ATI RN
Maternal Disorders Questions
Question 1 of 5
Intrapartum nursing care for a woman who has sickle cell disease focuses on:
Correct Answer: A
Rationale: The correct answer is A because maintaining oxygenation is crucial due to the risk of vaso-occlusive crisis in sickle cell disease. Dehydration can worsen sickling of red blood cells. Choice B is incorrect because pain control is important but not the primary focus. Choice C is incorrect as excess exertion can trigger a crisis, and limiting visitors is not a priority. Choice D is incorrect as calorie intake and internal monitoring are not directly related to intrapartum care for sickle cell disease.
Question 2 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 3 of 5
What nursing action will the nurse implement after feeding an infant with hydrocephalus?
Correct Answer: C
Rationale: The correct answer is C: Leave the infant in a side-lying position. This is important for infants with hydrocephalus as it helps prevent aspiration and reflux. Placing the infant in an upright position (Choice A) may increase the risk of regurgitation and aspiration. Burping (Choice B) is important after feeding but may not specifically address the needs of an infant with hydrocephalus. Stimulating the infant by rubbing its feet (Choice D) is unrelated to the specific care needed for an infant with hydrocephalus.
Question 4 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 5 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.