ATI RN
Maternal Disorders Questions
Question 1 of 5
Most congenital anomalies of the central nervous system (CNS) result from defects in the closure of the neural tube during fetal development. Which factor has the greatest impact on this process?
Correct Answer: B
Rationale: The correct answer is B: Maternal folic acid deficiency. Folic acid is essential for neural tube closure. Deficiency can lead to neural tube defects in the fetus. Maternal diabetes (choice A) can increase the risk, but it's not the primary factor. Socioeconomic status (choice C) may indirectly impact nutrition but isn't directly related to neural tube closure. Maternal use of anticonvulsants (choice D) can increase the risk, but it's not as significant as folic acid deficiency in neural tube closure.
Question 2 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 3 of 5
The pregnant woman who becomes infected with chickenpox should be taught to report promptly:
Correct Answer: A
Rationale: The correct answer is A: Cough or dyspnea. Chickenpox can lead to pneumonia in pregnant women, causing cough or dyspnea. Prompt reporting is crucial for timely intervention. B: Severe itching is common in chickenpox but not a critical symptom. C: Joint pain is not a typical complication of chickenpox. D: Increased urination is not directly related to chickenpox complications during pregnancy. It's important for the pregnant woman to be aware of respiratory symptoms as they can indicate a serious complication that requires immediate medical attention.
Question 4 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 5 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.