ATI RN
Maternal Newborn Nursing Questions
Question 1 of 9
How does estrogen work in COC pills?
Correct Answer: A
Rationale: Estrogen in combined oral contraceptive (COC) pills works primarily by inhibiting ovulation through the suppression of the luteinizing hormone (LH) surge. By maintaining consistent levels of estrogen in the body, COC pills prevent the release of eggs from the ovary. This prevents fertilization from occurring, which is one of the main mechanisms of action of COC pills to provide contraception. While estrogen also has other effects such as stabilizing the endometrium to reduce unscheduled bleeding, its main role in COC pills is to inhibit ovulation and prevent pregnancy through hormonal regulation.
Question 2 of 9
The nurse is monitoring a client receiving magnesium sulfate for preeclampsia. What finding indicates magnesium toxicity?
Correct Answer: C
Rationale: Respiratory depression is a key sign of magnesium sulfate toxicity and requires immediate intervention.
Question 3 of 9
Upon delivery of the newborn, the nursing intervention that most promotes parental attachment is:
Correct Answer: C
Rationale: Skin-to-skin contact enhances bonding.
Question 4 of 9
A client at 32 weeks' gestation is experiencing preterm labor. What is the primary goal of tocolytic therapy?
Correct Answer: B
Rationale: Tocolytics are used to delay preterm delivery, allowing time for fetal lung maturity with corticosteroid administration.
Question 5 of 9
The nurse is performing a prenatal assessment on a client with gestational diabetes. What statement by the client indicates effective teaching?
Correct Answer: C
Rationale: Regular blood sugar monitoring is crucial to manage gestational diabetes effectively and avoid complications.
Question 6 of 9
A nurse is conducting an orientation program for a group of newly hired nurses. As part of the program, the nurse is reviewing the issue of informed consent. The nurse determines that the teaching was effective when the group identifies which situation as a violation of informed consent?
Correct Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent for health care. Serving as a witness to the signature process, asking whether the client understands what she is signing, and getting verbal consent over the phone for emergency procedures are all key to informed consent and are not violations.
Question 7 of 9
What should be included in teaching a client undergoing a bilateral tubal ligation?
Correct Answer: C
Rationale: Tubal ligation does not affect libido.
Question 8 of 9
A newborn is delivered vaginally in the breech presentation. When examining her baby, the mother asks if the baby has been injured during birth because of the large black and blue areas on the buttocks and legs, The nurse should respond that:
Correct Answer: C
Rationale: Bruising from breech delivery is temporary.
Question 9 of 9
The nurse is teaching a prenatal class about warning signs in pregnancy. Which symptom should be reported immediately?
Correct Answer: B
Rationale: A headache unrelieved by rest or medication may indicate preeclampsia or other serious conditions and should be reported immediately.