ATI RN
Chimat Maternity Needs Assessment Questions
Question 1 of 5
The nurse is interviewing a patient who is 6-weeks pregnant. The patient asks the nurse, 'Why is elective abortion considered such an ethical issue?'
Correct Answer: D
Rationale: The correct answer is D) There is a conflict between the rights of the woman and the rights of the fetus. This option is correct because elective abortion is considered an ethical issue due to the conflicting rights involved. It raises questions about the woman's autonomy and right to make decisions about her own body versus the rights of the developing fetus. This ethical dilemma is at the core of the abortion debate, as both sides argue for the protection of different rights. Option A is incorrect because abortion does not necessarily require third-party consent; it is a decision typically made by the pregnant individual or in some cases, in consultation with medical professionals. Option B is incorrect because the U.S. Supreme Court ruling on when life begins is not the primary reason why elective abortion is considered an ethical issue. The ethical debate involves more complex considerations beyond legal definitions. Option C is incorrect as well because while abortion laws may vary and constitutional rights are a part of the discussion, the core ethical issue lies in the conflict of rights between the woman and the fetus. In an educational context, understanding the ethical considerations surrounding elective abortion is crucial for healthcare professionals, as they navigate providing care while respecting diverse beliefs and values. It is essential to approach this topic with sensitivity, empathy, and a solid understanding of the ethical principles involved to ensure patient-centered care.
Question 2 of 5
With regard to an obstetric litigation case, a nurse working in labor and birth is found to be negligent. Which intervention performed by the nurse indicates that a breach of duty has occurred?
Correct Answer: A
Rationale: In this case, option A is the correct answer indicating a breach of duty by the nurse. The failure to document fetal heart tones (FHR) during the second stage of labor is a critical omission as it is a standard practice to monitor the fetal well-being closely during this stage to detect any signs of distress or complications. Proper documentation of FHR is essential for timely intervention and communication among the healthcare team. Option B, providing only ice chips during an 8-hour labor period, is not ideal but does not directly indicate negligence or breach of duty as long as the patient's hydration needs were met through other means. Option C, allowing the patient to use the bathroom instead of a bedpan during the first stage of labor, can be considered a minor issue and does not necessarily point to negligence unless specific medical conditions necessitated a different approach. Option D, asking family members to leave the room before a pelvic exam, is actually a proper professional boundary practice and does not signify negligence. Educationally, this scenario highlights the importance of thorough documentation in obstetric care to ensure patient safety and legal protection. It also emphasizes the need for nurses to adhere to standards of care and protocols in labor and birth settings to avoid potential litigation and uphold patient well-being.
Question 3 of 5
Which nursing intervention is most helpful in relieving postpartum uterine contractions or 'afterpains?'
Correct Answer: A
Rationale: The correct nursing intervention for relieving postpartum uterine contractions or 'afterpains' is option A) Lying prone with a pillow on the abdomen. This position helps to promote uterine contractions, aiding in the expulsion of clots and debris, and reducing bleeding. Placing a pillow on the abdomen provides gentle pressure, which can further help in toning the uterus and alleviating discomfort. Option B) Using a breast pump is not directly related to relieving uterine contractions or afterpains. Breastfeeding itself can help stimulate uterine contractions due to oxytocin release, but using a breast pump is not a recommended intervention for this specific purpose. Option C) Massaging the abdomen can be beneficial for increasing blood flow and promoting uterine contractions. However, lying prone with a pillow on the abdomen provides more sustained and gentle pressure, which is often more effective in this context. Option D) Giving oxytocic medications is a valid intervention for managing postpartum uterine contractions, especially in cases of excessive bleeding or retained placental tissue. However, in the context of this question, non-pharmacological interventions like positioning are usually preferred as the first line of management before resorting to medications. In an educational context, it is essential for nurses to understand and utilize non-pharmacological interventions like positioning to manage common postpartum issues effectively. These interventions are often simple, cost-effective, and have fewer side effects compared to medications, making them valuable skills for nurses caring for postpartum women.
Question 4 of 5
When explaining 'postpartum blues' to a client who is 1 day postpartum, which symptoms should the nurse include in the teaching plan? (Select one tha does not apply.)
Correct Answer: D
Rationale: In this scenario, the correct answer is option D) Disinterest in the infant. Postpartum blues, also known as baby blues, is a common temporary emotional state that can occur in the days following childbirth. It is characterized by mood swings, fatigue, and tearfulness. Disinterest in the infant is not a typical symptom of postpartum blues. It is important for the nurse to explain to the client that feeling overwhelmed, tired, or tearful is common and does not mean she is a bad mother. By recognizing and normalizing these feelings, the nurse can help the client understand that this is a temporary phase that often resolves on its own. Educationally, it is crucial for healthcare providers to educate new mothers about the range of emotions they may experience postpartum. By providing accurate information and support, nurses can help new mothers navigate this challenging time with confidence and reassurance. Encouraging open communication and seeking help if needed is essential in promoting maternal mental health and bonding with the newborn.
Question 5 of 5
A client in active labor complains of cramps in her leg. What intervention should the nurse implement?
Correct Answer: B
Rationale: In the scenario where a client in active labor complains of leg cramps, the appropriate intervention for the nurse to implement is option B - to extend the leg and dorsiflex the foot. This action helps to alleviate cramping by stretching the affected muscle and improving circulation. Option A is incorrect as asking about calcium tablet intake does not directly address the immediate issue of leg cramps during labor. Option C of lowering the leg off the side of the bed may exacerbate the cramping sensation due to the potential for increased muscle tension. Option D, elevating the leg above the heart, is not indicated for leg cramps and may not provide relief. In an educational context, understanding the correct intervention for leg cramps during labor is crucial for maternity nurses. It ensures the safety and comfort of the client during this critical time. Nurses need to possess this knowledge to provide optimal care and support to laboring individuals.