ATI RN
Maternal Newborn Nursing Questions
Question 1 of 5
Which congenital defects in a newborn are associated with long-term parenting problems? (Select all that apply.)
Correct Answer: B
Rationale: 1. Cleft lip and palate: Parents of a newborn with a cleft lip and palate may face challenges related to feeding difficulties, speech development issues, and concerns about their child's appearance. These issues can require additional medical interventions and support, leading to long-term parenting stress and psychological strain.
Question 2 of 5
A 29-year-old low-risk primiparous patient has just placental abruption?
Correct Answer: B
Rationale: Placental abruption is classified based on the severity of symptoms and extent of separation of the placenta from the uterine wall. In a low-risk primiparous patient like the one described, a moderate placental abruption (Grade 2) is likely when there is some vaginal bleeding, mild to moderate abdominal pain, and signs of fetal distress such as abnormal fetal heart rate patterns.
Question 3 of 5
In what way is the Mongan Method of childbirth education beneficial to birthing people?
Correct Answer: C
Rationale: The correct answer is C) People are taught how to release fear to decrease pain. The Mongan Method of childbirth education, also known as HypnoBirthing, emphasizes relaxation techniques to reduce fear and anxiety during labor. By teaching birthing people how to release fear and stay calm, the method aims to decrease the perception of pain and promote a more positive birthing experience. This approach aligns with the idea that fear and tension can contribute to the intensity of pain experienced during labor. Option A is incorrect because the Mongan Method focuses more on relaxation and releasing fear rather than pushing with great effort in the second stage of labor. Option B is incorrect because while the method does encourage natural birthing techniques, it does not specifically promote the use of epidurals. Option D is incorrect because no method can guarantee 100 percent effectiveness in relieving pain during labor, as pain perception can vary greatly among individuals. In an educational context, understanding the principles of the Mongan Method can help nurses and midwives support birthing people who choose this approach. By incorporating these relaxation techniques into their practice, healthcare providers can help create a more supportive and calming environment for laboring individuals, ultimately enhancing the overall childbirth experience.
Question 4 of 5
Screening at 24 weeks gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning the woman9s care. The nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus due to the GDM. The nurse identifies that the fetus is at risk for which of the following? Congenital anomalies of the central nervous system Macrosomia Preterm birth Low birth weight Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. The nurse identifies that the fetus is at greatest risk for:
Correct Answer: A
Rationale: Gestational diabetes mellitus (GDM) is a condition where high blood sugar levels develop during pregnancy in women who didn't have diabetes before pregnancy. One of the primary risks associated with GDM is fetal overgrowth, also known as macrosomia. This means the baby is larger than normal. Macrosomia can lead to complications during delivery, such as shoulder dystocia (when the baby's shoulders get stuck during delivery) and an increased risk of birth injuries for both the baby and the mother. It can also increase the likelihood of a cesarean section delivery. Therefore, preventing macrosomia is an important goal in managing GDM to ensure the safety and well-being of both the mother and the baby.
Question 5 of 5
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg. Which of the following is the priority action for the nurse to take?
Correct Answer: A
Rationale: The priority action for the nurse in this situation is to notify the provider of the vital signs and the client's condition. The maternal blood pressure of 92/54 mm Hg is low, which can indicate hypotension. Hypotension during labor can lead to decreased perfusion to both the mother and baby, potentially causing harm. Therefore, the provider needs to be notified promptly so that appropriate interventions can be initiated to address the maternal hypotension and ensure the well-being of both the mother and the baby. Positioning the client with one hip elevated, asking about pain medication, and having the client void can be important interventions, but they are not the priority in this situation where maternal hypotension is a concern.