ATI RN
Maternal Newborn Nclex Practice Questions Questions
Question 1 of 5
What is the purpose of a birth plan?
Correct Answer: B
Rationale: The correct answer is B) learn about birth options and determine personal preferences. A birth plan is a document that outlines a person's preferences for labor and delivery. It serves as a communication tool between the individual, their healthcare provider, and the birth team. By creating a birth plan, individuals can educate themselves about various birth options, interventions, and pain management techniques available to them. This process empowers individuals to make informed decisions that align with their values, beliefs, and desires for their birth experience. Option A) dream about birth is incorrect as a birth plan is not about fantasizing but rather about practical decision-making. Option C) list all things not wanted for the birth is also incorrect because a birth plan typically focuses on preferences and choices rather than restrictions. Option D) ensure an unmedicated birth is incorrect because a birth plan is about personalizing the birth experience to align with individual preferences, which may or may not include medication depending on the individual's choices and needs. Educationally, understanding the purpose of a birth plan is essential for healthcare professionals working with expectant parents. By guiding individuals in creating a birth plan, healthcare providers can support informed decision-making, promote autonomy, and enhance the overall birth experience for both the individual and their newborn. This knowledge is crucial for nurses, midwives, and other healthcare professionals caring for pregnant individuals to provide person-centered care and support their individualized birth preferences.
Question 2 of 5
A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse, "Will my baby be okay?" Which of the following responses should the nurse offer?
Correct Answer: D
Rationale: The most appropriate response for the nurse to offer in this situation is to inform the client that there is a neonatal unit equipped to handle emergencies. This response provides the client with reassurance that if there are any complications with the baby being born prematurely, there is a specialized unit available to provide the necessary care. It addresses the client's concern about the well-being of her baby while also offering a practical solution in case of any emergencies.
Question 3 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse
Correct Answer: B
Rationale: The sudden urge to push along with the advanced cervical dilation, effacement, and station indicates that the client is likely in the second stage of labor, which is the stage of active pushing. When a woman feels the urge to push, it is essential to assess for the crowning of the fetal head at the perineum as this indicates that the baby is descending and will soon be born. This assessment helps the nurse determine the appropriate actions to take next in assisting the delivery process. Waiting for signs of crowning before guiding the client to push can prevent potential complications related to a rapid birth and help facilitate a more controlled delivery process.
Question 4 of 5
The nurse assigned to the care of newborn infants understands the importance of keeping these infants swaddled in a warm blanket to prevent heat loss. Why is this important in the care of the newborn?
Correct Answer: A
Rationale: Swaddling newborn infants in a warm blanket is important to prevent heat loss (hypothermia) because when babies become chilled, they must produce more heat to maintain a normal body temperature. This increased heat production leads to higher oxygen needs, which can be detrimental to newborns who may already have limited reserves. Therefore, keeping newborn infants swaddled in a warm blanket helps to maintain their body temperature within a normal range and prevents unnecessary stress on their bodies.
Question 5 of 5
A patient with Type 1 Diabetes delivers a 9-pound 10 oz. baby by cesarian birth in her 36th week of pregnancy. When monitoring the infant of a mother with diabetes, the nurse should monitor for signs of:
Correct Answer: B
Rationale: Infants of diabetic mothers are at increased risk for developing respiratory distress syndrome due to factors such as prematurity, intrauterine stress, and macrosomia (large birth weight). Additionally, babies born to mothers with diabetes may have delayed lung maturation, resulting in decreased surfactant production and increased risk of respiratory complications. Therefore, it is crucial for the nurse to monitor the infant for signs of respiratory distress, such as tachypnea, grunting, retractions, and cyanosis, and provide necessary interventions promptly.