ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
What is the purpose of administering Rh immunoglobulin (RhIg) to a postpartum person?
Correct Answer: D
Rationale: The correct answer is D: to prevent infection and promote early bonding. Rh immunoglobulin (RhIg) is given to prevent Rh sensitization in Rh-negative individuals who have given birth to an Rh-positive baby. This prevents the mother from developing antibodies that could harm future pregnancies. The other choices are incorrect because RhIg does not promote lactation (B), reduce the risk of bleeding in Rh-negative pregnancies (C), or prevent Rh sensitization in future pregnancies (A). By preventing infection, RhIg helps protect the mother's health and promotes early bonding with the newborn.
Question 2 of 5
A nurse is providing discharge instructions to a postpartum person who had a cesarean birth. What is the most important instruction to include?
Correct Answer: B
Rationale: The correct answer is B: encourage deep breathing exercises. Deep breathing helps prevent complications like pneumonia after surgery, aids in lung expansion, and promotes overall respiratory health. Choice A is important but not the most crucial post-cesarean. Choice C promotes mobility but doesn't address immediate respiratory needs. Choice D is important but not the most vital in the early postpartum period.
Question 3 of 5
What is the primary benefit of delayed cord clamping in a term newborn?
Correct Answer: B
Rationale: The primary benefit of delayed cord clamping in a term newborn is improved thermoregulation. When the cord is clamped later, it allows more blood to flow from the placenta to the baby, aiding in temperature stabilization. This helps prevent hypothermia, a common issue in newborns. Increased hemoglobin levels (choice A) are not the primary benefit of delayed cord clamping. Decreased risk of bleeding (choice C) is not directly related to delayed cord clamping. Increased risk of infection (choice D) is incorrect as delayed cord clamping does not increase the risk of infection.
Question 4 of 5
A nurse is assessing a postpartum person's pain level following a cesarean section. What is the most appropriate intervention for pain management?
Correct Answer: C
Rationale: The correct answer is C: perform gentle uterine massage. This intervention is appropriate as it helps to stimulate uterine contractions, which can reduce postpartum bleeding and pain. Uterine massage also helps to promote involution of the uterus, aiding in the recovery process. Administering IV fluids (A) may be necessary but does not directly address pain management. Administering narcotics (B) may provide pain relief but should be used judiciously due to potential side effects. Performing gentle fundal massage (D) is not recommended as it may cause discomfort and is not as effective in managing post-cesarean pain compared to uterine massage.
Question 5 of 5
A nurse is preparing a laboring person for a cesarean birth. What is the most important action the nurse should take prior to the procedure?
Correct Answer: A
Rationale: The correct answer is A: administer a preoperative medication. This is the most important action because it helps prepare the laboring person for the cesarean birth by ensuring they are adequately medicated for the procedure. Administering preoperative medication can help reduce anxiety, manage pain, and ensure the person is in a suitable condition for surgery. Summary of other choices: B: Assisting with positioning the person is important but not the most critical action before a cesarean birth. C: Performing a cesarean section is not a nursing responsibility and is done by the healthcare provider. D: Monitoring fetal heart tones is important but not the most crucial action for preparing the laboring person for a cesarean birth.