ATI RN
Palliative Care Perinatal Loss Case Questions
Question 1 of 5
The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows that teaching has been effective when the patient states which of the following?
Correct Answer: A
Rationale: In this scenario, option A is the correct response. A pregnant patient with a BMI of 33 is considered obese, which can increase the risk of birth injury for the child. This education is crucial for the patient to understand the potential complications associated with obesity during pregnancy. By selecting option A, the patient demonstrates an understanding of this risk factor and the importance of managing their weight during pregnancy to reduce adverse outcomes for the baby. Options B, C, and D are incorrect because they do not address the specific concern related to the patient's high BMI. Option B is inaccurate as obesity in pregnancy is associated with an increased risk of childhood diabetes for the offspring. Option C is unrelated to BMI and focuses on the mode of delivery, which is not directly impacted by the patient's weight. Option D is also incorrect as gestational hypertension is more common in obese pregnant women, so they actually have a higher risk rather than a lower risk. In an educational context, it is important for nurses to provide tailored information to pregnant patients based on their individual risk factors. Addressing the impact of BMI on pregnancy outcomes is essential in promoting a healthy pregnancy and reducing potential complications for both the mother and the baby. Effective patient education empowers individuals to make informed decisions and take necessary steps to optimize their health during pregnancy.
Question 2 of 5
A nurse is caring for a single teen mother who has just given birth to her first child. The patient notes that the child's father 'wants no relationship with his son.' The patient goes on to express concerns about the short- and long-term impact of her teen pregnancy on herself and on her child. Which statements made by the nurse are accurate? Select all that apply.
Correct Answer: C
Rationale: In this scenario, option C, "Your child is less likely to experience behavioral problems," is the correct statement. This is because research indicates that children of teen mothers are not inherently predisposed to behavioral problems solely due to their mother's age. It is crucial for the nurse to provide accurate and supportive information to the teen mother to alleviate unnecessary concerns and promote a positive outlook. Option A, "You are more likely than others to have additional children before you turn 20," is incorrect. While teen mothers may be at higher risk for subsequent pregnancies, this statement is not universally true for all teen mothers and can contribute to stigmatization and judgment. Option B, "You may have difficulty completing high school or college," while a common concern, is not the most accurate statement to make. Many teen mothers successfully complete their education with appropriate support and resources, and it is essential for the nurse to provide encouragement and guidance rather than instill fear of failure. Option D, "Your child is at increased risk of abusing alcohol when he is a teenager," is also incorrect. While children of teen mothers may face certain challenges, predicting future substance abuse based solely on maternal age is overly simplistic and not evidence-based. It is essential for healthcare providers to offer non-judgmental, evidence-based information and support to teen mothers to help them navigate their unique challenges and empower them to make informed decisions for themselves and their children. Education and support play a crucial role in breaking the cycle of stigma and misinformation surrounding teen pregnancy.
Question 3 of 5
A bottle-feeding woman, 11â„2 weeks postpartum from a vaginal delivery, calls the obstetric office to state that she has saturated 2 pads in the past 1 hour. Which of the following responses by the nurse is appropriate?
Correct Answer: D
Rationale: The correct response, option D, is appropriate because it prioritizes the woman's health and safety by advising her to be examined by a doctor promptly. This is crucial as saturating 2 pads in 1 hour postpartum could indicate excessive bleeding, which may be a sign of a serious complication like postpartum hemorrhage or retained placental tissue. Option A is incorrect as it dismisses the woman's concern and does not address the potential seriousness of the situation. Option B is also incorrect as it wrongly attributes the bleeding to the return of menstruation, which is not typical so soon after delivery. Option C is incorrect as it normalizes heavy bleeding without considering the need for medical evaluation. Educationally, it is important for healthcare providers to be able to recognize and respond to postpartum complications promptly to ensure the well-being of mothers. Understanding the potential risks and knowing when to seek medical help are vital aspects of providing comprehensive perinatal care. This case highlights the importance of appropriate triage and communication skills in managing postpartum issues effectively.
Question 4 of 5
On admission to the labor and delivery unit, a client's hemoglobin (Hgb) was assessed at 11.0 gm/dL, and her hematocrit (Hct) at 33%. Which of the following values would the nurse expect to see 2 days after a normal spontaneous vaginal delivery?
Correct Answer: C
Rationale: In this scenario, option C (Hgb 10.5 gm/dL; Hct 31%) is the correct answer. After a normal spontaneous vaginal delivery, it is expected that the client's hemoglobin and hematocrit levels will decrease slightly due to physiological changes postpartum. This decrease is a normal response to the blood loss that occurs during delivery. Option A (Hgb 12.5 gm/dL; Hct 37%) is incorrect because it shows an increase in the values, which is not expected after delivery. Options B (Hgb 11.0 gm/dL; Hct 33%) and D (Hgb 9.0 gm/dL; Hct 27%) are also incorrect as they do not reflect the expected slight decrease in hemoglobin and hematocrit levels postpartum. From an educational standpoint, understanding the normal physiological changes that occur in the postpartum period is crucial for providing quality care to women during this vulnerable time. Nurses need to be able to recognize and interpret lab values accurately to assess the postpartum client's health status effectively. This knowledge helps in identifying deviations from normal and providing appropriate interventions promptly.
Question 5 of 5
The nurse asks a woman about how the woman's husband is dealing with the pregnancy. The nurse concludes that counseling is needed when the woman makes which of the following statements?
Correct Answer: A
Rationale: In this scenario, the correct answer is option A) "My husband is ready for the pregnancy to end so that we can have sex again." This statement raises concerns as it indicates a lack of emotional connection to the pregnancy and focuses solely on the physical aspect of the relationship. It suggests potential unresolved issues or emotional distress that may require counseling or support. Option B) "My husband is excited about becoming a father" is incorrect as it shows a positive and appropriate response to the pregnancy. Option C) "My husband has been very supportive throughout my pregnancy" indicates a supportive partner, which is a positive sign. Option D) "My husband is helping me prepare for the baby's arrival" also displays engagement and readiness for the baby. Educationally, this question highlights the importance of assessing emotional well-being and support systems during perinatal care. It emphasizes the need for nurses to recognize signs of distress or disconnect in partners experiencing perinatal loss and the significance of offering appropriate support and counseling services in such situations.