TEST BANK FOR ATI MATERNAL NEWBORN NURSING 2025 WITH
SOLUTIONS AND RATIONALES
PTS: 1 DIF: Cognitive Level: Application REF: 187
OBJ: Nursing Process: Diagnosis MSC: Client Needs: Psychosocial
Integrity
The nurse should be aware that the partners main role in
pregnancy is to:
a. Provide financial support.
b. Protect the pregnant woman from old wives tales.
c. Support and nurture the pregnant woman.
d. Make sure the pregnant woman keeps prenatal appointments. -
ANSWER-ANS: C
The partners main role in pregnancy is to nurture the pregnant
woman and respond to her feelings of vulnerability. In older
societies, the man enacted the ritual couvade. Changing cultural
and professional attitudes have encouraged fathers participation
in the birth experience over the past 30 years.
PTS: 1 DIF: Cognitive Level: Analysis REF: 304
OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic
Integrity
A woman presents to the emergency department with complaints
of bleeding and cramping. The initial
,nursing history is significant for a last menstrual period 6 weeks
ago. On sterile speculum examination, the
primary care provider finds that the cervix is closed. The
anticipated plan of care for this woman would be
based on a probable diagnosis of which type of spontaneous
abortion?
a. Incomplete
b. Inevitable
c. Threatened
d. Septic - ANSWER-ANS: C
A woman with a threatened abortion presents with spotting, mild
cramps, and no cervical dilation. A woman with an incomplete
abortion would present with heavy bleeding, mild to severe
cramping, and cervical dilation. An inevitable abortion manifests
with the same symptoms as an incomplete abortion: heavy
bleeding, mild to severe cramping, and cervical dilation. A woman
with a septic abortion presents with malodorous bleeding and
typically a dilated cervix.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 319
OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic
Integrity
The perinatal nurse is giving discharge instructions to a woman
after suction curettage secondary to a hydatidiform mole. The
woman asks why she must take oral contraceptives for the next
12 months. The best
,response from the nurse would be:
a. If you get pregnant within 1 year, the chance of a successful
pregnancy is very small. Therefore, if
you desire a future pregnancy, it would be better for you to use
the most reliable method of
contraception available.
b. The major risk to you after a molar pregnancy is a type of
cancer that can be diagnosed only by
measuring the same hormone that your body produces during
pregnancy. If you were to get pregnant, it would make the
diagnosis of this cancer more difficult.
c. If you can avoid a pregnancy for the next year, the chance of
developing a second molar pregnancy
is rare. Therefore, to improve your chance of a successful
pregnancy, it is better not to get pregnant
at - ANSWER-ANS: B
This is an accurate statement. b-Human chorionic gonadotropin
(hCG) levels will be drawn for 1 year to ensure that the mole is
completely gone. There is an increased chance of developing
choriocarcinoma after the development of a hydatidiform mole.
The goal is to achieve a zero hCG level. If the woman were to
become
pregnant, it could obscure the presence of the potentially
carcinogenic cells. Women should be instructed to use birth
control for 1 year after treatment for a hydatidiform mole. The
, rationale for avoiding pregnancy for 1 year is to ensure that
carcinogenic cells are not present. Any contraceptive method
except an intrauterine
device is acceptable.
PTS: 1 DIF: Cognitive Level: Application REF: 325
OBJ: Nursing Process: Planning, Implementation
MSC: Client Needs: Physiologic Integrity
The most prevalent clinical manifestation of abruptio placentae
(as opposed to placenta previa) is:
a. Bleeding.
b. Intense abdominal pain.
c. Uterine activity.
