rationale: The correct answer to the question, "The nurse is preparing a client for a nonstress test. What instruction is most appropriate?" is option C: "You will need to press a button each time you feel the baby move." This instruction is correct because during a nonstress test, the purpose is to monitor the baby's heart rate in response to its own movements. The mother is provided with a button to press when she feels the baby move, which allows the healthcare provider to correlate the fetal movements with changes in the baby's heart rate. This helps in assessing the baby's well-being and determining if there are any signs of distress. Option A, "You need to fast for 12 hours before the test," is incorrect because fasting is not required for a nonstress test. It is a non-invasive procedure that does not necessitate fasting. Option B, "You will be given medication to stimulate fetal movements," is incorrect because a nonstress test is designed to monitor the baby's own movements naturally, without the need for any external stimulation. Option D, "You must lie flat on your back during the test," is incorrect because during a nonstress test, the mother is usually in a comfortable position, such as reclining in a chair or on a bed, to promote fetal movement and maternal comfort. In an educational context, understanding the correct instructions for a nonstress test is crucial for nursing students and healthcare professionals working in maternal newborn care. It is essential to know the purpose of the test, the correct procedure to follow, and how to educate and support the mother undergoing the test to ensure accurate results and optimal maternal-fetal outcomes.
Question 3 of 5
The nurse is monitoring a pregnant client with suspected gestational hypertension. What finding confirms the diagnosis?
Correct Answer: B
Rationale: In the context of maternal newborn nursing and pharmacology, the correct answer to the question is option B: Blood pressure of 140/90 mmHg on two occasions. This finding confirms the diagnosis of gestational hypertension. Gestational hypertension is characterized by elevated blood pressure readings during pregnancy. A blood pressure reading of 140/90 mmHg or higher on two separate occasions after 20 weeks of gestation is indicative of gestational hypertension. Option A, proteinuria, is a symptom of preeclampsia, not gestational hypertension. While proteinuria can be present in some cases of gestational hypertension, it is not the defining diagnostic criterion for this condition. Option C, edema of the hands and feet, is a common symptom in pregnancy but is not specific to gestational hypertension. Edema alone is not sufficient to confirm the diagnosis of gestational hypertension. Option D, elevated blood glucose levels, is more indicative of gestational diabetes rather than gestational hypertension. Gestational diabetes is a separate condition characterized by high blood sugar levels during pregnancy. It is essential for nurses caring for pregnant clients to understand the diagnostic criteria for gestational hypertension to provide timely and appropriate care. Monitoring blood pressure levels regularly, especially after 20 weeks of gestation, is crucial in identifying and managing gestational hypertension to prevent adverse outcomes for both the mother and the baby.
Question 4 of 5
The nurse is caring for a client in labor with meconium-stained amniotic fluid. What is the priority action?
Correct Answer: C
Rationale: In the scenario of a client in labor with meconium-stained amniotic fluid, the priority action is to prepare for potential neonatal resuscitation (Option C). Meconium-stained amniotic fluid indicates potential fetal distress due to the presence of meconium, which can lead to respiratory complications if aspirated by the newborn during delivery. Therefore, being prepared for immediate neonatal resuscitation is crucial to address any respiratory distress or complications that may arise in the newborn. Administering oxygen to the mother (Option A) may be beneficial, but the priority is the well-being of the newborn in this situation. Notifying the healthcare provider (Option B) is important, but immediate action to address potential neonatal complications takes precedence. Increasing IV fluid rate (Option D) is not the priority when dealing with meconium-stained amniotic fluid; the focus should be on the newborn's respiratory status and immediate interventions if needed. In an educational context, understanding the implications of meconium-stained amniotic fluid on the newborn's health and the need for prompt neonatal resuscitation can help nurses provide effective and timely care in labor and delivery settings. Prioritizing actions based on the potential risks to the newborn's health is essential in maternal newborn nursing practice.
Question 5 of 5
A pregnant client reports frequent urination and lower abdominal pressure at 36 weeks. What should the nurse explain?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) This is common due to fetal descent. Rationale: - Lower abdominal pressure and frequent urination at 36 weeks are common symptoms due to the descent of the fetal head into the pelvis, known as engagement or lightening. This physiological process occurs as the baby prepares for birth. - Preterm labor (Option A) typically presents with regular contractions, lower back pain, and sometimes vaginal bleeding. It is crucial to differentiate between normal signs of pregnancy progression and potential signs of preterm labor to ensure appropriate interventions and monitoring. - Urinary tract infections (Option B) may present with symptoms like burning sensation during urination, cloudy urine, and strong-smelling urine. While pregnant women are more susceptible to UTIs, the symptoms described in the question are more related to fetal descent. - Braxton Hicks contractions (Option D) are irregular, painless contractions that can occur throughout pregnancy. While they may cause some discomfort, they are not typically associated with lower abdominal pressure and frequent urination at 36 weeks. Educational context: Understanding the physiological changes that occur during late pregnancy is crucial for maternal newborn nurses to provide accurate information, support, and care to pregnant clients. Educating clients about common signs and symptoms of pregnancy progression versus potential complications like preterm labor or infections empowers them to make informed decisions about their health and well-being.