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: The correct answer is C: dizziness. Dizziness during a PD-1 infusion can indicate a potential serious adverse reaction, such as immune-related neurological toxicity. Prompt reporting is crucial to prevent complications. Nausea, fatigue, and diarrhea are common side effects of PD-1 inhibitors but are typically not considered immediate concerns for infusion reactions. Reporting dizziness ensures timely assessment and intervention to manage any severe adverse effects.
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 laws are primarily regulated at the state level in the United States. Each state has its own laws and regulations regarding the legality and requirements of surrogate parenting arrangements. Federal law does not specifically govern surrogate parenting. While individual court decisions may impact specific cases, they do not set overarching regulations for surrogate parenting. Protective child services focus on the welfare and protection of children in cases of abuse or neglect, not on the legality of surrogate parenting arrangements. Thus, state law is the correct answer as it is the primary authority governing surrogate parenting.
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, leading to unrealistic expectations and potential harm. Beneficence is about acting in the best interest of the patient and ensuring their well-being. By misleading the patient, the nurse failed to uphold this principle. A: Autonomy is the right of the patient to make their own decisions. The nurse did not directly violate the patient's autonomy in this scenario. B: Fidelity is about being faithful to commitments and promises. The nurse did not violate fidelity, as there was no explicit promise made that was broken. D: Accountability is about taking responsibility for one's actions. While accountability is important, it is not the primary ethical principle violated in this case.
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: The correct answer is B. The nurse should have logged out of the EHR prior to attending to the emergency. By leaving the EHR open and unattended, the nurse exposed patient information to potential unauthorized access, violating patient confidentiality. Logging out would have prevented this breach. Choice A is incorrect because the priority in an emergency is to address the immediate patient needs. Choice C is irrelevant to the breach of confidentiality. Choice D, changing the password after the incident, does not address the initial breach and is not a sufficient response to the nurse manager's concerns about maintaining 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 competence by matching the nurse's background with the patients'. This helps establish trust, understanding, and effective communication. The nurse is more likely to be familiar with cultural norms and preferences, making the teaching more culturally relevant and impactful. A: An auditorium setting with a large number of students may not allow for individualized cultural considerations. B: Language barriers can hinder effective communication and understanding, impacting learning outcomes. C: While diversity can enrich learning, the varying backgrounds may not necessarily address specific cultural needs as effectively as a tailored approach.