ATI RN
Maternal Newborn Nursing Questions
Question 1 of 5
What statement by a client suggests the relationship may be in the 'honeymoon phase'?
Correct Answer: A
Rationale: In the context of intimate partner violence, the 'honeymoon phase' refers to a period where the abuser may express remorse, apologize, or make promises to change their behavior to manipulate and control the victim further. Option A is correct because the statement "My partner said he will never hurt me again" indicates a classic tactic used during this phase. This statement can give false hope to the victim, making them believe the abuse will stop. Options B, C, and D are incorrect because they do not specifically indicate behaviors associated with the 'honeymoon phase' of abuse. Alcohol consumption, yelling less, and insomnia are not necessarily indicators of an abusive relationship in the 'honeymoon phase.' Educationally, it is crucial for healthcare providers, especially those in maternal newborn nursing, to recognize signs of intimate partner violence and understand the dynamics of abusive relationships. By identifying subtle cues like promises of change in the 'honeymoon phase,' healthcare professionals can provide appropriate support, resources, and interventions to ensure the safety and well-being of their patients.
Question 2 of 5
What should the nurse consider when caring for a client who identifies as a lesbian?
Correct Answer: C
Rationale: The correct answer is C) Lesbian women should be tested for cervical cancer every three to seven years. This is because all individuals with a cervix, regardless of sexual orientation, are at risk for cervical cancer due to human papillomavirus (HPV) infection. Regular cervical cancer screening is essential for early detection and treatment. Option A is incorrect because sexual activity is not determined by sexual orientation, and assumptions about sexual behavior can be harmful and perpetuate stereotypes. Option B is incorrect because lesbian women, like all individuals, should be routinely screened for domestic violence as it can affect anyone regardless of sexual orientation. Option D is incorrect because sexual orientation does not determine the risk for bacterial vaginosis; it is influenced by various factors such as sexual practices and vaginal microbiota. In an educational context, it is crucial for nurses to provide culturally competent care to all clients, including those who identify as lesbian. This involves understanding and addressing their unique health needs without making assumptions or judgments based on sexual orientation. Nurses should create a safe and inclusive environment for all clients to ensure they receive appropriate care and support.
Question 3 of 5
What actions should the nurse advise women to take when educating them on breast self-examination (BSE)?
Correct Answer: A
Rationale: In educating women on breast self-examination (BSE), advising them to use the fingertips of their index, middle, and ring fingers (Option A) is essential for several reasons. First, using these fingers allows for better tactile sensitivity to detect any abnormalities in breast tissue. These finer fingers can detect small lumps or changes more effectively than using the entire hand. Option B, using pressure in two intensities, light and deep, is not the best advice for BSE. Applying pressure in varying intensities can lead to confusion and inconsistency in examining the breasts, potentially missing important findings. Consistency in pressure is key to accurately detecting abnormalities. Option C, looking for dimpling while bending forward from the waist, is not directly related to BSE. Dimpling of the skin can be a sign of advanced breast cancer, but it is not a specific technique used in BSE. Focusing on the proper method of palpation is more crucial for early detection. Option D, feeling for lumps while encircling the breast from nipple outward, is not as effective as using the specific fingers mentioned in Option A. Encircling the breast may lead to missing areas or not applying enough pressure to detect abnormalities thoroughly. In an educational context, it is vital for nurses to teach women the proper technique for BSE to empower them in taking charge of their breast health. By emphasizing the use of specific fingers with the correct technique, women can perform BSE accurately and regularly, increasing the likelihood of early detection of breast changes. This knowledge equips women with a proactive approach to their breast health and can lead to better health outcomes through early intervention.
Question 4 of 5
A nurse is conducting an orientation program for a group of newly hired nurses. As part of the program, the nurse is reviewing the issue of informed consent. The nurse determines that the teaching was effective when the group identifies which situation as a violation of informed consent?
Correct Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide consent for health care. Serving as a witness to the signature process, asking whether the client understands what she is signing, and getting verbal consent over the phone for emergency procedures are all key to informed consent and are not violations.
Question 5 of 5
Which statement made by a nursing student would best indicate that her education on family-centered care was fully understood?
Correct Answer: A
Rationale: In maternal newborn nursing, family-centered care is a crucial concept that emphasizes the importance of involving families in all aspects of care for the mother and newborn. Option A, "Childbirth affects the entire family, and relationships will change," best indicates a full understanding of family-centered care. This statement shows recognition that childbirth is a significant event that impacts not just the mother but the entire family unit. It acknowledges the emotional, social, and relational changes that can occur during this time and highlights the interconnectedness of family dynamics in the perinatal period. Option B, "Families are usually not capable of making health care decisions for themselves, especially in stressful situations," is incorrect as it undermines the role and capacity of families in decision-making for their loved ones. In reality, families are key partners in the care team and should be supported in participating in healthcare decisions. Option C, "Mothers are the only family member affected by childbirth," is incorrect as it overlooks the broader impact of childbirth on the entire family system. It is essential to recognize and address the needs of all family members during this significant life transition. Option D, "Since childbirth is a medical procedure, it may affect everyone," is not as comprehensive as option A. While childbirth is a medical event, its impact goes beyond just the physical aspects and extends to emotional, psychological, and social dimensions for the entire family. Educationally, understanding family-centered care in maternal newborn nursing is crucial for providing holistic and patient-centered care. It involves recognizing the unique needs of each family member, fostering open communication, and involving families in decision-making processes. Option A reflects a deep understanding of these principles and aligns with the core values of family-centered care in the perinatal setting.