ATI RN
Maternal Diseases Questions
Question 1 of 5
What is the highest priority nursing intervention for an infant born with myelomeningocele?
Correct Answer: A
Rationale: In caring for an infant born with myelomeningocele, the highest priority nursing intervention is to protect the sac from injury (Option A). This is crucial to prevent infection and further damage to the exposed spinal cord. By covering the sac with a sterile, moist, non-adherent dressing, the risk of infection is minimized, and the infant is protected from trauma. Option B, preparing the parents for the child's paralysis, is important but not the highest priority at this moment. The immediate focus should be on protecting the sac to prevent complications. Option C, preparing for sac closure at around 2 years of age, is a valid intervention but is not the most urgent in the immediate postnatal period. Option D, assessing for cyanosis, is not directly related to the immediate care needed for a newborn with myelomeningocele. Educationally, understanding the critical nature of protecting the sac in infants with myelomeningocele highlights the importance of early intervention to prevent complications. Nurses play a vital role in educating parents and providing hands-on care to ensure the best outcomes for these vulnerable infants. By prioritizing sac protection, nurses can contribute significantly to the infant's well-being and long-term health.
Question 2 of 5
The condition, hypospadias, encompasses a wide range of penile abnormalities. Which information should the nurse provide to the anxious parents of an affected newborn?
Correct Answer: A
Rationale: The correct answer is A) Mild cases involve a single surgical procedure. Rationale: - The nurse should inform the parents that mild cases of hypospadias often only require a single surgical procedure to correct the penile abnormality. This information reassures the parents that the condition can be effectively treated with a relatively straightforward procedure. Why the other options are incorrect: - Option B) Infant should be circumcised: Circumcision is not a treatment for hypospadias. It is a separate procedure and should not be confused with the surgical correction of hypospadias. - Option C) Repair is performed as soon as possible after birth: While early correction is recommended to prevent potential complications, the urgency of the surgery may vary based on the severity of the condition and the overall health of the newborn. - Option D) No correlation exists between hypospadias and testicular cancer: This statement is irrelevant to the immediate concerns of the parents regarding the treatment and management of hypospadias in their newborn. Educational context: - It is crucial for nurses to provide accurate and clear information to parents of newborns with congenital conditions like hypospadias. By understanding the treatment options and outcomes, parents can make informed decisions and feel more empowered to support their child through the necessary medical interventions. This education helps alleviate anxiety and fosters trust in the healthcare team.
Question 3 of 5
Rheumatic heart disease is usually preceded by which infection?
Correct Answer: A
Rationale: Rheumatic heart disease (RHD) is an inflammatory condition that can develop as a complication of untreated or inadequately treated streptococcal pharyngitis caused by Group A Streptococcus bacteria. The correct answer is A) Streptococcal pharyngitis because this infection can lead to an autoimmune response where antibodies attack not only the bacteria but also healthy tissues, including heart valves, causing RHD. Option B) Primary syphilis is caused by Treponema pallidum, a different bacterium that does not typically lead to RHD. Option C) Pneumococcal pneumonia is caused by Streptococcus pneumoniae, a different bacterium that does not have a direct link to RHD. Option D) Chlamydial vaginitis is caused by Chlamydia trachomatis, a bacterium that is not associated with the development of RHD. Educationally, understanding the link between streptococcal infections and rheumatic heart disease is crucial for healthcare providers, especially in regions where access to healthcare and antibiotics may be limited. Early detection and appropriate treatment of streptococcal infections can prevent the development of RHD, highlighting the importance of timely and effective management of infections to prevent long-term complications like RHD.
Question 4 of 5
When caring for a pregnant woman who has antiphospholipid syndrome, the clinic nurse must especially observe for the development of:
Correct Answer: C
Rationale: In caring for a pregnant woman with antiphospholipid syndrome, it is crucial for the clinic nurse to especially observe for the development of elevated blood pressure. Antiphospholipid syndrome is an autoimmune disorder that can lead to complications during pregnancy, including preeclampsia, a condition characterized by high blood pressure. Monitoring blood pressure is essential to detect any signs of preeclampsia early and prevent serious complications for both the mother and the baby. Urinary tract infections (option A) are not typically directly associated with antiphospholipid syndrome. Nausea and vomiting (option B) are common symptoms in pregnancy but are not specifically linked to this syndrome. Reduced blood glucose level (option D) is more commonly seen in conditions like gestational diabetes, which is not a typical manifestation of antiphospholipid syndrome. In an educational context, understanding the specific complications and monitoring requirements for pregnant women with antiphospholipid syndrome is crucial for nurses providing antenatal care. By recognizing the significance of elevated blood pressure in this population, nurses can play a key role in early detection and management of potential complications, ultimately improving maternal and fetal outcomes.
Question 5 of 5
Choose the appropriate infant care teaching for a woman who has given birth by cesarean because of active genital herpes.
Correct Answer: B
Rationale: The correct answer is B) Thoroughly wash your hands before handling the infant. Rationale: Women with active genital herpes who have given birth by cesarean need to take precautions to prevent transmission of the virus to their newborns. Washing hands thoroughly before handling the infant is crucial as it reduces the risk of transmitting the virus through contact. Herpes simplex virus (HSV) can be transmitted through direct contact with active lesions or infected secretions, so hand hygiene is essential to prevent transmission. Option A) Do not breastfeed the infant until all lesions are healed is incorrect because breastfeeding can still be safe as long as proper hygiene measures are taken to prevent direct contact between the lesions and the infant. Option C) Wear a mask when breastfeeding or holding the infant close is unnecessary as long as proper hand hygiene is practiced. The virus is not airborne, so wearing a mask does not provide additional protection. Option D) No special precautions are needed when caring for the infant is incorrect as special precautions, such as handwashing, are indeed necessary to prevent transmission of the virus to the newborn. Educational Context: This question highlights the importance of understanding how to care for infants when the mother has a contagious condition like active genital herpes. It emphasizes the significance of practicing proper hygiene measures to prevent the transmission of the virus to the newborn. Educating healthcare providers and new mothers about these precautions is vital in ensuring the health and safety of the infant.