ATI RN
Maternal Disorders Questions
Question 1 of 5
For HIV treatment, the pregnant woman should be expected to receive:
Correct Answer: C
Rationale: Rationale: 1. Zidovudine (AZT) is recommended for HIV-infected pregnant women to reduce the risk of vertical transmission to the baby. 2. It inhibits viral replication and decreases viral load in the mother, reducing transmission to the fetus. 3. Antibiotics are not effective for HIV treatment. Protease analogues are not typically used in pregnancy due to safety concerns. Acyclovir is used for herpes simplex virus, not HIV.
Question 2 of 5
The nurse is providing education to parents of a child with cleft palate. What will the nurse instruct the parents to report immediately?
Correct Answer: B
Rationale: The correct answer is B: Ear infections. Parents of a child with a cleft palate should report ear infections immediately because children with cleft palate are at higher risk for developing ear infections due to issues with Eustachian tube function. Ear infections can lead to hearing loss if left untreated. Facial paralysis (A) is not directly related to cleft palate. Increasing ICP (C) is not typically associated with cleft palate. Drooling (D) is common in children with cleft palate and does not require immediate reporting unless there are other concerning symptoms present.
Question 3 of 5
When bathing an infant, what sign does the nurse recognize as a sign of developmental hip dysplasia?
Correct Answer: B
Rationale: The correct answer is B: One leg is shorter than the other. This is a key sign of developmental hip dysplasia in infants. It indicates an imbalance in the hip joint, leading to unequal leg lengths. This can be detected during routine physical examinations by the nurse. Incorrect choices: A: Hypotonicity of the leg muscles - While muscle tone abnormalities can be associated with hip dysplasia, it is not a specific sign that is easily recognizable during bathing. C: Broadening and flattening of the buttocks - This may be a sign of hip dysplasia in older children but is not a typical indicator in infants. D: Two skinfolds on the back of each thigh - Although skinfolds can sometimes be present in infants with hip dysplasia, it is not a reliable or specific sign compared to the leg length discrepancy.
Question 4 of 5
The nurse is advising parents about feeding their infant with phenylketonuria. What formula and/or diet should the nurse suggest?
Correct Answer: D
Rationale: The correct answer is D, substitute Lofenalac for some protein foods. In phenylketonuria (PKU), individuals lack the enzyme to break down phenylalanine found in protein. Lofenalac is a special formula with low phenylalanine content, suitable for PKU patients. Lifelong high-protein diet (A) is incorrect as it would worsen the condition. A formula low in leucine (B) is not specific to PKU. Soy-based formula (C) still contains high levels of phenylalanine.
Question 5 of 5
The nurse is caring for an Rh-negative mother on the postpartum unit. What scenario indicates the need to administer RhoGAM to this patient?
Correct Answer: B
Rationale: Rationale: 1. Rh-negative mother with Rh-positive infant: During delivery, fetal blood can mix with maternal blood leading to sensitization. 2. Sensitization can cause the mother's immune system to produce antibodies against Rh antigen. 3. RhoGAM is administered to prevent antibody formation in Rh-negative mothers carrying Rh-positive infants. Summary: - A: Incorrect. No risk of sensitization as both child and fetus are Rh-negative. - B: Correct. Rh-negative mother with Rh-positive infant at risk for sensitization. - C: Incorrect. Rh factor mismatch between children doesn't require RhoGAM. - D: Incorrect. Being primipara or child's blood type doesn't warrant RhoGAM administration.