ATI RN
Chimat Maternity Needs Assessment Questions
Question 1 of 5
Which patient will most likely seek prenatal care?
Correct Answer: C
Rationale: The correct answer is C) A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic. This choice is most likely to seek prenatal care because having access to a free prenatal clinic removes a significant barrier to receiving essential prenatal care services. Option A is incorrect because the patient's disbelief in her pregnancy may lead her to delay seeking prenatal care. Option B is incorrect because substance abuse can hinder a pregnant woman from seeking proper care due to various issues related to addiction. Option D is incorrect because delivering at home without proper medical supervision can pose risks to both the mother and baby and indicates a lack of engagement with prenatal healthcare services. In an educational context, it's crucial to emphasize the importance of early and regular prenatal care in promoting maternal and fetal health. Access to prenatal care allows for monitoring of the pregnancy, early detection of potential issues, and the opportunity to receive necessary interventions and support for a healthy pregnancy and childbirth. Encouraging pregnant individuals to seek prenatal care promptly and consistently can lead to better outcomes for both the mother and the baby.
Question 2 of 5
Which nursing intervention is most helpful in relieving postpartum uterine contractions or 'afterpains?'
Correct Answer: A
Rationale: The correct nursing intervention for relieving postpartum uterine contractions or 'afterpains' is option A) Lying prone with a pillow on the abdomen. This position helps to promote uterine contractions, aiding in the expulsion of clots and debris, and reducing bleeding. Placing a pillow on the abdomen provides gentle pressure, which can further help in toning the uterus and alleviating discomfort. Option B) Using a breast pump is not directly related to relieving uterine contractions or afterpains. Breastfeeding itself can help stimulate uterine contractions due to oxytocin release, but using a breast pump is not a recommended intervention for this specific purpose. Option C) Massaging the abdomen can be beneficial for increasing blood flow and promoting uterine contractions. However, lying prone with a pillow on the abdomen provides more sustained and gentle pressure, which is often more effective in this context. Option D) Giving oxytocic medications is a valid intervention for managing postpartum uterine contractions, especially in cases of excessive bleeding or retained placental tissue. However, in the context of this question, non-pharmacological interventions like positioning are usually preferred as the first line of management before resorting to medications. In an educational context, it is essential for nurses to understand and utilize non-pharmacological interventions like positioning to manage common postpartum issues effectively. These interventions are often simple, cost-effective, and have fewer side effects compared to medications, making them valuable skills for nurses caring for postpartum women.
Question 3 of 5
When explaining 'postpartum blues' to a client who is 1 day postpartum, which symptoms should the nurse include in the teaching plan? (Select one tha does not apply.)
Correct Answer: D
Rationale: In this scenario, the correct answer is option D) Disinterest in the infant. Postpartum blues, also known as baby blues, is a common temporary emotional state that can occur in the days following childbirth. It is characterized by mood swings, fatigue, and tearfulness. Disinterest in the infant is not a typical symptom of postpartum blues. It is important for the nurse to explain to the client that feeling overwhelmed, tired, or tearful is common and does not mean she is a bad mother. By recognizing and normalizing these feelings, the nurse can help the client understand that this is a temporary phase that often resolves on its own. Educationally, it is crucial for healthcare providers to educate new mothers about the range of emotions they may experience postpartum. By providing accurate information and support, nurses can help new mothers navigate this challenging time with confidence and reassurance. Encouraging open communication and seeking help if needed is essential in promoting maternal mental health and bonding with the newborn.
Question 4 of 5
A client in active labor complains of cramps in her leg. What intervention should the nurse implement?
Correct Answer: B
Rationale: In the scenario where a client in active labor complains of leg cramps, the appropriate intervention for the nurse to implement is option B - to extend the leg and dorsiflex the foot. This action helps to alleviate cramping by stretching the affected muscle and improving circulation. Option A is incorrect as asking about calcium tablet intake does not directly address the immediate issue of leg cramps during labor. Option C of lowering the leg off the side of the bed may exacerbate the cramping sensation due to the potential for increased muscle tension. Option D, elevating the leg above the heart, is not indicated for leg cramps and may not provide relief. In an educational context, understanding the correct intervention for leg cramps during labor is crucial for maternity nurses. It ensures the safety and comfort of the client during this critical time. Nurses need to possess this knowledge to provide optimal care and support to laboring individuals.
Question 5 of 5
A client who is in the second trimester of pregnancy tells the nurse that she wants to use herbal therapy. Which response is best for the nurse to provide?
Correct Answer: D
Rationale: The correct response, "D) It is important that you want to take part in your care," is the most appropriate because it acknowledges the client's autonomy and decision-making in their healthcare. In the context of maternity care, empowering the client to actively participate in their care can lead to better outcomes and increased satisfaction. By recognizing and supporting the client's desire to explore herbal therapy, the nurse promotes a collaborative and patient-centered approach. Option A is incorrect as it generalizes the use of herbs without considering individual circumstances or potential risks during pregnancy. Option B is not directly addressing the client's interest in herbal therapy. Option C is incorrect because while healthcare providers should guide treatment options, it is essential to involve the client in decision-making regarding their care to promote shared decision-making and patient autonomy. Educationally, this question highlights the importance of respecting the client's autonomy and involving them in decision-making processes, especially in the context of maternal healthcare where individual preferences and beliefs can significantly impact the care provided. Nurses need to communicate effectively, support informed decision-making, and collaborate with clients to ensure a holistic and personalized approach to care.