ATI RN
Current Issues in Maternal Newborn Nursing Questions
Question 1 of 5
The nurse is reviewing the principles of family-centered care with a primiparous patient. Which patient statement will the nurse need to correct?
Correct Answer: C
Rationale: The correct answer is C because it inaccurately suggests that family dynamics will not change after childbirth. The nurse needs to correct this statement as childbirth often leads to significant changes in family dynamics. This is important for the patient to understand to prepare for potential adjustments and challenges. Choices A, B, and D are incorrect because they align with the principles of family-centered care. Choice A highlights the importance of family support, choice B emphasizes the commonality of uncomplicated childbirth, and choice D empowers the patient to make informed decisions about her healthcare.
Question 2 of 5
Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B because giving a report to the oncoming nurse in a private area maintains patient confidentiality, which is a key aspect of HIPAA compliance. This action ensures that patient information is not disclosed to unauthorized individuals. Explanation of other choices: A: Posting patient updates on social media violates patient privacy and is a breach of HIPAA. C: Giving patient information over the phone to a friend is a violation of patient confidentiality under HIPAA. D: Logging off the computer screen before leaving unattended is a good practice for data security but does not directly relate to HIPAA compliance regarding patient information privacy.
Question 3 of 5
Expectant parents ask a prenaNtal RnursIe eGducaBto.rC, “WMhich setting for childbirth limits the U S N T O amount of parent–infant interaction?” Which answer should the nurse provide for these parents in order to assist them in choosing an appropriate birth setting?
Correct Answer: C
Rationale: Rationale: 1. Traditional hospital birth setting often involves medical interventions that can limit parent-infant interaction, such as continuous fetal monitoring and medication administration. 2. These interventions may restrict movement and bonding opportunities between the parent and infant during labor and immediately after birth. 3. In contrast, birth center and home birth settings typically prioritize natural childbirth experiences with minimal interventions to encourage bonding and parent-infant interaction. 4. Labor, birth, and recovery room, while providing a more private setting than a traditional hospital, may still involve medical interventions that can impact parent-infant interaction. Summary: A: Birth center and B: Home birth promote parent-infant interaction. D: Labor, birth, and recovery room may still involve interventions. C: Traditional hospital birth setting often limits parent-infant interaction due to medical interventions.
Question 4 of 5
In which step of the nursing process does the nurse determine the appropriate interventions for the identified nursing diagnosis?
Correct Answer: A
Rationale: In the nursing process, planning is the step where the nurse determines appropriate interventions for the identified nursing diagnosis. Firstly, in the assessment step (choice C), the nurse collects data to identify the nursing diagnosis. Next, in the diagnosis step, the nurse analyzes the data to identify the nursing diagnosis. Then, in the planning step (choice A), the nurse develops a plan of care that includes specific interventions to address the nursing diagnosis. Finally, in the intervention step (choice D), the nurse implements the planned interventions. Evaluation (choice B) is the step where the nurse assesses the effectiveness of the interventions. Therefore, choice A is correct as it is the step where the nurse determines the appropriate interventions based on the identified nursing diagnosis.
Question 5 of 5
The nurse is writing an expected outcome for the nursing diagnosis—acute pain related to tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale of 10. Which expected outcome is correctly stated for this problem?
Correct Answer: D
Rationale: The correct answer is D because it reflects a specific, measurable, and realistic expected outcome for the nursing diagnosis of acute pain. It includes the patient's subjective pain rating (2 on a scale of 10) and a time frame (1 hour after administration of medication). This outcome is achievable and provides a clear target for evaluating the effectiveness of pain management. Option A is incorrect as it does not specify a time frame or intervention. Option B is vague and lacks a measurable outcome. Option C is also vague and lacks a clear time frame for evaluation. Overall, option D is the best choice as it aligns with the SMART criteria for expected outcomes in nursing care planning.