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
A newborn's birth was prolonged because the shoulders were very wide. The nurse performing the assessment would be particularly observant for a problem with the:
Correct Answer: A
Rationale: The Moro reflex is a normal infantile reflex that is typically present at birth and disappears around 4-6 months of age. This reflex is triggered by a sudden loss of support or a loud noise, causing the infant to throw back the head and extend the arms in a gesture as if trying to grab something. In a situation where the newborn's birth was prolonged due to wide shoulders, there is a higher risk of injury to the brachial plexus (nerves that control arm movement) during delivery. Damage to the brachial plexus can result in weakness or paralysis of the affected arm, and this may impact the Moro reflex as it involves the arms' movement. Therefore, the nurse would be particularly observant for any abnormality or lack of response in the Moro reflex as it may indicate potential nerve injury related to the difficult birth.
Question 3 of 5
A primigravida is dilated 5cm just received epidural for pain. She complains of feeling lightheaded within 10 minutes after the
Correct Answer: A
Rationale: The incomplete statement suggests a potential medical emergency where the patient's blood pressure may have dropped significantly after the epidural procedure. The drop in blood pressure could be causing the patient to feel lightheaded. In this scenario, the most appropriate course of action would be to promptly address the drop in blood pressure to prevent any potential complications.
Question 4 of 5
The nurse is preparing a client for a nonstress test. What instruction should the nurse provide?
Correct Answer: B
Rationale: The client should press the button when fetal movements are felt, which are correlated with fetal heart rate accelerations.
Question 5 of 5
The nurse is teaching a prenatal class about signs of labor. Which statement indicates the need for further teaching?
Correct Answer: B
Rationale: Lightening, or baby dropping, occurs weeks before labor and is not a sign of true labor.