ATI RN
Maternal Newborn Nursing Questions
Question 1 of 5
Which factor is a major barrier to health care for adolescent mothers?
Correct Answer: C
Rationale: The major barrier to health care for adolescent mothers is seeing a different nurse and/or health care provider at every visit. Continuity of care is crucial for adolescent mothers as they need consistent support and guidance throughout their pregnancy and postpartum period. When they see different healthcare providers at each visit, it can lead to fragmented care, lack of trust in the healthcare system, and hinder the establishment of a therapeutic relationship. This barrier can impact the quality of care received and ultimately affect the health outcomes for both the adolescent mother and her baby.
Question 2 of 5
Which statement is the most accurate to make dents about the highest risk group for gonorrhea. to the parents of a newborn during discharge What is the age range of the clients?
Correct Answer: C
Rationale: The age group of 14 to 25 years is considered the highest risk group for gonorrhea, making it important to discuss this with parents during discharge. This age range includes adolescents and young adults who are more likely to engage in risky sexual behaviors and therefore have a higher chance of contracting sexually transmitted infections like gonorrhea. Educating parents about this risk group can help them be more aware and take steps to protect their child as they grow older.
Question 3 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 4 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 5 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.