d. Cramping. - ANSWER-ANS: B
Pain is absent with placenta previa and may be agonizing with
abruptio placentae. Bleeding may be present in varying degrees
for both placental conditions. Uterine activity and cramping may
be present with both placental conditions.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 330
OBJ: Nursing Process: Diagnosis MSC: Client Needs: Physiologic
Integrity
SOLUTIONS AND RATIONALES
PTS: 1 DIF: Cognitive Level: Application REF: 187
OBJ: Nursing Process: Diagnosis MSC: Client Needs: Psychosocial
Integrity
The nurse should be aware that the partners main role in
pregnancy is to:
a. Provide financial support.
b. Protect the pregnant woman from old wives tales.
c. Support and nurture the pregnant woman.
d. Make sure the pregnant woman keeps prenatal appointments. -
ANSWER-ANS: C
The partners main role in pregnancy is to nurture the pregnant
woman and respond to her feelings of vulnerability. In older
societies, the man enacted the ritual couvade. Changing cultural
and professional attitudes have encouraged fathers participation
in the birth experience over the past 30 years.
PTS: 1 DIF: Cognitive Level: Analysis REF: 304
OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic
Integrity
A woman presents to the emergency department with complaints
of bleeding and cramping. The initial
,nursing history is significant for a last menstrual period 6 weeks
ago. On sterile speculum examination, the
primary care provider finds that the cervix is closed. The
anticipated plan of care for this woman would be
based on a probable diagnosis of which type of spontaneous
abortion?
a. Incomplete
b. Inevitable
c. Threatened
d. Septic - ANSWER-ANS: C
A woman with a threatened abortion presents with spotting, mild
cramps, and no cervical dilation. A woman with an incomplete
abortion would present with heavy bleeding, mild to severe
cramping, and cervical dilation. An inevitable abortion manifests
with the same symptoms as an incomplete abortion: heavy
bleeding, mild to severe cramping, and cervical dilation. A woman
with a septic abortion presents with malodorous bleeding and
typically a dilated cervix.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 319
OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic
Integrity
The perinatal nurse is giving discharge instructions to a woman
after suction curettage secondary to a hydatidiform mole. The
woman asks why she must take oral contraceptives for the next
12 months. The best
,response from the nurse would be:
a. If you get pregnant within 1 year, the chance of a successful
pregnancy is very small. Therefore, if
you desire a future pregnancy, it would be better for you to use
the most reliable method of
contraception available.
b. The major risk to you after a molar pregnancy is a type of
cancer that can be diagnosed only by
measuring the same hormone that your body produces during
pregnancy. If you were to get pregnant, it would make the
diagnosis of this cancer more difficult.
c. If you can avoid a pregnancy for the next year, the chance of
developing a second molar pregnancy
is rare. Therefore, to improve your chance of a successful
pregnancy, it is better not to get pregnant
at - ANSWER-ANS: B
This is an accurate statement. b-Human chorionic gonadotropin
(hCG) levels will be drawn for 1 year to ensure that the mole is
completely gone. There is an increased chance of developing
choriocarcinoma after the development of a hydatidiform mole.
The goal is to achieve a zero hCG level. If the woman were to
become
pregnant, it could obscure the presence of the potentially
carcinogenic cells. Women should be instructed to use birth
control for 1 year after treatment for a hydatidiform mole. The
, rationale for avoiding pregnancy for 1 year is to ensure that
carcinogenic cells are not present. Any contraceptive method
except an intrauterine
device is acceptable.
PTS: 1 DIF: Cognitive Level: Application REF: 325
OBJ: Nursing Process: Planning, Implementation
MSC: Client Needs: Physiologic Integrity
The most prevalent clinical manifestation of abruptio placentae
(as opposed to placenta previa) is:
a. Bleeding.
b. Intense abdominal pain.
c. Uterine activity.
d. Cramping. - ANSWER-ANS: B
Pain is absent with placenta previa and may be agonizing with
abruptio placentae. Bleeding may be present in varying degrees
for both placental conditions. Uterine activity and cramping may
be present with both placental conditions.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 330
OBJ: Nursing Process: Diagnosis MSC: Client Needs: Physiologic
Integrity
