ATI RN
Current Issues in Maternal Newborn Nursing Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse is arranging education for the menopausal support group regarding the approaches to treat the symptoms. Which of the following would be components of current treatments? Select all that apply.
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. Moderately intense exercises help manage menopausal symptoms by reducing hot flashes and improving mood. 2. Exercise also helps in maintaining bone health and reducing the risk of osteoporosis. 3. Physical activity promotes overall well-being and can alleviate symptoms like weight gain and insomnia. Summary of why other choices are incorrect: B. While a balanced diet rich in calcium is important for overall health, it is not a primary component of treating menopausal symptoms. C. Alternative medicine like black cohosh may have some benefit, but evidence is inconclusive and not widely recommended. D. Over-the-counter sleep aids may help with sleep disturbances, but they do not address the holistic management of menopausal symptoms.
Question 5 of 5
A 32-year-old female patient arrives to the emergency department with heavy uterine bleeding. The nurse finds that the patient had a positive pregnancy test 1 month prior to the visit. What is the potential medical management for this patient's issue?
Correct Answer: B
Rationale: The correct answer is B: Dilation and curettage. This procedure is used to diagnose and treat conditions like heavy uterine bleeding in cases of suspected miscarriage or incomplete abortion. It involves dilating the cervix to remove tissue from the uterus. In this scenario, the patient's positive pregnancy test and heavy bleeding suggest a possible incomplete abortion or miscarriage, making D&C appropriate. The other choices are not indicated for this situation: A (Endometrial biopsy) is used to evaluate abnormal uterine bleeding unrelated to pregnancy, C (Colposcopy) is for cervical evaluation, and D (Laparoscopy) is for abdominal and pelvic exploration, not specific to uterine bleeding.