Induction of labor is planned for 31-year-old primigravida 39 weeks. She has insulin dependent diabetes. Which nursing action is more important?

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Maternal Newborn ATI Quizlet Questions

Question 1 of 5

Induction of labor is planned for 31-year-old primigravida 39 weeks. She has insulin dependent diabetes. Which nursing action is more important?

Correct Answer: A

Rationale: The correct answer is A: Begin Pitocin 4h after Cytotec. This is the most important nursing action because it follows the recommended protocol for inducing labor in a diabetic patient. Cytotec is used to thin the cervix, and waiting 4 hours before starting Pitocin reduces the risk of uterine hyperstimulation, which can be dangerous for the mother and baby. Administering Cytotec every 2 hours (choice B) can increase the risk of hyperstimulation. Placing vaginal gel and ambulating the patient (choice C) may not be appropriate in this case as the patient has diabetes. Preparing to induce labor after administering a tap water enema (choice D) is not a priority compared to ensuring a safe induction process for a diabetic patient.

Question 2 of 5

A meconium stool can be differentiated from a transitional stool in the newborn because the meconium stool is

Correct Answer: A

Rationale: The correct answer is A because meconium stool is typically passed within the first 12-24 hours of life in newborns. Meconium is the earliest stool passed by a newborn and is composed of materials ingested while in the womb. Choices B, C, and D are incorrect because transitional stool is typically seen at 3 days, meconium is not a residue of milk curd, and meconium is darker in color and stickier in consistency compared to transitional stool.

Question 3 of 5

According to the WHO, in 2022, what percentage of all new HIV infections occurred among persons AFAB?

Correct Answer: A

Rationale: The correct answer is A (46%). The term "AFAB" refers to "assigned female at birth." According to the WHO, around 46% of all new HIV infections in 2022 occurred among individuals assigned female at birth. This statistic highlights the disproportionate burden of HIV on this particular demographic. Choices B, C, and D are incorrect as they do not align with the specific data provided by the WHO for new HIV infections among persons AFAB in 2022.

Question 4 of 5

What component of a health history for a wellness exam includes information on lifestyle factors, such as diet, exercise habits, tobacco use, alcohol consumption, and recreational drug use?

Correct Answer: D

Rationale: The correct answer is D: social history. This component of a health history focuses on lifestyle factors that can impact a person's overall health and well-being. It includes information on diet, exercise habits, tobacco use, alcohol consumption, and recreational drug use. By understanding these factors, healthcare providers can assess potential risks, provide appropriate counseling, and tailor interventions to promote health. A: Chief complaint/reason for visit is not the correct answer as it pertains to the specific reason why the patient is seeking medical attention. B: Gynecologic history is focused on a specific aspect of health related to female reproductive health and is not inclusive of overall lifestyle factors. C: Medications and supplements focus on the use of medications and supplements and do not cover lifestyle factors such as exercise habits or recreational drug use.

Question 5 of 5

People in extended families can live together for many reasons. What can the nurse do to provide the best care for a person living with an extended family?

Correct Answer: B

Rationale: The correct answer is B because it respects the person's autonomy and preferences by asking if they want family members present during the exam. This approach ensures the person's comfort and privacy while also promoting family involvement in care. Choice A assumes financial need without evidence. Choice C limits family support. Choice D may neglect the person's immediate needs.

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