ATI RN
Maternal and Newborn Nursing Questions
Question 1 of 5
What response should the nurse make first to a young woman who showered after a sexual assault?
Correct Answer: A
Rationale: The correct response, "A) The evidence kit may still reveal important information," is the most appropriate because in cases of sexual assault, preserving evidence is crucial for legal proceedings and obtaining justice. The evidence kit can provide critical information to support the victim's case and potentially lead to the perpetrator's identification and conviction. Option B, "It was important for you to do that for yourself," while empathetic, does not address the immediate need for evidence collection. Option C, "Have you washed your clothes? If not, we might be able to obtain evidence from them," is partially correct but does not emphasize the urgency of preserving evidence from the victim's body. Option D, "Do you remember what happened? If not, someone may have put a drug in your drink," is not the first priority and may lead to victim-blaming or unnecessary speculation. From an educational standpoint, it is essential for nurses to understand the legal and medical implications of sexual assault cases. Teaching healthcare providers to prioritize evidence collection in a sensitive and timely manner can help ensure proper care for victims and increase the chances of obtaining justice. Nurses should be trained to respond with empathy while also emphasizing the importance of evidence preservation in such traumatic situations.
Question 2 of 5
When integrating the principles of family-centered care into the birthing process, the nurse would base care upon which belief?
Correct Answer: C
Rationale: Family-centered care is based on the following principles: Birth affects the entire family, and relationships will change; birth is viewed as a normal, healthy event in the life of the family; and families are capable of making decisions about their own care if given adequate information and professional support.
Question 3 of 5
A pregnant woman is to undergo an invasive procedure to evaluate the status of her fetus. To ensure informed consent, which action would be the priority responsibility of the nurse providing care to this woman?
Correct Answer: A
Rationale: In this scenario, the priority responsibility of the nurse is option A) Asking relevant questions to determine the client's understanding. This is crucial because ensuring that the client has a clear understanding of the procedure and its implications is essential for obtaining informed consent. By asking questions, the nurse can assess the client's level of comprehension, address any misconceptions, and provide further information as needed to ensure the client can make a well-informed decision. Option B) Providing a detailed description of the risks and benefits of the procedure is important, but it should come after assessing the client's understanding to tailor the information appropriately. Option C) Explaining the exact steps that will occur during the procedure is important but not the priority at this stage as understanding the broader implications and risks should come first. Option D) Offering suggestions for alternative options for treatment is not the priority when obtaining informed consent for a specific procedure; the focus should be on ensuring understanding and consent for the proposed procedure. In an educational context, this rationale highlights the critical role of the nurse in ensuring informed consent, which is a fundamental ethical and legal principle in healthcare. Nurses must prioritize assessing the client's understanding to empower them to make autonomous decisions about their care. This process fosters trust, promotes client autonomy, and enhances the quality of care provided.
Question 4 of 5
Which aspect of client wellness has not been a focus of health during the 21st century ?
Correct Answer: D
Rationale: The correct answer is D) Analysis of morbidity and mortality. In maternal and newborn nursing, the focus has shifted towards a holistic approach that encompasses not only disease prevention and health promotion but also overall wellness. Analyzing morbidity and mortality rates is important for understanding the health outcomes of mothers and newborns, but it does not encompass the comprehensive approach needed to address all aspects of client wellness. Option A) Disease prevention is a crucial aspect of maternal and newborn nursing as it aims to reduce the risk of adverse health outcomes for both mother and baby. Health promotion, option B, focuses on empowering clients to make healthy choices and engage in behaviors that promote their well-being. Wellness, option C, involves a state of overall well-being encompassing physical, mental, and social aspects of health. In the 21st century, there has been a shift towards a more patient-centered and holistic approach to healthcare, emphasizing wellness and preventive care. It is essential for nurses in maternal and newborn care to focus not only on treating illnesses but also on promoting wellness and preventing health problems through education, support, and advocacy. Understanding and analyzing morbidity and mortality rates are important, but they are not the sole focus when providing comprehensive care to mothers and newborns.
Question 5 of 5
The nurse is reviewing a copy of the U.S. Surgeon General's Report, Healthy People 2020. Which nursing action best reflects the nurse fostering this health care agenda?
Correct Answer: B
Rationale: The correct answer is B) The nurse volunteers at a local health care clinic providing free vaccinations for low-income populations. This action best reflects fostering the health care agenda of the U.S. Surgeon General's Report, Healthy People 2020. By volunteering to provide vaccinations to low-income populations, the nurse is directly contributing to improving the health outcomes and access to care for an underserved community, aligning with the goals of Healthy People 2020 to promote health equity. Option A is not the best choice because obtaining an advanced degree, while valuable for personal and professional development, does not directly reflect fostering the specific health care agenda outlined in the U.S. Surgeon General's Report. Option C, performing an in-service on basic hospital equipment, is important for education but does not directly align with the goals of Healthy People 2020. Option D, compiling nursing articles for a training seminar, is beneficial for sharing evidence-based practices but does not directly contribute to the health care agenda of Healthy People 2020 as directly as providing vaccinations to underserved populations. In an educational context, it is essential for nurses to understand how their actions can directly impact public health goals and initiatives. By engaging in activities that align with national health care agendas, nurses can contribute to improving the overall health outcomes of communities and populations they serve. This question highlights the importance of aligning nursing actions with broader health care goals and initiatives to promote positive health outcomes for all.