ATI RN
Maternal Newborn Nursing Practice Questions Questions
Question 1 of 5
The nurse is caring for a postpartum client who is
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The laboring person asks the nurse to review the birth plan. What item is on a typical birth plan?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
the nurse knows that management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides are for a client with this condition should be aware that which of the following is the optimal pharmacological therapy for pain relief dysmenorrhea? Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a client with this condition should be aware that the optimal pharmacologic therapy for pain relief is:
Correct Answer: C
Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs) are considered the optimal pharmacological therapy for pain relief in primary dysmenorrhea. They work by reducing the production of prostaglandins, which are responsible for causing uterine contractions and pain. NSAIDs such as ibuprofen, naproxen, and mefenamic acid are commonly used to alleviate menstrual cramps. Acetaminophen may also provide pain relief, but it does not have the anti-inflammatory properties of NSAIDs. Oral contraceptives (OCPs) can help regulate menstrual cycles and reduce pain in some individuals, but they are not the first line of treatment for immediate pain relief in primary dysmenorrhea. Aspirin, while an NSAID, is not typically recommended for menstrual pain relief due to its potential side effects on blood clotting and gastrointestinal irritation.
Question 4 of 5
A nurse is caring for a client who is in labor. Which of the following nursing actions reflects application of the gate control theory of pain?
Correct Answer: C
Rationale: The gate control theory of pain proposes that non-painful input can close the "gates" to painful input, which helps to control and reduce pain perception. Massage, such as massaging the client's back, is a non-pharmacological intervention that can help close the gates and reduce the perception of pain. By massaging the client's back, the nurse is applying this theory to help manage the client's labor pain. Administering analgesic medication (Choice A) is a pharmacological intervention and not specifically related to the gate control theory. Choices B and D are also beneficial nursing actions but do not directly relate to the gate control theory of pain.
Question 5 of 5
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor
Correct Answer: A
Rationale: Cervical dilation is a key physiological change that confirms labor has begun. During the late stages of pregnancy, the cervix starts to soften, thin out (efface), and open up (dilate) in preparation for childbirth. Therefore, cervical dilation is a critical finding that indicates the onset of labor. Pain above the umbilicus, brownish vaginal discharge, and amniotic fluid in the vaginal vault are not definitive signs of labor and do not confirm the initiation of the labor process.