ATI RN
Antenatal and postnatal complications Questions
Question 1 of 5
Several hours after delivery, a new mother expresses ambivalence regarding her infant. How will the nurse promote bonding?
Correct Answer: A
Rationale: The correct answer is A, having the mother feed the infant. This helps promote bonding through physical closeness, eye contact, and the release of oxytocin. Feeding also fosters a sense of responsibility and nurturing. Choice B may disrupt bonding by creating separation anxiety. Choice C is a comforting position but not as interactive as feeding. Choice D delays bonding and can impact the establishment of a strong maternal-infant relationship.
Question 2 of 5
The nurse applies fetal and uterine monitors to the abdomen of a client in active labor. When the client has contractions, the nurse notes a 15 beats/min deceleration of the fetal heart rate below the baseline lasting 15 seconds. Which is the next nursing action?
Correct Answer: B
Rationale: The correct answer is B: Changing the maternal position. Deceleration of fetal heart rate during contractions can indicate umbilical cord compression. Changing the maternal position can relieve pressure on the cord, improving blood flow to the fetus. This action is a non-invasive and immediate intervention that can potentially improve fetal oxygenation. Calling the primary health care provider (A) can be done after addressing the immediate concern. Obtaining maternal blood pressure (C) is not the priority in this situation. Preparing for an immediate birth (D) is premature without first attempting non-invasive interventions.
Question 3 of 5
Which cardiac disease has the lowest risk for maternal mortality?
Correct Answer: C
Rationale: The correct answer is C: Patent ductus arteriosus. This condition typically does not pose a significant risk for maternal mortality because it is a relatively benign cardiac defect that does not significantly impact maternal health during pregnancy. Other choices, such as endocarditis, aortic stenosis, and pulmonary hypertension, have higher risks for maternal mortality due to complications like heart failure, arrhythmias, and increased risk of thromboembolic events. Therefore, patent ductus arteriosus is the lowest risk for maternal mortality among the given options.
Question 4 of 5
What is not a complication associated with chronic hypertension during pregnancy?
Correct Answer: B
Rationale: The correct answer is B, gestational diabetes. Chronic hypertension in pregnancy can lead to preeclampsia, fetal growth restriction, and polyhydramnios due to placental dysfunction and impaired blood flow. Gestational diabetes, on the other hand, is a separate condition caused by insulin resistance during pregnancy. It is not directly related to chronic hypertension and its complications. Therefore, gestational diabetes is not a complication associated with chronic hypertension during pregnancy.
Question 5 of 5
The health-care provider is caring for an adolescent patient who is pregnant. The health-care provider knows that pregnancy during adolescence is linked with what influencing factor or factors? Select all that apply.
Correct Answer: A,B,C
Rationale: A: Low socioeconomic status is a contributing factor to adolescent pregnancy due to limited access to education, healthcare, and contraception. B: Psychologic problems such as low self-esteem or mental health issues can increase the likelihood of adolescent pregnancy. C: Social problems like lack of support from family or peers, or exposure to risky behaviors, can also influence adolescent pregnancy. D: Unemployment, while a potential issue, is not directly linked to adolescent pregnancy as the other factors are more significant in this context.