ATI RN
Current Issues in Maternal Newborn Nursing Questions
Question 1 of 5
The nurse would advise the patient to report what symptom immediately during a PD-1 (checkpoint inhibitor) infusion?
Correct Answer: C
Rationale: Correct Answer: C (dizziness) Rationale: 1. Dizziness can indicate a serious adverse reaction like immune-mediated neurotoxicity, requiring immediate attention. 2. Nausea, fatigue, and diarrhea are common side effects of checkpoint inhibitors but usually not emergencies. 3. Dizziness can be a sign of a potentially life-threatening condition, making it crucial to report immediately. Summary: - A: Nausea is a common side effect but not typically requiring immediate attention. - B: Fatigue is a common side effect but usually does not warrant immediate reporting. - D: Diarrhea is a known side effect but generally not an urgent concern compared to potential neurological issues signaled by dizziness.
Question 2 of 5
At the present time, which agency governs surrogate parenting?
Correct Answer: A
Rationale: The correct answer is A: State law. Surrogate parenting is currently governed by state laws because family law matters, including surrogacy, fall under state jurisdiction. States have varying regulations and requirements for surrogate parenting arrangements. Federal law does not specifically address surrogate parenting. Individual court decisions may provide guidance but do not establish the overall governing framework. Protective child services do not typically have jurisdiction over surrogate parenting arrangements.
Question 3 of 5
A nurse is working with an active labor patient who is in preterm labor and has been designated as high risk. The patient is very apprehensive and asks the nurse, “Is everything going to be all right?” The nurse replies, “Yes, everything will be okay.” Following delivery via an emergency cesarean birth, the newborn undergoes resuscitation and does not survive. The patient is distraught over the outcome and blames the nurse for telling her that everything would be okay. Which ethical principle did the nurse violate?
Correct Answer: C
Rationale: The correct answer is C: Beneficence. The nurse violated the ethical principle of beneficence by providing false reassurance to the patient, which ultimately led to a negative outcome. Beneficence means to do good and act in the best interest of the patient. By giving false hope, the nurse failed to provide truthful information that could have prepared the patient for potential complications. A: Autonomy - This choice is not the correct answer because autonomy refers to respecting the patient's right to make their own decisions, which was not directly violated in this scenario. B: Fidelity - This choice is not the correct answer because fidelity refers to being faithful and keeping promises to the patient, which is not the primary issue in this case. D: Accountability - This choice is not the correct answer because accountability refers to taking responsibility for one's actions, which the nurse may need to do in this situation, but it is not the primary ethical principle violated. In summary, the nurse violated the ethical
Question 4 of 5
A nurse is entering information on the patient’s electronic health record (EHR) and is called to assist in an emergency situation with regard to another patient in the labor and birth suite. The nurse rushes to the scene to assist; however, she leaves the chart open on the computer screen. The emergent patient situation is resolved satisfactorily, and the nurse comes back to the computer entry screen to complete charting. At the end of the shift, the nurse manager asks to speak with the nurse and tells her that she is concerned with what happened today on the unit because there was a breach in confidentiality. Which response by the nurse indicates that she understands the nurse manager’s concerns?
Correct Answer: B
Rationale: Step-by-step rationale: 1. The correct answer is B because logging out of the EHR prior to attending to the emergency is crucial to maintain patient confidentiality. 2. By leaving the EHR open, the nurse exposed sensitive patient information to potential unauthorized access. 3. This action violates patient privacy rights and is a breach of confidentiality. 4. Choice A is incorrect as it does not address the specific issue of breaching patient confidentiality by leaving the EHR open. 5. Choice C is irrelevant as understaffing does not excuse the breach of patient confidentiality. 6. Choice D is incorrect as changing the password after the breach does not rectify the initial mistake of leaving the EHR open. Summary: Choice B is the correct response as it directly addresses the breach of confidentiality by acknowledging the importance of logging out of the EHR to protect patient information. Choices A, C, and D are incorrect as they do not effectively address the issue of breaching patient confidentiality.
Question 5 of 5
A nurse is reviewing evidence-based teaching and learning principles. Which situation is most conducive to learning with patients of other cultures?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates cultural congruence, which is essential for effective communication and learning. By having an Asian nurse providing information to pregnant Asian women, there is a shared cultural background that enhances understanding and trust. This setting promotes cultural sensitivity and tailors the information to meet the specific needs and preferences of the audience. In contrast, the other choices lack cultural relevance and may hinder effective communication and learning. Choice A involves a large group setting, which may not allow for individualized cultural considerations. Choice B highlights a language barrier that can impede understanding. Choice C presents a diverse group, which may not address the unique cultural needs of each individual.