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Maternal Infant practice questions for ATI CMS TESTBANK: Questions and Answers with Rationales (latest Update), 100% Correct, Download to Score A$17.99
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Maternal Infant practice questions for ATI CMS
TESTBANK: Questions and Answers with Rationales (latest
Update), 100% Correct, Download to Score A
A charge nurse is providing teaching for a newly hired nurse
about the potential side effects of an epidural anesthetic for a
laboring client. Which of the following effects should the charge
nurse include in the teaching?
A. Newborn respiratory depression at birth
B. Impaired ability of the neonate to maintain body temperature.
C. Impaired placental perfusion
D. Decreased fetal heart rate (FHR) variability Correct Answer
C. Impaired placental perfusion
Rationale:
Maternal hypotension can occur in 10-30% of women who
receive epidural of spinal anesthesia. This can result in
decreased blood flow to the placenta and impair the delivery of
oxygen to the fetus.
Wrong Answers:
Respiratory depression in newborn may occur if narcotic
agonist-antagonist analgesics are administered to mother w/i 1-4
hrs. of birth; Diazepam in labor can disrupt newborn
thermoregulation and result in hypothermia; minimal of absent
FHR variability is a side effect of administering opioids to a
laboring client.
,A charge nurse is teaching newly licensed nurses about
teratogens that affect fetal development. The nurses should
recognize that which of the following is an example of a
teratogen?
A. Consuming caffeine during pregnancy
B. A family history of a genetic disorder
C. Gum disease in a pregnant client
D. Drinking alcohol during pregnancy Correct Answer D.
Drinking alcohol during pregnancy
Rationale:
Alcohol is an outside substance, that is ingested during
pregnancy, can cause abnormal fetal development. Alcohol
consumption during pregnancy can cause CNS disorders,
abnormal craniofacial features, and cognitive impairment
A client at a routine prenatal care visit asks the nurse if
developing vaginal yeast infections is common during
pregnancy. Which of the following responses should the nurse
make?
A. "Have you discussed this with your doctor?"
B. "The hormonal changes of pregnancy alter the acidity of the
vagina, making yeast infections more common."
C. "Women who are already prone to vaginal yeast infections
get them during pregnancy."
D. "Why are you concerned about yeast infections during
pregnancy?" Correct Answer B. "The hormonal changes of
pregnancy alter the acidity of the vagina, making yeast
infections more common."
,Rationale:
This is an information seeking question; therefore, the
therapeutic response is an answer that provides the client with
the information she requested.
A nurse at a prenatal clinic is assessing an adult client who had
genital cutting performed as a child as part of her cultural
practices. The nurse notes the client's clitoris and labia minora
were removed, and she has scarring in the vaginal area. Which
of the following actions should the nurse take?
A. Report the findings to the local authorities.
B. Ask the client who performed the cutting.
C. Inform the client that giving birth vaginally might not be
possible.
D. Prepare the client for the increased risk of spontaneous
abortion. Correct Answer C. Inform the client that giving birth
vaginally might not be possible.
Rationale:
Female genital cutting is done in early adolescence as part of
some religious and cultural practices. Scarring can result and
may necessitate cesarean delivery.
Wrong answers:
Though illegal in US, can't report maltreatment of a competent
adult without consent; asking questions may offend cultural
beliefs; FGM can cause difficulty conceiving or delivering but
not risk for spontaneous abortion.
, A nurse in a clinic is caring for a client who is pregnant and
reports a last menstrual period (LMP) that began on December
7. Which of the following dates would be the client's estimated
date of birth (EDB)?
A. September 14
B. September 7
C. March 14
D. March 7 Correct Answer A. September 14
A nurse in a prenatal clinic is caring for a client who is within
the recommended guideline for weight. The client asks the nurse
how much weight is safe for her to gain during her pregnancy.
Which of the following responses should the nurse offer?
A. "Your provider can discuss ab appropriate amount of weight
gain with you."
B. "A weight gain of about 14 lb. each trimester is suggested."
C. "If you eat nutritious foods when you feel hungry, the amount
of weight gain is insignificant."
D. "A weight gain of about 25 to 35 lb. is good." Correct
Answer D. "A weight gain of about 25 to 35 lb. is good."
Rationale:
Weight gain of 25 to 35 lb. is associated with good fetal
outcome (4 lb. 1st trimester & 12 lb. each 2nd & 3rd trimesters
is recommended)
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