ATI RN
Maternal Health Issues in the US Questions
Question 1 of 5
Which statement by a newly delivered woman indicates that she knows what to expect regarding her menstrual activity after childbirth?
Correct Answer: B
Rationale: The correct answer is option B: "My first menstrual cycle will be heavier than normal and will return to my prepregnant volume within three or four cycles." This statement indicates an understanding of postpartum menstrual changes. Option A is incorrect because menstrual cycles typically return to normal gradually rather than starting lighter and getting heavier each month. Option C is incorrect as most women resume menstruation within a few months postpartum, not after a 6-month gap. Option D is incorrect as it states the first cycle will be heavier than normal and then light for several months, which is not the typical pattern. In an educational context, understanding postpartum changes in menstrual activity is crucial for maternal health. Educating women about these normal variations can alleviate anxiety and help them make informed decisions about contraception and overall reproductive health post-delivery. It also highlights the importance of regular postpartum follow-up care to monitor these changes and address any concerns that may arise.
Question 2 of 5
A nurse is reviewing a client's medical record and notes that the client is taking tamoxifen. The nurse should identify that tamoxifen is used to treat which of the following conditions?
Correct Answer: C
Rationale: Rationale: The correct answer is C) Breast cancer. Tamoxifen is a medication commonly used in the treatment of breast cancer, particularly in hormone receptor-positive breast cancer cases. It works by blocking the estrogen receptors in breast cancer cells, thereby inhibiting their growth and spread. This medication is a cornerstone in the treatment of hormone-sensitive breast cancer and is often prescribed to reduce the risk of cancer recurrence. Option A) Non-Hodgkin's lymphoma is incorrect because tamoxifen is not indicated for the treatment of this condition. Non-Hodgkin's lymphoma is a type of cancer that originates in the lymphatic system, and tamoxifen is not effective in treating it. Option B) Endometriosis is also incorrect. While endometriosis is a condition that involves the growth of endometrial-like tissue outside the uterus, tamoxifen is not a standard treatment for this condition. Option D) Polycystic ovary syndrome (PCOS) is not treated with tamoxifen. PCOS is a hormonal disorder that affects women of reproductive age, leading to irregular periods, excess androgen levels, and polycystic ovaries. Tamoxifen's mechanism of action is not designed to address the underlying hormonal imbalances seen in PCOS. Understanding the uses of medications like tamoxifen is crucial for healthcare professionals working in maternal health. By knowing the correct indications and contraindications of medications, nurses can provide safe and effective care to their clients, ensuring positive health outcomes.
Question 3 of 5
A nurse is providing teaching about newborn safety to a client who is being admitted for induction of labor. Which of the following client statements indicate an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is option A: "I will check the identification badge of anyone who removes my baby from our room." This statement demonstrates an understanding of newborn safety measures by emphasizing the importance of verifying the identity of individuals to ensure the baby's security. Option B is incorrect as sharing a photo of the baby along with public birth announcements on social media can compromise the baby's safety and privacy. Option C is also incorrect as it poses a risk to the baby's safety to sleep on the bed unsupervised. Option D is incorrect as it is not standard practice for nurses to carry babies to the nursery; instead, the mother or designated family member typically accompanies the baby. In an educational context, teaching about newborn safety is crucial to prevent potential risks and harm to the infant. Educating clients on proper safety measures helps empower them to advocate for their baby's well-being and security in various healthcare settings. It is essential for expectant parents to be knowledgeable about newborn safety practices to ensure a safe and secure environment for their newborns.
Question 4 of 5
A nurse is caring for a client who is postpartum, has a deep-vein thrombosis, and is receiving heparin therapy via subcutaneous injections. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: In this scenario, the correct action for the nurse to take is option D: Administer the injection in the client's abdomen. Subcutaneous injections of heparin should be given in fatty areas of the body, such as the abdomen, to ensure proper absorption and effectiveness. This area has a better blood supply compared to other sites, allowing for consistent absorption of the medication. Option A is incorrect because aspirin is not indicated for deep-vein thrombosis and could increase the risk of bleeding when combined with heparin therapy. Option B is incorrect as massaging the injection site can lead to bruising and discomfort. Option C is incorrect because heparin is safe to use while breastfeeding as it does not pass into breast milk in significant amounts. Educationally, it is crucial for nurses to understand the proper administration techniques for medications like heparin to ensure optimal patient outcomes. By administering injections in appropriate sites and understanding the rationale behind it, nurses can provide safe and effective care for postpartum patients with deep-vein thrombosis.
Question 5 of 5
A nurse is admitting a client who is at 33 weeks of gestation and has preeclampsia with severe features. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: In this scenario, the correct action for the nurse to take is to initiate seizure precautions for the client (Option B). Preeclampsia with severe features poses a significant risk of eclampsia, which is characterized by seizures. By initiating seizure precautions, the nurse is proactively ensuring the safety of the client in the event that a seizure occurs. This includes ensuring a safe environment, having emergency medications readily available, and closely monitoring the client's vital signs. Restricting protein intake (Option A) is not the priority in this situation. Adequate protein intake is important for the health of both the mother and the developing fetus. Initiating an infusion of 0.9% sodium chloride (Option C) at 150 mL/hr may exacerbate fluid overload, a concern in preeclampsia. Encouraging the client to ambulate twice per day (Option D) is not appropriate for a client with preeclampsia with severe features, as rest and close monitoring are typically recommended to prevent complications. Educationally, this question highlights the critical importance of recognizing the potential complications of preeclampsia and the necessity of prompt interventions to ensure the safety and well-being of both the mother and the unborn child. It underscores the significance of nursing interventions in managing high-risk pregnancies and the need for nurses to be vigilant in assessing and managing maternal health issues.