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 A) During the nineteenth century, women of privilege were delivered by midwives in a hospital setting. This option is correct because historically, women from affluent backgrounds often gave birth in hospitals attended by midwives. This practice was prevalent during the 19th century. Option B) Granny midwives received their training through a period of apprenticeship is incorrect because while midwives did undergo training through apprenticeships, the specific term "granny midwives" is not a widely recognized or historically accurate description. Option C) The recognition of improved obstetric outcomes was related to increased usage of hygienic practices is incorrect because while hygienic practices have indeed contributed to improved obstetric outcomes, this was not the primary reason for the shift to hospital-based births. Option D) A shift to hospital-based births occurred as a result of medical equipment designed to facilitate birth is incorrect. While advancements in medical equipment did play a role in the shift to hospital births, the primary reason was more related to the desire for a controlled environment and access to medical interventions in case of complications. In an educational context, understanding the historical evolution of maternity care is crucial for healthcare professionals working in maternal and child health. Knowing the context in which different practices emerged can provide insights into current practices and help improve care for pregnant women 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 taking a brisk walk for 50 minutes three times a week (Option A). This is because regular physical activity, such as brisk walking, helps in maintaining a healthy weight, improving cardiovascular health, and reducing the risk of heart disease. Engaging in physical activity also helps in managing blood pressure, cholesterol levels, and overall heart health. Consuming a diet rich in vegetables, fruits, and whole grains (Option B) is also beneficial for heart health; however, in the context of primary prevention of heart disease, physical activity plays a more significant role. Obtaining a varicella vaccine (Option C) and recognizing the importance of smoking cessation (Option D) are not directly related to the prevention of heart disease in this specific demographic group. While smoking cessation is crucial for overall health, the primary focus for preventing heart disease in this age group should be on promoting physical activity and a healthy diet. In the educational context, it is important to emphasize the role of regular physical activity in preventing heart disease among adult females aged 35 to 44 years. Educating individuals about the benefits of exercise and providing practical tips on incorporating physical activity into their routine can have a significant impact on their heart health and overall well-being.
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 have poor oral bioavailability and can be affected by food, so taking them with a small meal enhances absorption. Option B is incorrect because while it is important to take bisphosphonates with a full glass of water, the amount specified is not necessary. Option C is incorrect because remaining upright for at least 30 minutes after taking the dose is important to prevent esophageal irritation but is not related to absorption. Option D is incorrect because taking bisphosphonates on an empty stomach can further decrease their already limited absorption. In an educational context, it is crucial for nurses to teach patients about the proper administration of medications to optimize therapeutic outcomes and minimize side effects. Understanding the rationale behind medication instructions empowers patients to take an active role in their own health management.
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.