ATI RN
Maternal and Newborn Nursing Questions
Question 1 of 5
What signs/symptoms should prompt a woman to seek assessment for ovarian cancer?
Correct Answer: C
Rationale: In the context of maternal and newborn nursing, it is crucial for healthcare providers to be aware of the signs and symptoms of ovarian cancer as early detection can significantly impact outcomes. Option C, which includes abdominal pain, bloating, and a constant feeling of fullness, is the correct choice. These symptoms are commonly associated with ovarian cancer and should prompt a woman to seek assessment promptly. Option A, vaginal bleeding and weight loss, are more commonly seen in other conditions such as cervical or uterine cancer, but they are not specific to ovarian cancer. Option B, frequent urination, breast tenderness, and extreme fatigue, are not typical symptoms of ovarian cancer and are more likely related to other gynecological or hormonal issues. Option D, hardness on one side of the abdomen, is a vague symptom and not specific to ovarian cancer. Educationally, it is important to highlight the importance of recognizing the hallmark symptoms of ovarian cancer to facilitate early diagnosis and treatment. Nurses and other healthcare professionals play a vital role in educating women about these signs and encouraging them to seek assessment if they experience such symptoms. This knowledge empowers women to take control of their health and potentially improve their prognosis in case ovarian cancer is detected.
Question 2 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 3 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 4 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.
Question 5 of 5
The nurse is caring for a 2-week-old girl with a metabolic disorder. Which activity would deviate from the characteristics of family-centered care?
Correct Answer: A
Rationale: In maternal and newborn nursing, family-centered care is a crucial approach that recognizes the family as essential to the well-being of the newborn. In this scenario, the correct answer is A) Softening unpleasant information or prognoses, as it deviates from the principles of family-centered care. Softening unpleasant information or prognoses can undermine the family's right to full disclosure and involvement in decision-making, which is essential in family-centered care. It can also hinder the family's ability to cope and make informed choices regarding their child's care. Option B) Evaluating and changing the nursing plan of care, C) Collaborating with the child and family as equals, and D) Showing respect for the family's beliefs and wishes are all aligned with family-centered care. Educationally, understanding the principles of family-centered care is crucial for nurses working with newborns and their families. It involves respecting and involving families in all aspects of care, promoting open communication, and supporting families' unique needs and preferences. By choosing the most appropriate actions, nurses can provide holistic and effective care that considers the family's importance in the newborn's well-being.