ATI RN
Maternal Newborn Nursing Questions
Question 1 of 5
The nurse is preparing a client for a nonstress test. What instruction should the nurse provide?
Correct Answer: B
Rationale: In the context of a nonstress test for monitoring fetal well-being, option B, "Press the button whenever you feel the baby move," is the correct instruction for the nurse to provide. This is because during a nonstress test, the primary goal is to assess the baby's heart rate in relation to its movements. When the mother feels fetal movement, she should press a button to mark the event, allowing healthcare providers to correlate fetal heart rate accelerations with movements, indicating a healthy fetal response. Option A, "Avoid eating or drinking before the test," is incorrect because there is no need to fast for a nonstress test. In fact, it is beneficial for the mother to have eaten to potentially increase fetal movement during the test. Option C, "Lie flat on your back during the test," is also incorrect. It is recommended that the mother be in a comfortable position during the test, which can include sitting or reclining, as long as she can feel the baby's movements and reach the button easily. Option D, "Expect contractions to occur during the test," is incorrect as well. A nonstress test does not induce contractions; its purpose is solely to monitor fetal heart rate in response to movement. Educationally, understanding the rationale behind each instruction is crucial for nurses caring for pregnant women undergoing fetal monitoring tests. Providing accurate instructions ensures the safety and well-being of both the mother and the unborn baby, emphasizing the importance of proper patient education in maternal newborn nursing practice.
Question 2 of 5
Before giving a client oral combination contraceptives, which side effects should the nurse tell the patient to be aware of? Select all that apply.
Correct Answer: B
Rationale: In the context of maternal newborn nursing and pharmacology, it is crucial for a nurse to educate patients about the potential side effects of oral combination contraceptives to ensure their safety and understanding. In this scenario, the correct answer is B) Thick vaginal discharge. This is because oral contraceptives can alter vaginal discharge consistency in some individuals, which is important for patients to be aware of for monitoring purposes and to differentiate from any concerning symptoms. Regarding the incorrect options: A) Irregular bleeding: While this can be a side effect of oral contraceptives, it is not specifically related to combination contraceptives. It is more commonly associated with progestin-only pills. C) Nausea: Nausea is a common side effect of starting oral contraceptives, but it is not one of the primary side effects that patients need to be specifically aware of. D) Breast tenderness: While breast tenderness can occur as a side effect of oral contraceptives, it is not a key side effect that patients need to be specifically watch for. Educational context: By understanding the unique side effects of different types of contraceptives, nurses can provide tailored education to patients, enhancing their ability to recognize and manage potential side effects effectively. This empowers patients to make informed decisions about their healthcare and promotes medication adherence and safety.
Question 3 of 5
How does estrogen work in COC pills?
Correct Answer: A
Rationale: Estrogen in combined oral contraceptive (COC) pills works primarily by inhibiting ovulation through the suppression of the luteinizing hormone (LH) surge. By maintaining consistent levels of estrogen in the body, COC pills prevent the release of eggs from the ovary. This prevents fertilization from occurring, which is one of the main mechanisms of action of COC pills to provide contraception. While estrogen also has other effects such as stabilizing the endometrium to reduce unscheduled bleeding, its main role in COC pills is to inhibit ovulation and prevent pregnancy through hormonal regulation.
Question 4 of 5
A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method?
Correct Answer: C
Rationale: Facial Palsy is a complication that may occur following a forceps-assisted birth. Forceps delivery carries the risk of exerting pressure on the infant's facial nerves, leading to temporary facial weakness or paralysis. This condition is known as facial palsy. It typically resolves on its own without long-term consequences, but careful monitoring and follow-up are necessary.
Question 5 of 5
A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct statement indicating an understanding of car seat safety is "I should place the car seat rear facing until my baby is 12 months old." This statement reflects the current recommendation by the American Academy of Pediatrics (AAP), which suggests that infants should ride in a rear-facing car seat until they are at least 2 years old or until they reach the maximum height or weight limit allowed by the car seat manufacturer. This position provides the best protection for the baby's head, neck, and spine in the event of a crash. The other statements are incorrect: