ATI RN
Chimat Maternity Needs Assessment Questions
Question 1 of 5
Which content should the nurse plan to include in a nutrition class for pregnant adolescents? (Select ONE that does not apply)
Correct Answer: B
Rationale: In planning a nutrition class for pregnant adolescents, it is crucial to provide accurate and evidence-based information to support their health and the health of their developing babies. The correct answer, option B, "Gain no more than 15 pounds during the pregnancy," is important because excessive weight gain during pregnancy can lead to various complications such as gestational diabetes, high blood pressure, and increased risk of cesarean delivery. Option A, "Take iron and calcium supplements daily," is essential during pregnancy to support the increased demands for these nutrients, especially since many pregnant women struggle to meet their needs through diet alone. Option C, "Increase food intake by 300 to 400 calories/day," is also crucial as pregnant adolescents need more calories to support the growth and development of the fetus. Option D, "Take folic acid supplement daily," is critical for preventing neural tube defects in the developing baby. While all the options are important components of a healthy pregnancy, the correct answer focuses on the specific issue of weight gain, which is often a concern for adolescents who may already be conscious of body image. Educationally, emphasizing the importance of balanced weight gain during pregnancy can help adolescents make informed choices to support a healthy pregnancy and delivery. It is essential to provide guidance and support to ensure that pregnant adolescents receive accurate information and appropriate care throughout their pregnancy journey.
Question 2 of 5
The postpartum admission prescription for a client who delivered a healthy newborn includes one liter of lactated ringers with oxytocin 20 units to infuse over 8 hours. How many milliunits/minute is the clients receiving?
Correct Answer: A
Rationale: The correct answer is A) 0.4 milliunits/minute for the oxytocin infusion rate. To calculate this, we first need to convert 20 units to milliunits by multiplying by 1000, resulting in 20,000 milliunits. Next, we divide this by the total infusion time in minutes (8 hours x 60 minutes = 480 minutes), giving us 41.67 milliunits/minute. Rounding this to one decimal place, we get 0.4 milliunits/minute. Option B) 0.5 is incorrect because it does not match the calculated infusion rate. Option C) 0.6 and Option D) 0.7 are also incorrect for the same reason. Educationally, understanding medication calculations is crucial for healthcare professionals, especially in maternal care where precise dosing is essential. By mastering these calculations, nurses and midwives can ensure safe and effective care for postpartum clients and their newborns. Practice with scenarios like this helps reinforce dosage calculation skills, promoting patient safety and confident clinical practice.
Question 3 of 5
The nurse is planning a class for pregnant women in the first trimester of pregnancy. Which information is most imported for the nurse to include in the class?
Correct Answer: B
Rationale: In this scenario, option B is the most important information for the nurse to include in the class for pregnant women in the first trimester. This is because any vaginal bleeding during pregnancy can be a sign of a serious issue such as miscarriage, ectopic pregnancy, or placental problems. Prompt notification of the healthcare provider is crucial for timely intervention to safeguard the health of both the mother and the baby. Option A is incorrect because while rest and sleep are important during pregnancy, there is no specific guideline that mandates increasing sleep time to an hour per day when experiencing fatigue in the first trimester. Option C is incorrect because while eating small, frequent meals can help alleviate nausea during pregnancy, the advice to carry low-fat snacks is not universally applicable and may not be suitable for all pregnant women. Option D is incorrect because morning dizziness during pregnancy is common due to hormonal changes, and while rising slowly and sitting on the bed for a minute can be helpful, it is not as critical as immediate notification of vaginal bleeding to the healthcare provider. Educationally, this question highlights the importance of prioritizing critical information for pregnant women in the first trimester. It emphasizes the significance of recognizing and acting upon potential warning signs that could indicate serious complications during pregnancy, ensuring the safety and well-being of both the mother and the developing fetus.
Question 4 of 5
A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol (Cytotec), a synthetic prostaglandin C drug, how should the nurse respond?
Correct Answer: A
Rationale: In this scenario, the correct response for the nurse is option A) "You may be at risk for having a spontaneous miscarriage." This is the most appropriate answer because misoprostol, a synthetic prostaglandin C drug used to treat peptic ulcers, is known to cause uterine contractions and can lead to miscarriage or preterm labor if used during pregnancy. Option B) "You may have an increased chance of having preeclampsia" is incorrect because misoprostol does not specifically increase the risk of preeclampsia. Option C) "This medication will have no effect on your unborn child" is also incorrect as misoprostol can indeed have serious effects on the pregnancy. Option D) "You may experience postpartum hemorrhaging after delivery" is not directly related to the use of misoprostol during pregnancy. Educationally, this question highlights the importance of understanding the potential risks associated with medications during pregnancy. Nurses should be aware of the teratogenic effects of certain drugs and provide accurate information to pregnant clients to ensure the safety of both the mother and the unborn child. This knowledge is crucial for effective antenatal care and counseling.
Question 5 of 5
After delivery of a normal infant, the mother tells the nurses that she would like to use oral contraceptive. Which finding in the client's health history is a contraindication of the use of contraceptives?
Correct Answer: D
Rationale: In this scenario, the correct answer is D) Smoked cigarettes prior to becoming pregnant. Smoking increases the risk of cardiovascular events and thromboembolic complications, making it a contraindication for oral contraceptive use due to the increased risk of stroke and other adverse effects. Option A) Previously used intrauterine device (IUD) is not a contraindication for oral contraceptives. In fact, it is a reversible form of contraception. Option B) Reported history of stroke within the family is not a direct contraindication for oral contraceptives, although it may warrant further assessment of individual risk factors. Option C) Being diagnosed with diabetes mellitus 2 years ago is not a contraindication for oral contraceptives, but close monitoring may be required due to potential interactions with blood sugar levels. This question is important in a maternity needs assessment as it highlights the necessity for healthcare providers to consider individual health histories and risk factors when advising on contraceptive options postpartum. It emphasizes the significance of thorough assessment and personalized care to ensure the safety and well-being of the mother.