ATI RN
Maternal Newborn Nursing Questions
Question 1 of 9
The nurse is teaching a prenatal class about warning signs in pregnancy. Which symptom should be reported immediately?
Correct Answer: B
Rationale: A headache unrelieved by rest or medication may indicate preeclampsia or other serious conditions and should be reported immediately.
Question 2 of 9
Which congenital defects in a newborn are associated with long-term parenting problems? (Select all that apply.)
Correct Answer: B
Rationale: 1. Cleft lip and palate: Parents of a newborn with a cleft lip and palate may face challenges related to feeding difficulties, speech development issues, and concerns about their child's appearance. These issues can require additional medical interventions and support, leading to long-term parenting stress and psychological strain.
Question 3 of 9
Why should a woman refrain from douching while menstruating?
Correct Answer: B
Rationale: Douching disrupts vaginal flora and increases infection risk.
Question 4 of 9
When integrating the principles of family-centered care, the nurse would include which concept?
Correct Answer: C
Rationale: Due to the influence of managed care, the focus on prevention, better education, and technological advances, people have taken increased responsibility for their own health.
Question 5 of 9
The nurse is caring for a woman with a broken arm. Her partner brings in flowers and balloons and is overly affectionate. What phase of the cycle of violence would the nurse suspect?
Correct Answer: C
Rationale: The honeymoon phase in the cycle of violence is characterized by remorse and attempts by the abuser to regain control through affection or gifts. This phase manipulates the victim into believing the abuse will not recur.
Question 6 of 9
What intervention is highest priority for a woman entering the emergency department after a stranger rape?
Correct Answer: A
Rationale: Ensuring safety is paramount immediately after trauma.
Question 7 of 9
The nurse is administering a number of therapeutic interventions for neonates, infants, and children on the pediatric unit. Which intervention contributes to an increase in chronic illness seen in early childhood?
Correct Answer: C
Rationale: Using mechanical ventilation and medications to foster lung development in premature infants increases their survival rate. Yet the infants who survive are often faced with myriad chronic illnesses.
Question 8 of 9
Screening at 24 weeks gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning the woman9s care. The nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus due to the GDM. The nurse identifies that the fetus is at risk for which of the following? Congenital anomalies of the central nervous system Macrosomia Preterm birth Low birth weight Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. The nurse identifies that the fetus is at greatest risk for:
Correct Answer: A
Rationale: Gestational diabetes mellitus (GDM) is a condition where high blood sugar levels develop during pregnancy in women who didn't have diabetes before pregnancy. One of the primary risks associated with GDM is fetal overgrowth, also known as macrosomia. This means the baby is larger than normal. Macrosomia can lead to complications during delivery, such as shoulder dystocia (when the baby's shoulders get stuck during delivery) and an increased risk of birth injuries for both the baby and the mother. It can also increase the likelihood of a cesarean section delivery. Therefore, preventing macrosomia is an important goal in managing GDM to ensure the safety and well-being of both the mother and the baby.
Question 9 of 9
What actions should the nurse advise women to take when educating them on breast self-examination (BSE)?
Correct Answer: A
Rationale: Proper technique ensures accurate detection of abnormalities.