ATI RN
Maternal Newborn Nursing Questions
Question 1 of 5
The nurse is teaching a prenatal class about warning signs in pregnancy. Which symptom should be reported immediately?
Correct Answer: B
Rationale: In prenatal education, it is crucial to highlight warning signs that could indicate potential complications requiring immediate medical attention. The correct answer is B) Headache unrelieved by rest or medication. This symptom can be indicative of conditions like preeclampsia or gestational hypertension, which are serious and require prompt evaluation to prevent harm to both the mother and the baby. Option A) Mild swelling in the feet is common in pregnancy but not typically a cause for immediate concern unless it is sudden, severe, or accompanied by other symptoms like high blood pressure. Option C) Increased appetite is a normal part of pregnancy for many women and is not usually a warning sign unless it is extreme and accompanied by other concerning symptoms. Option D) Frequent urination is a common pregnancy symptom due to hormonal changes and the growing uterus pressing on the bladder. It is not typically a cause for immediate alarm unless it is accompanied by pain, burning, or other symptoms of a urinary tract infection. Educationally, teaching about these warning signs empowers pregnant individuals to recognize when they should seek medical help promptly, promoting better outcomes for both mother and baby. It is essential for prenatal classes to cover these topics comprehensively to ensure the well-being of expectant mothers and their babies.
Question 2 of 5
A client at 35 weeks' gestation with polyhydramnios is being monitored for complications. What condition is the client at increased risk for?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Umbilical cord prolapse. Polyhydramnios, an excessive amount of amniotic fluid around the fetus, can increase the risk of umbilical cord prolapse. When there is too much amniotic fluid, the baby has more room to move around, which can lead to the umbilical cord slipping through the cervix before the baby during birth, cutting off blood flow and oxygen. Placental abruption (B) is the premature separation of the placenta from the uterine wall and is not directly associated with polyhydramnios. Fetal growth restriction (C) is a condition where a baby does not grow at the expected rate and is not typically linked to polyhydramnios. Gestational diabetes (D) is a condition of elevated blood sugar during pregnancy and is not directly related to polyhydramnios. In the context of maternal newborn nursing, understanding the implications of polyhydramnios is crucial for monitoring and managing maternal and fetal well-being. Educating healthcare providers on these associations helps in early identification and intervention to prevent potential complications during labor and delivery.
Question 3 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 4 of 5
A patient has expressed interest in receiving an implant for contraception. Which statements by the patient show that she understands the teaching given to her about her procedure and medication? Select one that does not apply.
Correct Answer: D
Rationale: The implant provides long-term contraception for 3 years, so the patient should understand it is a long-term method. Choice A is correct, and the patient must be aware of this. Choice B is correct, as the procedure involves a minor surgical process, and the patient will need someone to drive them home. Choice C is correct because irregular bleeding is a common side effect of the implant. Choice D is incorrect, as the implant does not provide STI protection.
Question 5 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.