ATI RN
Maternal Newborn Practice Questions Questions
Question 1 of 5
What is the leading cause of death in persons AFAB worldwide?
Correct Answer: C
Rationale: In the context of maternal health, the leading cause of death in individuals assigned female at birth (AFAB) worldwide is cardiovascular disease (Option C). This is because pregnancy and the postpartum period are associated with physiological changes that can exacerbate pre-existing cardiovascular conditions or lead to the development of new ones. These changes, such as increased blood volume and heart rate, can put additional stress on the cardiovascular system, making AFAB individuals more susceptible to cardiovascular diseases. Breast cancer (Option A) is a significant health concern for AFAB individuals, but it is not the leading cause of death in this population. Stroke (Option B) and lung cancer (Option D) are also serious health conditions, but they are not as prevalent as cardiovascular disease in causing mortality among AFAB individuals, particularly in the maternal and newborn health context. Educationally, understanding the heightened risk of cardiovascular disease in AFAB individuals during pregnancy and the postpartum period is crucial for healthcare providers involved in maternal care. It underscores the importance of comprehensive prenatal care that includes cardiovascular risk assessment and management to reduce the incidence of cardiovascular-related maternal deaths.
Question 2 of 5
Teratogens are substances or agents that can cause congenital abnormalities or birth defects in a developing embryo or fetus during pregnancy. What is a true statement about teratogens?
Correct Answer: B
Rationale: Rationale: The correct answer is B) Their impact on the fetus depends on factors such as timing and duration of exposure during pregnancy. This statement is true because the effects of teratogens on the developing fetus can vary based on when and for how long the exposure occurs during pregnancy. Critical periods of organogenesis and development make the embryo/fetus more vulnerable to teratogenic effects. Option A) is incorrect because while certain vitamins are essential for fetal development, they cannot completely prevent abnormalities caused by teratogens. Option C) is incorrect because teratogens are not limited to medications; they can include various substances like alcohol, certain chemicals, infections, and environmental factors. Option D) is incorrect because immunizations are designed to protect against specific diseases and do not prevent the harmful effects of teratogens on fetal development. Understanding teratogens is crucial in prenatal care to educate expectant parents on avoiding potential risks during pregnancy. Proper knowledge empowers healthcare providers to offer guidance on avoiding teratogenic exposures and promoting a healthy environment for fetal development.
Question 3 of 5
A woman is experiencing mittelschmerz and increased vaginal discharge. Her temperature has increased by 0.6°C (1.0°F) over the past 36 hours. This most likely indicates what?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) Ovulation has occurred. Mittelschmerz, which refers to abdominal pain associated with ovulation, along with increased vaginal discharge and a slight rise in temperature, are classic signs of ovulation. Option A) Menstruation is about to begin is incorrect because the symptoms described are not indicative of impending menstruation but rather of ovulation. Option B) Ovulation will occur soon is incorrect as the symptoms presented suggest that ovulation has already taken place. Option D) She is pregnant and will not menstruate is incorrect because the symptoms described are more consistent with ovulation than pregnancy at this stage. In an educational context, understanding the signs and symptoms of ovulation is crucial for women's health, fertility awareness, and family planning. Educating individuals about these physiological changes can empower them to make informed decisions regarding contraception, conception, and overall reproductive health. It is essential for healthcare providers to be able to recognize these signs to provide appropriate guidance and support to their patients.
Question 4 of 5
The nurse is performing an assessment of a client who is scheduled for a cesarean delivery at 39 weeks of gestation. Which assessment finding indicates the need to contact the health care provider (HCP)?
Correct Answer: B
Rationale: In this scenario, option B, which is a fetal heart rate of 180 beats/minute, indicates the need to contact the healthcare provider immediately. A fetal heart rate of 180 beats/minute is considered tachycardia and could be a sign of fetal distress, requiring urgent medical attention to assess the well-being of the baby. Option A, a hemoglobin of 11 g/dL, is within the normal range for a pregnant woman and does not indicate an immediate need for intervention. Option C, a maternal pulse rate of 85 beats/minute, is also within the normal range for an adult and does not raise immediate concerns. Option D, a white blood cell count of 12,000 mm3, could indicate an infection or inflammation in the body, but it is not as urgent as a fetal heart rate indicating distress. In an educational context, it is crucial for nurses to understand the significance of various assessment findings during pregnancy and childbirth. Recognizing abnormal values and knowing when to escalate concerns to the healthcare provider is essential for ensuring the safety and well-being of both the mother and the baby. This case highlights the importance of prompt action in response to abnormal fetal heart rate readings.
Question 5 of 5
The nurse is educating a client about iron supplements during pregnancy. Which statement indicates understanding?
Correct Answer: B
Rationale: In pharmacology, understanding the optimal administration of medications is crucial to ensure their effectiveness. When educating a client about iron supplements during pregnancy, it is essential to highlight that taking the supplement with orange juice aids in absorption. The correct answer, option B, is based on the concept that vitamin C enhances the absorption of iron, making orange juice a suitable choice to accompany iron supplements. This combination helps overcome the reduced bioavailability of iron during pregnancy due to increased iron requirements. Options A, C, and D are incorrect due to the following reasons: - Option A is incorrect because calcium in milk can inhibit iron absorption, reducing the effectiveness of the supplement. - Option C is incorrect as iron supplementation during pregnancy is recommended throughout to prevent or treat anemia, not based on subjective feelings of wellness. - Option D is incorrect as iron supplementation in pregnancy is not solely based on the presence of fatigue but is a preventive measure due to increased iron demands for the growing fetus. Providing this knowledge to pregnant individuals empowers them to make informed decisions about their health and the health of their baby, highlighting the importance of proper medication administration to achieve optimal therapeutic outcomes.