ATI RN
Chimat Maternity Needs Assessment Questions
Question 1 of 5
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the first time?
Correct Answer: B
Rationale: In this scenario, option B is the most appropriate maternal behavior when a new mother receives her infant for the first time. This choice reflects a gentle and nurturing approach as the mother traces the infant's profile with her fingertips, showing a sense of care, tenderness, and bonding with the newborn. Option A is incorrect as it describes a more clinical and detached approach to examining the infant, lacking the emotional connection and gentleness seen in the correct response. Option C is incorrect because simply cuddling the infant to her own body does not demonstrate the same level of attentiveness and delicacy as tracing the infant's profile with her fingertips. Option D is also incorrect as it focuses more on holding the infant close without the added element of gentle touch and exploration shown in option B. By choosing option B, the nurse is likely to witness a mother's instinctual and affectionate response to her newborn, fostering early bonding and attachment, which are vital for the infant's emotional and social development. This understanding is crucial for nurses working in maternity care to promote positive parent-infant relationships and support healthy early interactions.
Question 2 of 5
The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose last menstrual period started on December 1. Which date is most accurate?
Correct Answer: D
Rationale: The correct answer is D) 8-Sep. Nagele's rule is a common method used to estimate the date of confinement by adding 7 days to the first day of the last menstrual period (LMP), then counting forward 3 months and subtracting 3 months. In this scenario, the LMP is December 1, so adding 7 days gives December 8. Counting forward 3 months lands us at September 8 as the estimated date of confinement. Option A) 1-Aug is incorrect because it does not align with the calculation based on Nagele's rule. Option B) 10-Aug is also incorrect as it is too early based on the given LMP. Option C) 3-Sep is incorrect because it does not account for the additional 7 days that need to be added to the LMP according to Nagele's rule. Educationally, understanding how to calculate the estimated date of confinement is crucial for healthcare providers working in maternity care. It helps in providing appropriate prenatal care, planning for childbirth, and assessing fetal growth and development. Nagele's rule is a useful tool in estimating the EDC, but it is important to remember that it is an estimation and the actual date of delivery can vary.
Question 3 of 5
The total bilirubin level of a 36-hour, breastfeeding newborns is 14 mg/dl. Based on this finding, which intervention should the nurse implement?
Correct Answer: B
Rationale: The normal total bilirubin level is 6 to 12 mg/dl after Day 1 of life. This infant's bilirubin is beginning to climb, and the infant should be monitored to prevent further complications. Breast milk provides calories and enhances GI motility, which will assist the bowel in eliminating bilirubin (C).
Question 4 of 5
A client who gave birth to a healthy 8-pound infant 3 hours ago is admitted to the postpartum unit. Which nursing plan is best in assisting this mother to bond with her newborn infant?
Correct Answer: D
Rationale: It is most important to meet the mother's requirement for attention to her needs so that she can begin infant care-taking (D). Nurse theorist Reva Rubin describes the initial postpartum period as the 'taking-in phase,' which is characterized by maternal reliance on others to satisfy the needs for comfort, rest, nourishment, and closeness to families and the newborn.
Question 5 of 5
The nurse is providing discharge teaching for a client who is 24 hours postpartum. The nurse explains to the client that her vaginal discharge will change from red to pink and then to white. The client asks, 'What if I start having red bleeding after it changes?' What should the nurse instruct the client to do?
Correct Answer: A
Rationale: The correct answer is A) Reduce activity level and notify the healthcare provider. This response is appropriate because red bleeding after the initial postpartum discharge signifies fresh bleeding and could indicate a potential issue such as hemorrhage or infection. Instructing the client to reduce activity level helps minimize further bleeding, while notifying the healthcare provider promptly allows for timely intervention and assessment. Option B) Go to bed and assume a knee-chest position is incorrect as it does not address the potential underlying cause of the red bleeding and may delay necessary medical evaluation. Option C) Massage the uterus and go to the emergency room is also incorrect as massaging the uterus without proper assessment could be harmful, and going to the emergency room should be guided by healthcare provider instructions. Option D) Do not worry as this is a normal occurrence is incorrect because red bleeding after the initial postpartum period should not be dismissed as normal without proper evaluation to rule out complications. In an educational context, it is crucial for nurses to be able to provide accurate and timely information to postpartum clients regarding expected changes and potential warning signs after childbirth. This scenario emphasizes the importance of postpartum monitoring and the need for appropriate intervention in case of abnormal signs or symptoms to ensure the well-being of both the mother and the newborn.