ATI RN
Maternal Newborn Nursing Practice Questions Questions
Question 1 of 5
Which complication of adolescent pregnancy should the nurse plan to monitor?
Correct Answer: D
Rationale: Incompetent cervix, also known as cervical insufficiency, is a condition where the cervix begins to dilate and efface prematurely due to weak cervical tissue. This can lead to late miscarriage or preterm birth. Adolescent mothers are at a higher risk for this complication due to their immature reproductive systems. Therefore, the nurse should plan to monitor for signs and symptoms of incompetent cervix in adolescent pregnant clients to prevent adverse maternal and fetal outcomes. Anemia, placenta previa, and abruptio placenta are other potential complications of pregnancy, but they are not specifically associated with adolescent pregnancy.
Question 2 of 5
The nurse is caring for a postpartum client who is
Correct Answer: A
Rationale: In this scenario, option A is the correct answer. Maternal hyperglycemia 1 day postcesarean birth is concerning as it can indicate an infection. Postpartum infections are a common complication after cesarean births, and hyperglycemia can be a sign of an underlying infection. Option B, FHR with early decelerations, is not indicative of infection but rather a normal response to fetal head compression during contractions. Early decelerations are usually benign and do not necessarily signal infection. Option C, FHR with late decelerations, can be a sign of fetal distress due to issues like uteroplacental insufficiency or umbilical cord compression, rather than maternal infection. Option D, increased pulse, is a nonspecific finding that can occur due to various reasons in the postpartum period, such as pain, anxiety, or dehydration, and does not specifically point towards infection. Educationally, it is crucial for nurses to understand the various signs and symptoms of postpartum complications, including infections, to provide timely and appropriate care to postpartum clients. Understanding the significance of hyperglycemia as a possible indicator of infection can help nurses in early identification and intervention, ultimately improving patient outcomes.
Question 3 of 5
What does the nurse say about labor beginning to the laboring person who has studied Lamaze?
Correct Answer: B
Rationale: The correct answer is B) "Let's turn the lights down and get you into a comfortable position with your partner next to you." This response aligns with Lamaze principles that emphasize relaxation, comfort, and support during labor. Lamaze promotes a natural approach to childbirth, focusing on breathing techniques, movement, and the support of a partner or labor coach. By creating a calm and comfortable environment, the nurse can facilitate the laboring person's ability to manage contractions effectively. Option A is incorrect as merely walking in the hallways is not a specific Lamaze technique to begin labor. Option C is incorrect as suggesting Pitocin contradicts the natural, non-interventional approach of Lamaze. Option D is incorrect as early labor is typically managed at home unless there are specific concerns, aligning with the philosophy of allowing labor to progress naturally in familiar surroundings until active labor is established. In a maternal newborn nursing context, understanding and implementing Lamaze principles can empower laboring individuals to actively participate in their birthing experience, promoting a sense of control, confidence, and reduced need for medical interventions. This educational rationale highlights the importance of providing holistic care that respects the individual's preferences and promotes a positive childbirth experience.
Question 4 of 5
The laboring person asks the nurse to review the birth plan. What item is on a typical birth plan?
Correct Answer: C
Rationale: In maternal newborn nursing, a birth plan is a crucial tool that allows the laboring person to communicate their preferences and desires for labor and delivery. Option C, "what position they want to birth in," is typically found on a birth plan because it empowers the laboring person to choose a position that is most comfortable and conducive to their birthing experience. This choice can help facilitate labor progress and decrease discomfort. Option A, "where the patient will be staying after birth," is not typically included in a birth plan as it pertains more to postpartum care and logistics rather than the labor and delivery process. Option B, "who will be watching their other children," is also not typically included in a birth plan as it relates more to personal support and childcare arrangements rather than the birthing process itself. Option D, "how they will time contractions," is important during labor but is not typically included in a birth plan as it is more of a practical aspect of labor management rather than a preference or choice. Educationally, understanding the components of a birth plan is essential for nurses caring for laboring individuals as it allows for respectful and patient-centered care. By honoring the preferences outlined in a birth plan, nurses can support the laboring person in achieving a positive birth experience. It is important for nurses to communicate effectively with laboring individuals to ensure their birth plan preferences are respected and implemented whenever possible.
Question 5 of 5
the nurse knows that management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides are for a client with this condition should be aware that which of the following is the optimal pharmacological therapy for pain relief dysmenorrhea? Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a client with this condition should be aware that the optimal pharmacologic therapy for pain relief is:
Correct Answer: C
Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs) are considered the optimal pharmacological therapy for pain relief in primary dysmenorrhea. They work by reducing the production of prostaglandins, which are responsible for causing uterine contractions and pain. NSAIDs such as ibuprofen, naproxen, and mefenamic acid are commonly used to alleviate menstrual cramps. Acetaminophen may also provide pain relief, but it does not have the anti-inflammatory properties of NSAIDs. Oral contraceptives (OCPs) can help regulate menstrual cycles and reduce pain in some individuals, but they are not the first line of treatment for immediate pain relief in primary dysmenorrhea. Aspirin, while an NSAID, is not typically recommended for menstrual pain relief due to its potential side effects on blood clotting and gastrointestinal irritation.