ATI RN
Perinatal Loss Nursing Care Questions
Question 1 of 5
The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by the patient demonstrates successful patient teaching?
Correct Answer: B
Rationale: The correct answer is B: "It's best for my baby if I avoid drinking during pregnancy." This statement demonstrates successful patient teaching because it reflects a clear understanding of the risks associated with alcohol consumption during pregnancy. Alcohol can have detrimental effects on the developing fetus, leading to conditions like Fetal Alcohol Syndrome. Complete avoidance of alcohol is the safest choice to protect the health and well-being of the unborn child. Option A is incorrect because even one alcoholic beverage per day can pose risks to the baby's development. Option C is also incorrect as any amount of alcohol, even on special occasions, can be harmful. Option D is incorrect because alcohol consumption is not safe only in the first trimester - it should be avoided throughout the entire pregnancy to prevent harm. In an educational context, it is crucial for nurses to provide accurate and up-to-date information to pregnant women regarding the risks of alcohol consumption. By emphasizing complete abstinence from alcohol during pregnancy, nurses can help ensure the best possible outcomes for both the mother and the baby. Effective patient education plays a vital role in promoting healthy behaviors and preventing potential complications during pregnancy.
Question 2 of 5
The nurse is taking the history of a gravida 2 para 1 patient. Which findings in the patient's history warrant further action? Select ONE that des nont apply.
Correct Answer: D
Rationale: In the context of perinatal loss nursing care, it is essential for the nurse to identify potential risk factors and complications that can impact the health and well-being of the mother and the unborn child. In this scenario, the correct answer is D) Malnutrition, which warrants further action in the patient's history. Malnutrition can have serious implications for both the mother and the developing fetus during pregnancy. It can lead to an increased risk of complications such as low birth weight, preterm birth, and developmental issues for the baby. Additionally, malnutrition can also affect the mother's health, leading to conditions like anemia, infections, and impaired wound healing post-delivery. Option A) Anemia, option B) Severe hemorrhage, and option C) Infections are all important factors to consider in perinatal care; however, they are more commonly associated with immediate risks during pregnancy and childbirth. While they require attention and intervention, malnutrition has long-term consequences that can impact both the current pregnancy and future pregnancies if not addressed. In an educational context, understanding the significance of a comprehensive health history assessment in perinatal care is crucial for providing holistic and effective nursing care. By recognizing the impact of factors like malnutrition on pregnancy outcomes, nurses can implement targeted interventions and support strategies to promote the health and well-being of both the mother and the baby.
Question 3 of 5
The nurse is assessing the laboratory report on a 2-day postpartum G1P1001. The woman had a normal postpartum assessment this morning. Which of the following results should the nurse report to the primary health care provider?
Correct Answer: C
Rationale: In this scenario, the correct answer is option C) Hematocrit - 26%. The nurse should report this result to the primary health care provider because a hematocrit level of 26% in a 2-day postpartum patient is indicative of potential postpartum hemorrhage, which is a serious complication that requires immediate attention and intervention. A hematocrit level of 26% is below the normal range, suggesting a decrease in red blood cell volume and potential blood loss. Option A) White blood cells - 12,500 cells/mm3 and option B) Red blood cells - 4,500,000 cells/mm3 are within normal ranges and do not indicate an immediate concern related to postpartum complications like hemorrhage. Therefore, these results do not warrant immediate reporting to the primary health care provider. Educationally, understanding the significance of laboratory values in postpartum care is crucial for nurses providing care to women during this vulnerable period. Recognizing abnormal values and knowing when to escalate concerns to the healthcare provider can help prevent and manage complications effectively, ensuring the safety and well-being of postpartum patients.
Question 4 of 5
A physician has ordered an iron supplement for a postpartum woman. The nurse strongly suggests that the woman take the medicine with which of the following drinks?
Correct Answer: B
Rationale: The correct answer is B) Orange juice. When a physician orders an iron supplement for a postpartum woman, it is crucial to consider the bioavailability of iron. Iron is better absorbed in the presence of vitamin C, which helps convert iron into a more easily absorbable form. Orange juice is rich in vitamin C, making it an ideal choice to enhance iron absorption from the supplement. Option A) Milk is not the best choice because calcium found in milk can inhibit iron absorption. Calcium competes with iron for absorption in the intestines, reducing the effectiveness of the iron supplement. Options C) Coffee and D) Tea contain compounds known as tannins, which can also interfere with iron absorption. Tannins can bind to iron, forming complexes that are poorly absorbed by the body. Therefore, coffee and tea are not recommended to be taken with iron supplements. In an educational context, understanding the importance of proper iron supplementation in postpartum care is essential for nurses caring for women during this vulnerable period. By knowing which drinks enhance or inhibit iron absorption, nurses can provide evidence-based recommendations to support optimal maternal health and recovery after childbirth. This knowledge empowers nurses to advocate for the best practices in perinatal care and promote positive outcomes for women experiencing perinatal loss.
Question 5 of 5
A 36-week gestation gravid lies flat on her back. Which of the following maternal signs/symptoms would the nurse expect to observe?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Dizziness. When a gravid at 36 weeks gestation lies flat on her back, she may experience supine hypotensive syndrome due to compression of the inferior vena cava by the weight of the uterus. This can lead to decreased blood flow returning to the heart, resulting in symptoms like dizziness. A) Hypertension is unlikely in this context as lying flat on the back would not typically cause hypertension. C) Rales (abnormal crackling sounds heard on auscultation of the lungs) are not directly related to the position of the gravid lying flat on her back. D) Chloasma (skin discoloration often seen in pregnant women) is a cosmetic concern and not a direct result of lying on the back. Educationally, it is important for nurses caring for pregnant individuals to understand the physiological changes that occur during pregnancy and how certain positions or actions can impact both the mother and the fetus. This knowledge helps in providing safe and effective care to prevent complications such as supine hypotensive syndrome.