ATI RN
Maternal Disorders Questions
Question 1 of 5
The pregnant woman who becomes infected with chickenpox should be taught to report promptly:
Correct Answer: A
Rationale: The correct answer is A: Cough or dyspnea. Chickenpox can lead to pneumonia in pregnant women, causing cough or dyspnea. Prompt reporting is crucial for timely intervention. B: Severe itching is common in chickenpox but not a critical symptom. C: Joint pain is not a typical complication of chickenpox. D: Increased urination is not directly related to chickenpox complications during pregnancy. It's important for the pregnant woman to be aware of respiratory symptoms as they can indicate a serious complication that requires immediate medical attention.
Question 2 of 5
What nursing action will the nurse implement after feeding an infant with hydrocephalus?
Correct Answer: C
Rationale: The correct answer is C: Leave the infant in a side-lying position. This is important for infants with hydrocephalus as it helps prevent aspiration and reflux. Placing the infant in an upright position (Choice A) may increase the risk of regurgitation and aspiration. Burping (Choice B) is important after feeding but may not specifically address the needs of an infant with hydrocephalus. Stimulating the infant by rubbing its feet (Choice D) is unrelated to the specific care needed for an infant with hydrocephalus.
Question 3 of 5
The nurse is providing education to parents of a child with cleft palate. What will the nurse instruct the parents to report immediately?
Correct Answer: B
Rationale: The correct answer is B: Ear infections. Parents of a child with a cleft palate should report ear infections immediately because children with cleft palate are at higher risk for developing ear infections due to issues with Eustachian tube function. Ear infections can lead to hearing loss if left untreated. Facial paralysis (A) is not directly related to cleft palate. Increasing ICP (C) is not typically associated with cleft palate. Drooling (D) is common in children with cleft palate and does not require immediate reporting unless there are other concerning symptoms present.
Question 4 of 5
When bathing an infant, what sign does the nurse recognize as a sign of developmental hip dysplasia?
Correct Answer: B
Rationale: The correct answer is B: One leg is shorter than the other. This is a key sign of developmental hip dysplasia in infants. It indicates an imbalance in the hip joint, leading to unequal leg lengths. This can be detected during routine physical examinations by the nurse. Incorrect choices: A: Hypotonicity of the leg muscles - While muscle tone abnormalities can be associated with hip dysplasia, it is not a specific sign that is easily recognizable during bathing. C: Broadening and flattening of the buttocks - This may be a sign of hip dysplasia in older children but is not a typical indicator in infants. D: Two skinfolds on the back of each thigh - Although skinfolds can sometimes be present in infants with hip dysplasia, it is not a reliable or specific sign compared to the leg length discrepancy.
Question 5 of 5
The nurse is advising parents about feeding their infant with phenylketonuria. What formula and/or diet should the nurse suggest?
Correct Answer: D
Rationale: The correct answer is D, substitute Lofenalac for some protein foods. In phenylketonuria (PKU), individuals lack the enzyme to break down phenylalanine found in protein. Lofenalac is a special formula with low phenylalanine content, suitable for PKU patients. Lifelong high-protein diet (A) is incorrect as it would worsen the condition. A formula low in leucine (B) is not specific to PKU. Soy-based formula (C) still contains high levels of phenylalanine.