ATI RN
Ethical Issues in Maternity Care Questions
Question 1 of 5
Which statement regarding the postpartum uterus is correct?
Correct Answer: B
Rationale: The correct answer is B) After 2 weeks postpartum, it should be abdominally nonpalpable. This statement is correct because after childbirth, the uterus undergoes a process called involution where it gradually decreases in size. By 2 weeks postpartum, the uterus should have significantly shrunk in size and descended back into the pelvic cavity, making it nonpalpable abdominally. Option A is incorrect because at the end of the third stage of labor, the postpartum uterus weighs around 1000 g, not 500 g. Option C is incorrect as the uterus typically does not return to its original size after each pregnancy, especially after multiple pregnancies. Option D is incorrect because while the uterus does shrink after childbirth, it usually takes around 6 weeks for it to return to near its pre-pregnancy size, not exactly at 6 weeks postpartum. Understanding the changes in the postpartum uterus is crucial in maternity care as it helps healthcare providers monitor the recovery process of the mother after childbirth. Knowledge of these changes is essential for promoting maternal well-being and identifying any potential complications that may arise during the postpartum period.
Question 2 of 5
Which statement, related to the reconditioning of the urinary system after childbirth, should the nurse understand?
Correct Answer: C
Rationale: The correct answer is C) Fluid loss through perspiration and increased urinary output accounts for a weight loss of more than 2 kg during the puerperium. This statement is accurate because during the postpartum period, the body eliminates excess fluid retained during pregnancy through increased perspiration and urinary output, leading to a significant weight loss. Option A is incorrect because while kidney function does gradually return to normal after childbirth, it typically takes longer than a few days for the process to complete. Option B is incorrect as diastasis recti abdominis refers to the separation of the rectus abdominis muscles and is not directly related to the urinary system. Option D is incorrect because bladder tone restoration usually occurs sooner, typically within a week, with proper postpartum care. Educationally, understanding the physiological changes in the postpartum period is crucial for nurses providing care to women after childbirth. This knowledge helps nurses identify normal versus abnormal postpartum changes, provide appropriate support and education to new mothers, and intervene promptly if any issues arise. By comprehending the reconditioning of the urinary system, nurses can offer holistic care to promote the well-being of both the mother and the newborn.
Question 3 of 5
A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Moderate tremors of the extremities. Newborns exposed to opioids in utero are at risk for neonatal abstinence syndrome (NAS), which can manifest as withdrawal symptoms after birth. Tremors of the extremities are a common sign of NAS due to the baby's central nervous system being affected by the opioid exposure. Option A) Hypotonicity is less likely in opioid-exposed newborns as they often exhibit increased muscle tone or hypertonicity. Option C) An axillary temperature of 36.1°C (96.9°F) is within the normal range for a newborn and not directly related to opioid withdrawal symptoms. Option D) Excessive sleeping is not a typical sign of opioid withdrawal in newborns; instead, they may exhibit increased irritability and difficulty with sleeping. Educationally, understanding the signs and symptoms of NAS is crucial for healthcare providers working in maternity care to provide appropriate care and support for newborns experiencing opioid withdrawals. By recognizing these symptoms early, healthcare professionals can implement interventions to help manage the newborn's withdrawal symptoms and promote their well-being.
Question 4 of 5
A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsiWhich of the following laboratory results should the nurse report to the provider?
Correct Answer: A
Rationale: In this scenario, the correct laboratory result to report to the provider is option A) BUN 35 mg/dL. Elevated BUN levels can indicate kidney dysfunction, which is a significant concern in a client with preeclampsia. Kidney dysfunction is a serious complication of preeclampsia that can lead to adverse maternal and fetal outcomes if not promptly addressed. Option B) Hgb 15 mg/dL is within normal range for a pregnant individual and would not be a priority concern in this situation. Option C) Bilirubin 0.6 mg/dL is also within normal limits and would not be as critical to report as the elevated BUN level. Option D) Hct 37% is slightly below the normal range for a pregnant individual but is not as concerning as the elevated BUN level in a client with preeclampsia. Educationally, understanding the significance of specific laboratory values in the context of pregnancy complications like preeclampsia is crucial for nurses providing care to pregnant individuals. Recognizing abnormal values and knowing which ones require immediate attention helps ensure timely interventions to prevent complications and promote positive outcomes for both the mother and the baby.
Question 5 of 5
A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding. The client has a history of cocaine use. The nurse should identify that the client is likely experiencing which of the following complications?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Abruptio placentae. Abruptio placentae is a serious complication where the placenta detaches from the uterine wall before delivery. The symptoms of abdominal pain and vaginal bleeding in a pregnant woman with a history of cocaine use are indicative of this condition. Cocaine can cause vasoconstriction, leading to decreased blood flow to the placenta, increasing the risk of abruptio placentae. Option B) Hydatidiform mole is incorrect because this condition presents with symptoms such as vaginal bleeding, passage of vesicles, and elevated hCG levels, not continuous abdominal pain. Option C) Preterm labor is unlikely in this case as the symptoms described are more indicative of a placental complication rather than uterine contractions. Option D) Placenta previa typically presents with painless vaginal bleeding in the third trimester, not continuous abdominal pain. Educationally, this question highlights the importance of recognizing the signs and symptoms of various pregnancy complications, understanding how substance use can impact pregnancy outcomes, and the critical role of nurses in identifying and managing such high-risk situations in maternity care.