ATI RN
Pregnancy Assessment Questions Questions
Question 1 of 5
The nurse is counseling a woman who has been diagnosed with mild osteoporosis. Which of the following should be included in the counseling session?
Correct Answer: A
Rationale: In counseling a woman with mild osteoporosis, it is crucial to provide her with evidence-based recommendations to manage her condition effectively. Option A, beginning a regimen of walking each day, is the correct choice for several reasons. Weight-bearing exercises like walking help improve bone density and reduce the risk of fractures associated with osteoporosis. Regular physical activity also enhances overall health and well-being. Options B, refraining from drinking chocolate milk, and C, increasing her daily intake of red meat, are incorrect. Chocolate milk, unless excessively consumed, can provide essential nutrients like calcium and vitamin D beneficial for bone health. Red meat, while a source of protein, should not be promoted in excess due to its saturated fat content, which can have negative implications for cardiovascular health. Option D, only wearing shoes with rubber soles, is also incorrect as it does not directly impact osteoporosis management. Providing educational context on the importance of weight-bearing exercises, balanced nutrition focusing on calcium-rich foods beyond red meat, and overall lifestyle modifications would empower the woman to take an active role in improving her bone health and quality of life.
Question 2 of 5
A woman, who is in pain from a diagnosis of mastitis, has abruptly weaned her baby to a bottle. Her actions place the woman at high risk for which of the following?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Breast abscess. When a woman abruptly weans her baby to a bottle while experiencing mastitis (inflammation of the breast tissue), it can lead to engorgement and blocked milk ducts due to incomplete emptying of the breast. This creates a conducive environment for bacterial infection, increasing the risk of developing a breast abscess. Option A) Mammary rupture is incorrect because weaning abruptly is not typically associated with mammary rupture. Option B) Postpartum psychosis is unrelated to the scenario described. Option C) Supernumerary nipples refer to extra nipples, which do not pose a direct risk in this context. Educationally, it is crucial for healthcare providers to educate women on the importance of gradual weaning to prevent complications like breast abscesses. Understanding the physiological changes during weaning and the increased risk of complications can empower women to make informed decisions regarding breastfeeding cessation. Early recognition of symptoms and appropriate management are essential in preventing severe outcomes like breast abscesses.
Question 3 of 5
A breastfeeding mother and her baby are being discharged home after delivery. The nurse is providing anticipatory guidance about what signs to expect the baby to exhibit every 24 hours by the end of the first week. Which of the following should the nurse include in his/her instructions?
Correct Answer: A
Rationale: Rationale: The correct answer is A) The baby will have at least 6 wet diapers. During the first week postpartum, it is crucial for the nurse to educate the mother about signs of adequate breastfeeding and infant hydration. Monitoring diaper output is an essential indicator of infant well-being. At least 6 wet diapers per day indicate that the baby is adequately hydrated and receiving enough breast milk. Option B) The baby will have at least 6 pasty stools is incorrect because the frequency of bowel movements varies among infants, and stool consistency can change based on multiple factors, including breastfeeding. Option C) The baby will breastfeed at least 6 times is incorrect as the frequency of breastfeeding can vary greatly among infants, and it is more important to focus on the baby's cues for feeding rather than a specific number of feedings. Option D) The baby will gain at least 6 ounces is incorrect because weight gain can vary in the first week, and it is not a reliable daily indicator of successful breastfeeding. Educationally, it is crucial for nurses to provide evidence-based anticipatory guidance to support successful breastfeeding and infant care. Understanding normal infant behaviors and growth patterns helps mothers feel confident in caring for their newborns. Monitoring diaper output is a simple yet effective way to assess infant hydration and feeding adequacy.
Question 4 of 5
The nurse is teaching a woman how to do the pelvic tilt exercise. In the teaching session, which of the following should the nurse tell the woman to do?
Correct Answer: C
Rationale: The correct answer is C) Move so that her back alternately is concave and convex. This is the correct instruction for the pelvic tilt exercise as it involves tilting the pelvis to alternately flatten and arch the lower back, engaging the abdominal and back muscles to promote core strength and flexibility. This movement helps improve posture, reduce back pain, and strengthen the pelvic floor muscles, which are crucial during pregnancy and childbirth. Option A) Stand with the back of her heels and shoulders touching a wall is incorrect because this position does not facilitate the pelvic tilt exercise. Option B) Bend laterally back and forth from one side to the other is incorrect as it describes a different exercise that focuses on side-to-side movement rather than the specific pelvic tilt motion. Option D) Lie flat on her back and move her hips from side to side is also incorrect as lying flat on the back during pregnancy, especially in later stages, can restrict blood flow to the baby and should be avoided. In an educational context, it is essential for nurses to teach pregnant women safe and effective exercises like the pelvic tilt to promote their well-being and prepare their bodies for labor and delivery. Providing accurate instructions and guidance ensures that pregnant women can benefit from these exercises without risking harm to themselves or their babies.
Question 5 of 5
During a vaginal delivery of a macrosomic baby, the nurse midwife requests nursing assistance. Which of the following actions by the nurse would be appropriate?
Correct Answer: C
Rationale: In the scenario of a vaginal delivery of a macrosomic baby where the nurse midwife requests nursing assistance, the appropriate action by the nurse would be to provide suprapubic pressure (Option C). This is the correct choice because suprapubic pressure can help to facilitate the delivery of a macrosomic baby by aiding in the descent of the baby through the birth canal. Option A, estimating fetal length and weight, would not be the most immediate or helpful action to take during the delivery process. Assessing the intensity of contractions (Option B) is important but may not directly address the specific need for assisting in the delivery of a macrosomic baby. Assisting the woman with breathing (Option D) is also important but may not directly address the need for physical assistance in the delivery process. In an educational context, understanding the appropriate actions to take during different stages of labor and delivery, especially in situations such as delivering a macrosomic baby, is crucial for nurses and healthcare providers. Providing suprapubic pressure can be a critical intervention in assisting with the safe delivery of the baby and ensuring the well-being of both the mother and the infant.