ATI RN
Current Issues in Maternal and Child Health Questions
Question 1 of 5
In consideration of the historic evolution of maternity care, which treatment options were used over the past century? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is option A: During the nineteenth century, women of privilege were delivered by midwives in a hospital setting. This option is correct because historically, women of higher social status often gave birth in hospitals attended by midwives. This practice was prevalent in the nineteenth century as hospitals started to become more established and accepted as centers for childbirth among the wealthier classes. Options B, C, and D are incorrect. Option B, referring to granny midwives receiving training through apprenticeship, does not accurately reflect the historical evolution of maternity care in the context of women of privilege giving birth in hospitals. Option C, stating that improved obstetric outcomes were related to increased usage of hygienic practices, while important in the advancement of maternity care, does not directly address the treatment options used in the past century. Option D, suggesting a shift to hospital-based births due to medical equipment facilitating birth, oversimplifies the complex reasons behind the transition to hospital births, which included factors beyond just the availability of medical equipment. Educationally, understanding the historical evolution of maternity care is crucial for healthcare professionals working in maternal and child health. It provides insights into how practices have changed over time, the factors influencing these changes, and the impact on maternal and infant health outcomes. By studying the past, healthcare providers can better appreciate the advancements made in maternity care and continue to improve care practices for the well-being of mothers and infants.
Question 2 of 5
A 55-year-old postmenopausal female patient presents to the family practice clinic for her annual examination. The nurse notes that the patient has lost inch in height. Upon further investigation, the nurse discovers that the patient has a slow-healing fracture of the left radius. What screening will most likely be initiated at this time for the patient?
Correct Answer: B
Rationale: In this scenario, the postmenopausal female patient who has lost height and has a slow-healing fracture of the left radius presents with concerning factors for osteoporosis. The most appropriate screening to initiate in this case would be a dual-energy x-ray absorptiometry (DEXA) scan. DEXA scan is the gold standard for diagnosing osteoporosis by measuring bone mineral density. Given the patient's age, postmenopausal status, height loss, and fracture history, assessing bone health through a DEXA scan is crucial to determine the presence of osteoporosis and guide appropriate management and treatment strategies.
Question 3 of 5
The nurse is providing education on the prevention of heart disease for adult females ages 35 to 44 years old.Which of the following would be most appropriate for this disease process? Select all that apply.
Correct Answer: A
Rationale: The most appropriate option for preventing heart disease in adult females aged 35 to 44 years old is A) Taking a brisk walk for 50 minutes three times a week. This is because regular physical activity, such as brisk walking, helps to improve cardiovascular health, lower blood pressure, and maintain a healthy weight, all of which are important factors in preventing heart disease. Option B) Consuming a diet rich in vegetables, fruits, and whole grains is also beneficial for heart health by providing essential nutrients and fiber, but it is not the most specific choice for preventing heart disease in this age group. Option C) Obtaining a varicella vaccine is not directly related to preventing heart disease and is more focused on preventing chickenpox. Option D) Recognizing the importance of smoking cessation is crucial for overall health, including heart health. However, it is not as directly related to preventing heart disease in this specific age group as regular physical activity is. In an educational context, it is important to emphasize to adult females aged 35 to 44 years old the significance of incorporating regular physical activity, such as brisk walking, into their routine to reduce their risk of developing heart disease. Additionally, promoting a well-balanced diet, smoking cessation, and overall healthy lifestyle choices should also be included in the education on heart disease prevention.
Question 4 of 5
The nurse is providing education to the patient that is receiving a bisphosphate medication for osteoporosis. Which instructions should the nurse include in the teaching plan to reduce side effects and enhance absorption while taking bisphosphates? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A) Take the medication with a small meal at the same time. Bisphosphonates are known to have poor absorption when taken on an empty stomach, so taking them with a meal can enhance absorption. Additionally, taking bisphosphonates with food can help reduce the risk of gastrointestinal side effects. Option B) Take the medication with at least 8 oz. of water is not the best choice because while it is important to take bisphosphonates with a full glass of plain water to ensure proper absorption, the amount specified is not as critical as taking it with a meal. Option C) Remaining upright for at least 30 minutes after taking a dose is important to prevent esophageal irritation, but it is not directly related to enhancing absorption or reducing side effects. Option D) Taking the medication on an empty stomach is not recommended as it can decrease absorption and increase the risk of gastrointestinal side effects. It is essential to take bisphosphonates with food to optimize their effectiveness and minimize adverse effects. In an educational context, it is crucial for nurses to provide clear and accurate instructions to patients taking bisphosphonates to ensure proper medication administration, enhance therapeutic outcomes, and minimize potential side effects. By understanding the rationale behind the correct administration of bisphosphonates, nurses can effectively educate patients on best practices for medication adherence and safety.
Question 5 of 5
The nurse is providing preoperative education on the laparoscope-assisted vaginal hysterectomy. Which statement by the patient verifies understanding of the procedure?
Correct Answer: B
Rationale: The correct statement by the patient that demonstrates understanding of the laparoscope-assisted vaginal hysterectomy procedure is "I'm relieved that I won't have any visible scars on my abdomen." This is a relevant and accurate statement as the procedure involves minimal scarring due to the use of small incisions in the abdomen rather than a large incision. It shows understanding of one of the benefits of this surgical approach. The other statements are not accurate or relevant to the procedure.