ATI RN
PN Maternal Newborn Online Practice 2023 A Questions
Question 1 of 5
What is the most effective form of contraception for a woman who has just given birth and is breastfeeding?
Correct Answer: B
Rationale: The copper IUD is a highly effective, long-term contraception method that does not interfere with breastfeeding. Choice A is incorrect because oral contraceptives may reduce milk supply, and many types are not recommended during breastfeeding. Choice C is incorrect because contraceptive injections may not be ideal during breastfeeding. Choice D is incorrect because emergency contraception is used only after unprotected sex and is not a long-term solution.
Question 2 of 5
A newborn is born to a mother with gestational diabetes. What complication is the nurse most likely to monitor for?
Correct Answer: A
Rationale: Babies of diabetic mothers risk hypoglycemia due to high insulin.
Question 3 of 5
A nurse is caring for a newborn who is 6 hr. old and has a bedside glucometer reading of 65 mg/ dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take in this situation is to reassess the blood glucose level prior to the next feeding. A single low bedside glucometer reading is not sufficient to make treatment decisions, especially in a newborn who is only 6 hours old and with a mother having type 2 diabetes mellitus. It is important to follow up with another blood glucose measurement before taking further action. This will help ensure that appropriate interventions are taken based on accurate and reliable information.
Question 4 of 5
A nurse is caring for a client who is in labor. Which of the following nursing actions reflects application of the gate control theory of pain?
Correct Answer: C
Rationale: The gate control theory of pain proposes that non-painful input can close the "gates" to painful input, which helps to control and reduce pain perception. Massage, such as massaging the client's back, is a non-pharmacological intervention that can help close the gates and reduce the perception of pain. By massaging the client's back, the nurse is applying this theory to help manage the client's labor pain. Administering analgesic medication (Choice A) is a pharmacological intervention and not specifically related to the gate control theory. Choices B and D are also beneficial nursing actions but do not directly relate to the gate control theory of pain.
Question 5 of 5
The nurse is caring for a client in labor with meconium-stained amniotic fluid. What is the priority action?
Correct Answer: C
Rationale: Meconium-stained amniotic fluid poses a risk of aspiration; preparation for neonatal resuscitation is critical.