ATI RN
Maternal and Newborn Nursing Questions
Question 1 of 5
What is the LNG-IUC mechanism of action?
Correct Answer: D
Rationale: The LNG-IUC, or levonorgestrel-releasing intrauterine system, works primarily by thickening the cervical mucus, which inhibits the passage of sperm through the cervix. This mechanism reduces the likelihood of fertilization occurring. Additionally, LNG-IUC also causes atrophic changes in the endometrium, which makes it less conducive for implantation of a fertilized egg, further decreasing the chance of pregnancy.
Question 2 of 5
The nurse is caring for a 12-year-old child hospitalized for internal injuries following a motor vehicle accident. For which medical treatment would the nurse ensure that an informed consent is completed beyond the one signed at admission?
Correct Answer: D
Rationale: Certain procedures, however, require a specific process of informed consent, including major and minor surgery; invasive procedures such as lumbar puncture or bone marrow aspiration; treatments placing the child at higher risk, such as chemotherapy or radiation therapy; procedures or treatments involving research; photography involving children; and applying restraints to children.
Question 3 of 5
Which assessment finding indicates a complication in a client attempting a VBAC?
Correct Answer: C
Rationale: A client attempting a Vaginal Birth After Cesarean (VBAC) is at higher risk for uterine rupture. A concerning assessment finding in this scenario would be the occurrence of contractions every 3 minutes that are lasting 70 seconds. This pattern of contractions could potentially indicate uterine hyperstimulation, which increases the risk of uterine rupture. It is essential to closely monitor these contractions and address any signs of distress or complications promptly to ensure the safety of both the mother and the baby.
Question 4 of 5
A postpartum client calls the pediatric clinic to report that her 4-day old female newborn has a spot of blood on her diaper. Which of the following statements made by the nurse is most appropriate?
Correct Answer: C
Rationale: Pseudomenstruation is a normal finding due to hormonal withdrawal.
Question 5 of 5
The nurse is caring for a 14-year-old boy with a growth hormone deficiency. Which action best reflects using the nursing process to provide quality care to children and their families?
Correct Answer: A
Rationale: The nursing process is used to care for the child and family during health promotion, maintenance, restoration, and rehabilitation. Reviewing the effectiveness of interventions is related to outcome evaluation in the nursing process.