The nurse knows that contraindication of the induction of labor includes:

Questions 47

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Maternal Newborn Proctored ATI Questions

Question 1 of 5

The nurse knows that contraindication of the induction of labor includes:

Correct Answer: A

Rationale: Placenta previa is a contraindication for the induction of labor because the placenta partially or completely covers the cervix. Inducing labor in this situation can lead to complications such as excessive bleeding and compromised blood flow to the baby. Therefore, it is important to avoid inducing labor in cases of placenta previa to ensure the safety of both the mother and the baby.

Question 2 of 5

What statement best describes social determinants of health (SDOH)?

Correct Answer: C

Rationale: The correct answer is C) conditions in the environments where people live, work, and play that impact health outcomes and risks. This statement best describes social determinants of health (SDOH) because it refers to the social and economic factors that influence individuals' health. SDOH include factors like access to healthcare, socioeconomic status, education, employment, social support networks, and the physical environment. These factors significantly impact health outcomes and risks. Option A, genetic factors, refers to inherited traits that can influence health but do not encompass the broader social influences captured by SDOH. Option B, medical interventions, focuses on healthcare treatments rather than the external social and environmental factors that SDOH encapsulate. Option D, personal self-care practices, while important for individual well-being, do not address the broader societal and environmental influences on health outcomes. Understanding social determinants of health is crucial in healthcare education as it highlights the importance of addressing systemic inequalities and advocating for policies that promote health equity. By recognizing the impact of social factors on health, healthcare professionals can provide more holistic and effective care to individuals and communities.

Question 3 of 5

What are some specific health effects of substance misuse in persons AFAB?

Correct Answer: C

Rationale: In the context of pharmacology and maternal newborn health, it is crucial to understand the specific health effects of substance misuse in individuals assigned female at birth (AFAB). Option C, elevated risk of liver damage and cardiovascular complications, is the correct answer. Substance misuse during pregnancy can lead to serious complications such as liver damage due to the increased workload on the liver to metabolize toxins, and cardiovascular issues like hypertension and increased risk of heart disease. Option A, increased risk of lung cancer, is incorrect in this context as it is not a direct effect of substance misuse in persons AFAB. Option B, higher likelihood of developing diabetes, is also incorrect as substance misuse is not a direct cause of diabetes development. Option D, reduced risk of mental health disorders, is incorrect as substance misuse is actually associated with an increased risk of mental health disorders such as depression and anxiety. Educationally, understanding the health effects of substance misuse in pregnancy is essential for healthcare providers working with maternal newborn populations. It highlights the importance of providing comprehensive care and support to individuals AFAB to prevent and address substance misuse issues that can have detrimental effects on both maternal and fetal health.

Question 4 of 5

The patient's family history includes sickle cell disease. The patient's partner also has sickle cell disease in the family history. What type of test should the nurse discuss with the couple due to their family history?

Correct Answer: A

Rationale: In this scenario, the correct answer is A) carrier screening for both parents. Carrier screening is crucial for couples with a family history of genetic disorders such as sickle cell disease. This test helps identify individuals who carry a single copy of a gene mutation, putting their offspring at risk of inheriting the disorder if both parents are carriers. Option B) ultrasound at 6 weeks' gestation is not the appropriate test in this case because it is used for assessing fetal development and not for genetic screening. Option C) glucose screening for both parents is unrelated to sickle cell disease and is typically done during pregnancy to assess for gestational diabetes. Option D) thyroid testing is also not relevant to the family history of sickle cell disease. Educationally, this question highlights the importance of genetic screening in families with a history of genetic disorders. It emphasizes the role of healthcare professionals, particularly nurses, in educating and guiding individuals to make informed decisions about genetic testing to assess the risk of passing on genetic conditions to their children. By understanding the significance of carrier screening, couples can make informed reproductive choices and seek appropriate medical interventions if necessary.

Question 5 of 5

LGBTQIA+ families are at higher risk for certain issues more than straight, cisgender parents. What is an example of a vulnerability experienced by LGBTQIA+ families?

Correct Answer: A

Rationale: The correct answer is A) increased cases of social exclusion. LGBTQIA+ families are at a higher risk for social exclusion due to societal stigma, discrimination, and lack of legal protections. This can lead to feelings of isolation, lack of support, and barriers to accessing healthcare and social services. Option B) fewer cases of intimate partner violence is incorrect because LGBTQIA+ individuals and families can also experience intimate partner violence at similar or even higher rates than heterosexual couples due to additional factors such as discrimination and lack of legal protection. Option C) fewer incidents of family trauma is incorrect because LGBTQIA+ families may actually face higher rates of family trauma, including rejection from family members, which can contribute to mental health issues and strained relationships. Option D) increased cases of social acceptance is incorrect because LGBTQIA+ families often face societal prejudice and discrimination, leading to lower levels of social acceptance compared to straight, cisgender families. In an educational context, understanding the unique vulnerabilities faced by LGBTQIA+ families is crucial for healthcare providers to provide culturally competent care and support to these families. By recognizing and addressing these vulnerabilities, healthcare providers can help mitigate the negative impact of social exclusion and provide a more inclusive and supportive environment for LGBTQIA+ families.

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