ATI RN
Current Issues in Maternal Newborn Nursing Questions
Question 1 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 aligns with the SMART criteria for expected outcomes. Specific: It clearly states the desired pain level of 2 on a scale of 10. Measurable: It provides a quantifiable measure to assess the outcome. Achievable: The goal is realistic and attainable within a specified time frame. Relevant: It directly addresses the nursing diagnosis of acute pain related to tissue trauma. Time-bound: It includes a timeframe of 1 hour after administration for evaluation. Choices A, B, and C are incorrect because they do not meet all the SMART criteria. Choice A only focuses on the pain level without a specific timeframe. Choice B mentions pain reduction but lacks a specific target level or timeframe. Choice C mentions pain absence but lacks a specific timeframe for evaluation.
Question 2 of 5
The nurse states to the newly pregnant patient, “Tell me how you feel about being pregnant.” Which communication technique is the nurse using with this patient?
Correct Answer: C
Rationale: The correct answer is C: Reflection. The nurse is using the communication technique of reflection by restating the patient's feelings back to her. This technique helps the patient feel heard and understood, promoting a therapeutic relationship. Clarifying (A) involves seeking further information, paraphrasing (B) involves restating the patient's words, and structuring (D) involves organizing the conversation - none of which are demonstrated in the scenario.
Question 3 of 5
The nurse is assessing a patient’s use of complementary and alternative therapies. Which should the nurse document as an alternative or complementary therapy practice? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Practicing yoga daily. Yoga is considered a complementary therapy as it focuses on integrating the mind, body, and spirit for overall well-being. It is a holistic approach that complements traditional medical treatments. - B: Drinking green tea in the morning is a healthy habit but not specifically categorized as a complementary or alternative therapy. - C: Taking omeprazole is a conventional medication for acid reflux and not considered an alternative or complementary therapy. - D: Using aromatherapy during a relaxing bath is a complementary therapy, but the question asked for alternative or complementary therapy practices, not both.
Question 4 of 5
The nurse is providing education for disease prevention to the adult female patient. Which factor puts the patient at a higher risk for multisystem disease processes such as cardiac issues, gynecological issues, and cancers?
Correct Answer: B
Rationale: The correct answer is B: Smoking two packs of cigarettes a day. Smoking is a major risk factor for multisystem diseases like cardiac issues, gynecological issues, and cancers due to the harmful chemicals in tobacco smoke. Smoking is linked to heart disease, lung cancer, cervical cancer, and other health issues. A: Consuming two glasses of wine a week is not a significant risk factor for multisystem diseases compared to smoking. Moderate alcohol consumption may even have some health benefits. C: Having a body mass index of over 32 is a risk factor for certain health conditions like diabetes and hypertension, but it is not as directly linked to multisystem diseases as smoking. D: Having poor intake of calcium and vegetables can lead to deficiencies and certain health issues, but it is not as strongly associated with multisystem diseases as smoking.
Question 5 of 5
The nurse is providing care to a 75-year-old female patient diagnosed with osteoporosis. Which of the following would be the priority nursing diagnosis?
Correct Answer: A
Rationale: The correct answer is A: At risk for falls related to impaired balance. This is the priority nursing diagnosis because falls can lead to serious injury in elderly patients with osteoporosis. Impaired balance is a significant risk factor for falls in this population. Choice B is not the priority as safety takes precedence over knowledge deficit. Choice C may be secondary to the risk of falls. Choice D is not the priority as preventing falls and ensuring patient safety are more critical in this case.