ATI RN
Current Issues in Maternal and Child Health Questions
Question 1 of 5
The RN is delegating tasks to the unlicensed assistive personnel (UAP). Which tasks can the nurse delegate? (Select all that apply.)
Correct Answer: C
Rationale: In the context of maternal and child health, the correct answer is C) Assisting a patient to the bathroom for the first time after birth. This task can be safely delegated to unlicensed assistive personnel (UAP) as it involves helping the patient with a basic activity of daily living that does not require specialized nursing knowledge or assessment skills. Option A) Teaching the patient about breast care involves providing education and requires a nursing assessment to tailor the teaching to the individual patient's needs. This task should be performed by a registered nurse. Option B) Assessment of a patient's lochia and perineal area requires clinical judgement, knowledge of normal vs. abnormal findings, and the ability to recognize signs of complications. This task is within the scope of nursing practice and should not be delegated to UAP. Option D) Taking vital signs on a postpartum patient who delivered the night before involves monitoring for potential complications such as postpartum hemorrhage or infection, which require nursing assessment and intervention. This task should be performed by a registered nurse to ensure timely and appropriate care for the patient. Educationally, understanding the principles of delegation in nursing is crucial for ensuring safe and effective patient care. Nurses need to be able to differentiate tasks that can be delegated from those that require their specialized knowledge and skills to provide competent care to maternal and child health populations.
Question 2 of 5
The nurse is providing education on the prevention of heart disease for adult females ages 35 to 44 years old.Which of the following would be most appropriate for this disease process? Select all that apply.
Correct Answer: A
Rationale: The most appropriate option for preventing heart disease in adult females aged 35 to 44 years old is A) Taking a brisk walk for 50 minutes three times a week. This is because regular physical activity, such as brisk walking, helps to improve cardiovascular health, lower blood pressure, and maintain a healthy weight, all of which are important factors in preventing heart disease. Option B) Consuming a diet rich in vegetables, fruits, and whole grains is also beneficial for heart health by providing essential nutrients and fiber, but it is not the most specific choice for preventing heart disease in this age group. Option C) Obtaining a varicella vaccine is not directly related to preventing heart disease and is more focused on preventing chickenpox. Option D) Recognizing the importance of smoking cessation is crucial for overall health, including heart health. However, it is not as directly related to preventing heart disease in this specific age group as regular physical activity is. In an educational context, it is important to emphasize to adult females aged 35 to 44 years old the significance of incorporating regular physical activity, such as brisk walking, into their routine to reduce their risk of developing heart disease. Additionally, promoting a well-balanced diet, smoking cessation, and overall healthy lifestyle choices should also be included in the education on heart disease prevention.
Question 3 of 5
The nurse is providing education to the patient that is receiving a bisphosphate medication for osteoporosis. Which instructions should the nurse include in the teaching plan to reduce side effects and enhance absorption while taking bisphosphates? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A) Take the medication with a small meal at the same time. Bisphosphonates are known to have poor absorption when taken on an empty stomach, so taking them with a meal can enhance absorption. Additionally, taking bisphosphonates with food can help reduce the risk of gastrointestinal side effects. Option B) Take the medication with at least 8 oz. of water is not the best choice because while it is important to take bisphosphonates with a full glass of plain water to ensure proper absorption, the amount specified is not as critical as taking it with a meal. Option C) Remaining upright for at least 30 minutes after taking a dose is important to prevent esophageal irritation, but it is not directly related to enhancing absorption or reducing side effects. Option D) Taking the medication on an empty stomach is not recommended as it can decrease absorption and increase the risk of gastrointestinal side effects. It is essential to take bisphosphonates with food to optimize their effectiveness and minimize adverse effects. In an educational context, it is crucial for nurses to provide clear and accurate instructions to patients taking bisphosphonates to ensure proper medication administration, enhance therapeutic outcomes, and minimize potential side effects. By understanding the rationale behind the correct administration of bisphosphonates, nurses can effectively educate patients on best practices for medication adherence and safety.
Question 4 of 5
The nurse is providing preoperative education on the laparoscope-assisted vaginal hysterectomy. Which statement by the patient verifies understanding of the procedure?
Correct Answer: B
Rationale: The correct statement by the patient that demonstrates understanding of the laparoscope-assisted vaginal hysterectomy procedure is "I'm relieved that I won't have any visible scars on my abdomen." This is a relevant and accurate statement as the procedure involves minimal scarring due to the use of small incisions in the abdomen rather than a large incision. It shows understanding of one of the benefits of this surgical approach. The other statements are not accurate or relevant to the procedure.
Question 5 of 5
The nurse is caring for a 33-year-old female patient who has just undergone laparoscopic removal of endometrial lesions. Which statement by the patient illustrates her understanding of the disease process and prognosis?
Correct Answer: A
Rationale: Choice A is the correct answer because the patient acknowledges that the laparoscopic removal of endometrial lesions is not a cure for her issue. She demonstrates understanding by mentioning her desire to have more children within the next year, indicating that she recognizes the need for continued monitoring and management of her condition. Choices B, C, D, and E are incorrect because they do not accurately reflect the disease process and prognosis associated with endometrial lesions.