Maternal Newborn ATI Quizlet

Maternal Newborn ATI Quizlet Related

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What component of a health history for a wellness exam includes information on lifestyle factors, such as diet, exercise habits, tobacco use, alcohol consumption, and recreational drug use?

  • A. chief complaint/reason for visit
  • B. gynecologic history
  • C. medications and supplements
  • D. social history
Correct Answer: D

Rationale: The correct answer is D: social history. This component of a health history focuses on lifestyle factors that can impact a person's overall health and well-being. It includes information on diet, exercise habits, tobacco use, alcohol consumption, and recreational drug use. By understanding these factors, healthcare providers can assess potential risks, provide appropriate counseling, and tailor interventions to promote health.

A: Chief complaint/reason for visit is not the correct answer as it pertains to the specific reason why the patient is seeking medical attention.
B: Gynecologic history is focused on a specific aspect of health related to female reproductive health and is not inclusive of overall lifestyle factors.
C: Medications and supplements focus on the use of medications and supplements and do not cover lifestyle factors such as exercise habits or recreational drug use.

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A woman in labor reports a gush of fluid from her vagina. What is the nurse's first action?

  • A. Check the fetal heart rate
  • B. Assess the fluid for meconium staining
  • C. Perform a sterile vaginal examination
  • D. Notify the healthcare provider
Correct Answer: A

Rationale: The correct answer is A: Check the fetal heart rate. This is the first action to assess the well-being of the fetus after the reported fluid gush, ensuring fetal safety. Checking fetal heart rate is crucial in determining fetal distress. Assessing for meconium staining (B) is important but comes after confirming fetal well-being. Performing a sterile vaginal examination (C) may introduce infection and should be avoided without proper indications. Notifying the healthcare provider (D) is necessary but should follow initial assessment of fetal status.

A meconium stool can be differentiated from a transitional stool in the newborn because the meconium stool is

  • A. Passed in first 12-24h of life
  • B. Seen at 3 days
  • C. Residue of a milk curd
  • D. Lighter in color and looser in consistency
Correct Answer: A

Rationale: The correct answer is A because meconium stool is typically passed within the first 12-24 hours of life in newborns. Meconium is the earliest stool passed by a newborn and is composed of materials ingested while in the womb. Choices B, C, and D are incorrect because transitional stool is typically seen at 3 days, meconium is not a residue of milk curd, and meconium is darker in color and stickier in consistency compared to transitional stool.

Why would FAM not be appropriate for the nurse to recommend to a perimenopausal person?

  • A. At that age, people do not have intercourse on a regular basis.
  • B. They are married and do not need contraception.
  • C. They have irregular menstrual periods.
  • D. Pregnancy is not a concern when a person is perimenopausal.
Correct Answer: C

Rationale: The correct answer is C because perimenopausal individuals often have irregular menstrual periods, making FAM less reliable for tracking ovulation. Irregular periods can make it challenging to accurately predict fertile days. Choice A is incorrect because FAM is not solely for contraception but also for fertility awareness. Choice B is incorrect as FAM can still be used for tracking fertility even if contraception is not needed. Choice D is incorrect because while pregnancy risk decreases during perimenopause, it is not zero, and FAM can still be helpful for those who wish to avoid pregnancy.

A client with a history of hypertension is at 28 weeks' gestation. What complication is she at greatest risk for?

  • A. Placenta previa.
  • B. Gestational diabetes.
  • C. Abruptio placentae.
  • D. Preterm labor.
Correct Answer: C

Rationale: The correct answer is C: Abruptio placentae. At 28 weeks, the client with hypertension is at greater risk for abruptio placentae due to increased vascular resistance, leading to potential placental detachment. Placenta previa (A) is more common in the third trimester. Gestational diabetes (B) is more common in later pregnancy and not directly related to hypertension. Preterm labor (D) can be a risk with chronic hypertension but is not the greatest risk at 28 weeks.

A nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching? (Select all that apply.)

  • A. Blot the perineal area dry after cleansing.
  • B. Clean the perineal area from front to back.
  • C. Perform hand hygiene before and after voiding.
  • D. Wash the perineal area using a squeeze bottle of warm water after each voiding.
Correct Answer: A

Rationale: Correct Answer: A - Blot the perineal area dry after cleansing.

Rationale: Blotting the perineal area dry after cleansing helps prevent moisture accumulation, reducing the risk of perineal infection. Moisture can create a favorable environment for bacterial growth and infection. This practice also helps maintain skin integrity and promotes healing post-vaginal delivery.

Summary of other choices:
B: Cleaning the perineal area from front to back is important to prevent introducing fecal bacteria to the urinary tract but is not directly related to reducing perineal infection.
C: Performing hand hygiene before and after voiding is crucial for infection prevention but does not directly address reducing perineal infection.
D: Washing the perineal area using a squeeze bottle of warm water after each voiding can be beneficial for cleanliness but does not specifically address reducing perineal infection like blotting dry after cleansing does.

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