ATI RN
Chimat Maternity Needs Assessment Questions
Question 1 of 5
The nurse is planning a class for pregnant women in the first trimester of pregnancy. Which information is most imported for the nurse to include in the class?
Correct Answer: B
Rationale: In this scenario, option B is the most important information for the nurse to include in the class for pregnant women in the first trimester. This is because any vaginal bleeding during pregnancy can be a sign of a serious issue such as miscarriage, ectopic pregnancy, or placental problems. Prompt notification of the healthcare provider is crucial for timely intervention to safeguard the health of both the mother and the baby. Option A is incorrect because while rest and sleep are important during pregnancy, there is no specific guideline that mandates increasing sleep time to an hour per day when experiencing fatigue in the first trimester. Option C is incorrect because while eating small, frequent meals can help alleviate nausea during pregnancy, the advice to carry low-fat snacks is not universally applicable and may not be suitable for all pregnant women. Option D is incorrect because morning dizziness during pregnancy is common due to hormonal changes, and while rising slowly and sitting on the bed for a minute can be helpful, it is not as critical as immediate notification of vaginal bleeding to the healthcare provider. Educationally, this question highlights the importance of prioritizing critical information for pregnant women in the first trimester. It emphasizes the significance of recognizing and acting upon potential warning signs that could indicate serious complications during pregnancy, ensuring the safety and well-being of both the mother and the developing fetus.
Question 2 of 5
After delivery of a normal infant, the mother tells the nurses that she would like to use oral contraceptive. Which finding in the client's health history is a contraindication of the use of contraceptives?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Smoked cigarettes prior to becoming pregnant. Smoking increases the risk of cardiovascular events and thromboembolic complications, making it a contraindication for oral contraceptive use due to the increased risk of stroke and other adverse effects. Option A) Previously used intrauterine device (IUD) is not a contraindication for oral contraceptives. In fact, it is a reversible form of contraception. Option B) Reported history of stroke within the family is not a direct contraindication for oral contraceptives, although it may warrant further assessment of individual risk factors. Option C) Being diagnosed with diabetes mellitus 2 years ago is not a contraindication for oral contraceptives, but close monitoring may be required due to potential interactions with blood sugar levels. This question is important in a maternity needs assessment as it highlights the necessity for healthcare providers to consider individual health histories and risk factors when advising on contraceptive options postpartum. It emphasizes the significance of thorough assessment and personalized care to ensure the safety and well-being of the mother.
Question 3 of 5
The parents of a male newborns have signed an informed consent for circumcision. which intervention should the nurse implement upon completion of the circumcision?
Correct Answer: A
Rationale: In this scenario, the correct intervention is option A) Place petroleum gauze dressings on the site. This intervention is crucial for wound care post-circumcision as it helps protect the incision site from contamination and promotes healing. Option B) Wrap the infant in warm receiving blankets is not the most appropriate intervention after circumcision as it does not address the specific wound care needs of the circumcision site. Option C) Giving a PRN dose of liquid acetaminophen may be appropriate for pain management after circumcision, but it is not the immediate intervention needed post-procedure. Option D) Offering a pacifier dipped in glucose water is not recommended as the primary intervention after circumcision. This intervention does not address the wound care needs of the circumcision site and may not be appropriate for newborns. Educationally, it is important for nurses to understand the post-circumcision care protocol to ensure proper wound healing and prevent complications. Nurses should be knowledgeable about wound care, pain management, and comfort measures for newborns undergoing circumcision to provide safe and effective care.
Question 4 of 5
At 6 weeks gestation the rubella titer of a client medication indicates she is non-immune. When is the best time to administer a rubella vaccine to this client?
Correct Answer: D
Rationale: The correct answer is D) Early postpartum within 72 hours of delivery. Administering the rubella vaccine early postpartum is crucial as it ensures protection for the mother before she conceives her next child. By vaccinating the mother in the early postpartum period, it helps prevent congenital rubella syndrome in future pregnancies. Option A) After the client stops breastfeeding is incorrect because delaying the vaccine until the client stops breastfeeding leaves her vulnerable to rubella infection during that period, potentially affecting future pregnancies. Option B) Immediately, at 6-weeks gestation to protect the fetus is incorrect because administering live vaccines during pregnancy is contraindicated due to the theoretical risk of harm to the fetus. Option C) After the client reaches 20-weeks gestation is incorrect because waiting until 20 weeks gestation may not provide adequate protection to the mother during the vulnerable period between pregnancies. Educationally, understanding the timing of rubella vaccination in the postpartum period is essential for healthcare providers working in maternity care to ensure optimal maternal and fetal health outcomes. It highlights the importance of proper timing in administering vaccines to protect both the mother and future pregnancies.
Question 5 of 5
A woman in her third trimester of pregnancy has been in active labor for the past 8 hours and cervix dialed 3 cm. The nurse's assessment findings and electronic fetal monitoring (EFM) are consistent with hypotonic dystocia, and the healthcare provider prescribes an oxytocin drip. Which data is most important for the nurse to monitor?
Correct Answer: C
Rationale: In this scenario, the correct answer is option C: Intensity, interval, and length of contractions. Monitoring these factors is crucial when managing hypotonic dystocia with an oxytocin drip. The nurse must assess the effectiveness of the medication in increasing the frequency, strength, and duration of contractions to progress labor. Option A (Clients hourly blood pressure) is incorrect as it is not the priority in this situation. While monitoring blood pressure is essential in pregnancy, in the context of managing hypotonic dystocia, assessing contractions is more pertinent. Option B (Preparation for emergency cesarean birth) is premature at this point as the first step in managing hypotonic dystocia is to attempt to augment labor with oxytocin. Cesarean birth should be considered if labor fails to progress despite oxytocin augmentation and other interventions. Option D (Checking the perineum for bulging) is not as critical as monitoring contractions in this case. Perineal assessment is important in the second stage of labor to determine fetal descent, but in the context of hypotonic dystocia, monitoring contractions takes precedence. Educationally, understanding the rationale behind monitoring contraction patterns in hypotonic dystocia helps students grasp the importance of timely and appropriate interventions in obstetric emergencies, promoting safe and effective maternal and fetal outcomes.