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ATI RN · ATI Maternal Newborn · Current Issues in Maternal-Newborn Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is working in the area of labor and birth. Her assignment is to take care of a gravida 1 para 0 woman who presents in early labor at term. Vaginal exam reflects the following: 2 cm, cervix posterior, â€“1 station, and vertex with membranes intact. The patient asks the nurse if she can break her water so that her labor can go faster. The nurse's response, based on the ethical principle of nonmaleficence, is which of the following?

A. Tell the patient that she will have to wait until she has progressed further on the vaginal exam and then she will perform an amniotomy.

B. Have the patient write down her request and then call the physician for an order to implement the amniotomy.

C. Instruct the patient that only a physician or certified midwife can perform this procedure.

D. Give the patient an enema to stimulate labor.

Expert Explanatory Rationale

Correct Answer: Tell the patient that she will have to wait until she has progressed further on the vaginal exam and then she will perform an amniotomy.

Question 2 of 5

In some Middle Eastern and African cultures, female genital mutilation (female cutting) is a prerequisite for marriage. Women who now live in North America need care from nurses who are knowledgeable about the procedure and comfortable with the abnormal appearance of their genitalia. When caring for this patient, the nurse can formulate a diagnosis with the understanding that the patient may be at risk for which of the following? (Select all that apply.)

A. Infection

B. Laceration

C. Hemorrhage

D. Obstructed labor

Expert Explanatory Rationale

Correct Answer: Infection

Question 3 of 5

A nurse is caring for a patient who has HSV and is pregnant. The patient is concerned about the fetus. What medication is safest to take?

A. valacyclovir

B. none

C. acyclovir

D. famciclovir

Expert Explanatory Rationale

Correct Answer: acyclovir

Question 4 of 5

Which issue is a major concern among members of lower socioeconomic groups?

A. Practicing preventive health care

B. Meeting health needs as they occur

C. Maintaining an optimistic view of life

D. Maintaining group health insurance for their families

Expert Explanatory Rationale

Correct Answer: Meeting health needs as they occur

Question 5 of 5

Which statement best describes the advantage of a labor, birth, recovery, and postpartum (LDRP) room?

A. The family is in a familiar environment.

B. They are less expensive than traditional hospital rooms.

C. The infant is removed to the nursery to allow the mother to rest.

D. The woman's support system is encouraged to stay until discharge.

Expert Explanatory Rationale

Correct Answer: The family is in a familiar environment.

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