ATI RN
Maternal and Newborn Nursing Questions
Question 1 of 5
Relaxation of muscles in labor provides many benefits. What is one benefit of this technique in labor?
Correct Answer: B
Rationale: In the context of maternal and newborn nursing, relaxation of the pelvic floor during labor is crucial for several reasons. Option B, "Relaxation of the pelvic floor helps in pushing the fetus in the second stage," is the correct answer. During the second stage of labor, the cervix is fully dilated, and the mother needs to push effectively to facilitate the descent and delivery of the baby. Relaxing the pelvic floor muscles allows for optimal positioning of the baby's head and smooth passage through the birth canal. This technique also helps prevent perineal tears and reduces the risk of instrumental delivery. Option A, "Relaxation will prevent a cesarean section," is incorrect because while relaxation techniques can aid in progressing labor, they alone may not prevent the need for a cesarean section if there are other medical indications for the procedure. Option C, "Relaxation of the abdomen ensures an unmedicated birth," is incorrect as relaxation of the abdomen is not directly related to the choice of medication during labor; it is more about promoting comfort and effective pushing. Option D, "Relaxation causes the contractions to decrease in strength," is incorrect because relaxation of muscles does not directly impact the strength of contractions; in fact, effective relaxation can help the uterus contract more efficiently by reducing tension and allowing for better blood flow to the uterus. Educationally, understanding the importance of pelvic floor relaxation in labor is essential for nurses and midwives caring for laboring women. By promoting relaxation techniques and providing support during the second stage of labor, healthcare professionals can enhance the birthing experience and improve outcomes for both the mother and the newborn.
Question 2 of 5
A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?
Correct Answer: B
Rationale: Tocolytic therapy is a medication given to delay preterm labor and prolong the pregnancy. It is safe and appropriate to administer tocolytic therapy to a client who is experiencing preterm labor at 26 weeks of gestation (option B) to help delay delivery and give time for other interventions to be initiated, such as administration of corticosteroids for fetal lung maturation and transfer to a facility with a NICU if necessary. The goal is to prevent premature birth and its associated complications.
Question 3 of 5
A nurse is assessing a client who is 8 hr postpartum and multiparous. Which of the following findings should alert the nurse to the client's need to urinate?
Correct Answer: B
Rationale: A fundus three fingerbreadths above the umbilicus indicates that the uterus is not adequately contracting, which can obstruct the flow of urine from the bladder. Postpartum clients often experience urinary retention due to decreased sensation in the bladder, trauma from delivery, and decreased bladder tone. Failure to empty the bladder promptly can lead to urinary retention and potential complications such as urinary tract infections or bladder distention. Therefore, the nurse should be alert to the client's need to urinate when assessing the fundal height.
Question 4 of 5
A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements should indicate to the nurse the
Correct Answer: C
Rationale: The correct statement that should indicate to the nurse that the client understands the discharge teaching is "I will call my provider if I have discharge from my incision." This response demonstrates the client's understanding of the importance of monitoring the incision site for signs of infection or complications. It shows that the client is aware of the potential risks postoperatively and is prepared to take necessary action by notifying the healthcare provider if any issues arise. Monitoring incision discharge is essential to prevent infection and ensure proper healing after a cesarean birth.
Question 5 of 5
The best indication that correct attachment to the breast has occurred is when the:
Correct Answer: B
Rationale: The best indication that correct attachment to the breast has occurred is when the baby's mouth covers most of the areolar surface. This is important because proper latch and attachment are crucial for effective breastfeeding. When the baby's mouth covers most of the areola, it ensures that the baby is latched onto the breast properly, allowing them to feed efficiently and receive an adequate amount of milk. This also helps prevent nipple soreness and pain for the mother. Additionally, when the baby's mouth covers most of the areola, it helps ensure that the baby is positioned correctly to effectively stimulate milk production and flow.