ATI RN
Ethical Issues in Maternal Newborn Nursing Questions
Question 1 of 5
The microscopic examination of scrapings from the cervix, endocervix, or other mucous membranes to detect premalignant or malignant cells is called what?
Correct Answer: C
Rationale: The correct answer is C) Papanicolaou (Pap) test. The Pap test is a routine screening procedure used to detect abnormal cells in the cervix, endocervix, or other mucous membranes of the female reproductive system. It is primarily used to identify premalignant or malignant cells, allowing for early intervention and treatment to prevent cervical cancer. Option A) Bimanual palpation involves the manual examination of the reproductive organs to assess their size, shape, and texture. This is not the correct procedure for detecting abnormal cells in the cervix. Option B) Rectovaginal palpation is a physical examination technique used to assess the uterus, ovaries, and surrounding structures by simultaneously palpating the vagina and rectum. It is not a method for detecting premalignant or malignant cells. Option D) Four As procedure is not a recognized medical term or procedure related to cervical cancer screening or detection. Educationally, understanding the importance of the Pap test in maternal newborn nursing is crucial for early detection and prevention of cervical cancer. Nurses play a vital role in educating women about the significance of regular screenings and promoting overall women's health. By correctly identifying the Pap test as the procedure for detecting abnormal cells, nurses can empower women to take charge of their health and well-being.
Question 2 of 5
A client at 24 weeks of gestation says she has a glass of wine with dinner every evening. Why should the nurse counsel her to eliminate all alcohol intake?
Correct Answer: C
Rationale: The correct answer is C) Alcohol places the fetus at risk for altered brain growth. Alcohol consumption during pregnancy can have serious consequences on the developing fetus. The developing brain is particularly vulnerable to the effects of alcohol, which can lead to a range of cognitive and behavioral issues known as Fetal Alcohol Spectrum Disorders (FASD). Alcohol exposure can interfere with the normal development of the brain, leading to long-term cognitive impairments and behavioral problems in the child. Option A) Daily consumption of alcohol indicates a risk for alcoholism, is incorrect because occasional alcohol consumption during pregnancy can still pose risks to the fetus, regardless of the presence of alcoholism. Option B) She is at risk for abusing other substances as well, is incorrect as it does not directly address the specific risk of alcohol on fetal brain development. Option D) Alcohol places the fetus at risk for multiple organ anomalies, is incorrect as the primary concern with alcohol consumption during pregnancy is its impact on brain development rather than organ anomalies. In an educational context, it is crucial for nurses to understand the detrimental effects of alcohol consumption during pregnancy and to counsel pregnant women on the importance of complete abstinence from alcohol to ensure the health and well-being of the developing fetus. Nurses play a key role in providing evidence-based information and support to empower pregnant women to make informed decisions that promote the best outcomes for both mother and baby.
Question 3 of 5
Historically what was the justification for the victimization of women?
Correct Answer: A
Rationale: In the context of historical victimization of women, option A, "Women were regarded as possessions," is the correct answer. This justification stems from a patriarchal societal structure where women were seen as property or objects owned by men, lacking autonomy and agency. This belief contributed to the oppression and mistreatment of women throughout history. Option B, "Women were created subordinate to men," is incorrect because subordination is a consequence of viewing women as possessions, not the underlying justification. Option C, "Women were the 'weaker sex,'" is a stereotype used to justify oppression but does not fully explain the systemic victimization of women. Option D, "Control of women was necessary to protect them," is a paternalistic excuse used to justify restricting women's freedoms under the guise of protection, rather than recognizing their inherent rights. From an educational perspective, understanding the historical justifications for the victimization of women is crucial for healthcare providers, especially in maternal newborn nursing. Recognizing these deep-rooted beliefs can help professionals challenge biases, advocate for gender equality, and provide respectful and empowering care to women and their families.
Question 4 of 5
Which statement is most accurate regarding the reporting of IPV in the United States?
Correct Answer: B
Rationale: In the context of reporting intimate partner violence (IPV) in the United States, option B, which states that Caucasian women report less IPV than non-Caucasians, is the most accurate statement. This is supported by research and statistics indicating that Caucasian women tend to report lower rates of IPV compared to women from other racial or ethnic groups. Option A is incorrect because research shows that Asian women actually report lower rates of IPV than some other minority groups. Option C is inaccurate as Native-American women tend to report higher rates of IPV compared to other groups. Option D is also incorrect as studies suggest that African-American women are more likely to report IPV compared to Caucasian women. From an educational perspective, understanding the patterns of IPV reporting among different racial and ethnic groups is crucial for healthcare professionals, especially those working in maternal newborn nursing. It highlights the importance of culturally sensitive care and the need for healthcare providers to be aware of disparities in IPV reporting to provide appropriate support and interventions for affected individuals.
Question 5 of 5
Nurses who provide care to victims of IPV should be keenly aware of what?
Correct Answer: C
Rationale: The correct answer is C) Financial coercion is considered part of IPV (Intimate Partner Violence). Nurses who provide care to victims of IPV should be keenly aware of this because financial coercion is a common tactic used by abusers to control and manipulate their partners. Understanding this aspect of IPV is crucial for nurses to effectively support and advocate for their patients. Option A is incorrect because relationship violence is often a pattern of behavior rather than a single episode that can be easily resolved. Nurses need to recognize the complexity and persistence of IPV to provide appropriate care. Option B is incorrect because violence often escalates during pregnancy due to increased stress and vulnerability. Nurses must be aware of this heightened risk to protect both the mother and the unborn child. Option D is incorrect as it perpetuates harmful stereotypes about victims of IPV. Battered women come from diverse backgrounds and educational levels, and it is essential for nurses to approach all patients without assumptions based on social status or education. In an educational context, understanding the various forms of IPV, including financial coercion, equips nurses with the knowledge and skills needed to provide holistic care to victims. By recognizing the signs and impacts of financial abuse, nurses can intervene effectively, connect patients with resources, and contribute to breaking the cycle of violence.