ATI RN
Maternal Newborn Nursing Questions
Question 1 of 5
With regard to the care management of preterm labor should the nurse should be aware of?
Correct Answer: A
Rationale: Preterm labor is diagnosed based on a combination of factors including gestational age (typically less than 37 weeks), uterine activity (regular, painful contractions), and progressive changes in the cervix (dilation, effacement, or both). It is important for the nurse to be aware of these criteria to promptly recognize and manage preterm labor to reduce the risk of complications for both the mother and the baby. Early detection and timely intervention can help improve outcomes for preterm infants.
Question 2 of 5
After delivery it is determined there is a placental accreta, what intervention should the nurse anticipate?
Correct Answer: A
Rationale: In the case of placental accreta, where the placenta is abnormally attached to the uterine wall, it can be very difficult to detach the placenta without significant bleeding. In severe cases, the safest intervention to prevent life-threatening hemorrhage is a hysterectomy, which involves the removal of the uterus. This is a serious surgical procedure that may be necessary to save the mother's life. Other interventions mentioned in the options (IV antibiotic, IV Pitocin, 2L oxygen by mask) may be part of the management plan but would not address the underlying issue of placental accreta like a hysterectomy would.
Question 3 of 5
A client is warm and asks for a fan to put in the room. The nurse enters the room to assess the mother and infant and finds the infant unwrapped in his crib with the fan blowing on them on high. The nurse instructs the mother that the fan should not be directed at the newborn and the infant should be wrapped in a blanket. The mother asks why?
Correct Answer: A
Rationale: The correct answer is A. Directing a fan towards a newborn can cause heat loss by convection. Convection is the transfer of heat through the movement of air or water. In this case, the fan blowing cool air directly on the infant can cause heat loss from the baby's body. Newborns have limited ability to regulate their body temperature, so it's important to keep them comfortably warm by using appropriate clothing and blankets rather than exposing them to direct air flow from a fan.
Question 4 of 5
What is a statement about premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) that is true?
Correct Answer: D
Rationale: The correct answer is D) PMS and PMDD involve a range of physical and emotional symptoms due to fluctuating hormone levels. This statement is true because both premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) are associated with hormonal changes that occur during the menstrual cycle. These hormonal fluctuations can lead to a variety of physical symptoms such as bloating, breast tenderness, and fatigue, as well as emotional symptoms like mood swings, irritability, and depression. Option A is incorrect because PMS and PMDD typically affect individuals of reproductive age, not those who have already reached menopause. Option B is also incorrect as hormonal fluctuations are indeed considered potential causes of PMS and PMDD. Option C is incorrect as both PMS and PMDD are characterized by both physical and emotional symptoms, not just physical symptoms. In an educational context, understanding the differences between PMS and PMDD, as well as their associated symptoms, is crucial for nurses working with women of reproductive age. By recognizing the signs and symptoms of these conditions, nurses can provide appropriate support, education, and interventions to help women manage the physical and emotional challenges they may experience during their menstrual cycles.
Question 5 of 5
What is the recommended daily calcium intake for persons AFAB aged 51 and above?
Correct Answer: D
Rationale: In the context of maternal newborn nursing and pharmacology, understanding the recommended daily calcium intake for individuals AFAB aged 51 and above is crucial due to the increased risk of osteoporosis and other bone-related conditions in this population. The correct answer is D) 1,200 mg per day. The rationale behind the recommended daily calcium intake of 1,200 mg for individuals AFAB aged 51 and above is based on the increased calcium requirements to maintain bone health and prevent osteoporosis as people age. Adequate calcium intake is essential for reducing the risk of fractures and maintaining bone density, especially in postmenopausal individuals. Option A) 500 mg per day is too low for this age group as it is more suitable for younger individuals. Option B) 800 mg per day is also below the recommended intake for adults aged 51 and above. Option C) 1,000 mg per day is closer to the correct answer but still falls short of the optimal intake for this specific population. Educationally, it is essential for nurses working in maternal newborn care to have a solid understanding of recommended nutrient intakes, such as calcium, to provide appropriate guidance to pregnant and postpartum individuals. By knowing the correct daily calcium intake for different age groups, nurses can better support their patients in maintaining optimal bone health and overall well-being.