ATI RN
Current Issues in Maternal-Newborn Nursing Questions
Question 1 of 5
Which goal is most appropriate for the collaborative problem of wound infection?
Correct Answer: A
Rationale: The most appropriate goal for the collaborative problem of wound infection is "The patient will not exhibit further signs of infection." This goal directly addresses the issue of controlling and resolving the infection within the wound, leading to the overall improvement in the patient's condition. By ensuring that the patient does not exhibit further signs of infection, healthcare providers can monitor the effectiveness of treatment interventions and prevent any complications that may arise from the infection spreading or worsening. In contrast, options B, C, and D are not directly related to addressing the wound infection itself, making them less appropriate goals for this specific problem.
Question 2 of 5
Which of the following statements highlights the nurse’s role as a researcher?
Correct Answer: A
Rationale: Reading peer-reviewed journal articles highlights the nurse's role as a researcher because it involves staying current with the latest evidence-based practices, advancements in healthcare, and research findings. Nurses who engage in reading such articles are able to enhance their knowledge, critical thinking skills, and decision-making abilities, which are crucial aspects of conducting research and applying research findings to patient care. By continuously educating themselves through reviewing peer-reviewed literature, nurses contribute to the advancement of nursing practice and further research in the field.
Question 3 of 5
When reviewing a new patient’s birth plan, the nurse notices that the patient will be bringing a doula to the hospital during labor. What does the nurse think that this means?
Correct Answer: B
Rationale: A doula is a trained labor support person who provides physical, emotional, and informational support to the mother before, during, and after childbirth. They are not typically a family member like a grandmother (option A) and do not involve playing a special video (option C) or bringing a bag of equipment (option D). The presence of a doula can help improve birth outcomes, provide continuous support, and enhance the birthing experience for the mother.
Question 4 of 5
The nurse is formulating a nursing care plan for a postpartum patient. Which actions by the nurse indicate use of critical thinking skills when formulating the care plan? (Select all that apply.)
Correct Answer: B
Rationale: In this scenario, option B, determining priorities for each diagnosis written, demonstrates the use of critical thinking skills in formulating a nursing care plan for a postpartum patient. This is because prioritizing nursing diagnoses allows the nurse to address the most urgent and essential needs of the patient, ensuring effective and efficient care delivery. Option A, using a standardized postpartum care plan, may not necessarily reflect critical thinking as it involves following a pre-established format without considering the individualized needs of the patient. Critical thinking involves analyzing the unique situation of each patient and tailoring the care plan accordingly. Option C, writing interventions from a nursing diagnosis book, does not necessarily indicate critical thinking as it may involve a rote application of interventions without considering the specific context of the patient. Critical thinking requires the nurse to assess, analyze, and apply interventions based on the patient's individualized needs and responses. Option D, reflecting and suspending judgment when writing the care plan, is important in critical thinking; however, it is not directly related to the specific action of determining priorities for each diagnosis written, which is the most crucial aspect in this context. Reflection and judgment suspension are essential components of critical thinking but may not directly address the task of prioritizing nursing diagnoses in the care plan.
Question 5 of 5
A 48-year-old female patient presents to the OB/GYN clinic for her annual examination. She states that she has had the following symptoms: mood swings, irregular menstrual cycles, forgetfulness, food cravings, and a decrease in libido. Which of the following does the nurse suspect the patient is experiencing?
Correct Answer: B
Rationale: Perimenopause is the transitional period leading to menopause that usually begins in a woman's 40s but can start earlier. During this phase, women may experience symptoms such as mood swings, irregular menstrual cycles, forgetfulness, food cravings, and a decrease in libido, as described by the patient in this case. These symptoms are caused by hormonal fluctuations as the ovaries start to produce less estrogen in preparation for menopause. Menopause occurs when a woman has not had a menstrual period for 12 consecutive months. Postmenopause, on the other hand, refers to the stage after menopause, where menopausal symptoms have generally subsided. The symptoms described by the patient are more indicative of the perimenopausal stage rather than pregnancy, as they are typical signs of hormonal changes associated with the menopausal transition.