Practice Question
A client expresses concerns that her grandmothers had complicated pregnancies. What principle(s) should the nurse discuss to allay the fears of the client? Select all that apply.
Answer Choices:
Correct Answer:
"We support those at risk of having a preterm births with the goal of delaying early births.'
Rationale:
🧊 Support those at risk of preterm birth:
🔸Preterm birth (before 37 weeks) is a major cause of neonatal morbidity and mortality.
🔸Early support includes education about warning signs (e.g., contractions, pelvic pressure, vaginal discharge), so the client knows when to seek help.
🔸Interventions like corticosteroids (betamethasone) to accelerate lung maturity, and tocolytics (e.g., nifedipine) to delay labor, are critical.
🔸Nurses collaborate with obstetricians to create individualized care plans, including frequent checkups, lifestyle changes, and cervical length monitoring.
🧊 Identify and reduce prenatal risk factors early:
🔸Common risk factors include hypertension, diabetes, infection, poor nutrition, smoking, and advanced maternal age.
🔸Nurses screen these during the initial prenatal visit and throughout pregnancy.
🔸Education focuses on modifiable risks—smoking cessation, proper nutrition, blood pressure control, glucose monitoring.
🔸Nurses serve as educators and advocates, providing resources like WIC referrals or social work consults.
🧊 Reduce infant illnesses, disabilities, and death:
🔸Infant mortality can result from congenital defects, infections, birth asphyxia, and lack of perinatal care.
🔸Preventive strategies include early ultrasounds, fetal heart monitoring, vaccination, prenatal vitamins, and routine screening (e.g., HIV, syphilis, GBS).
🔸Nurses also support maternal mental health and stress reduction—both linked to improved fetal development.
🧊 Ensure high-risk infants are delivered in proper settings:
🔸Hospitals with NICUs provide immediate access to intubation, IV support, surfactant therapy, or surgery.
🔸High-risk cases include multiple gestation, known anomalies, fetal distress, or maternal complications like preeclampsia.
🔸The nurse ensures the client understands the importance of facility-based delivery for complex pregnancies.
🔸Regional perinatal centers are designated for such cases and referrals are coordinated by the care team.
Want to practice more questions like this?
This question is from RN ATI Paediatric Nurs228 Exam which contains 51 questions.
More Questions from This Exam
The nurse is using the formula for bladder capacity to measure the bladder capacity of a 9-year-old girl .What number would the nurse document measurement?
Answer Choices:
The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative?
Answer Choices:
Which food suggestion would be most appropriate for the mother of a preschooler to ensure an adequate intake of calcium?
Answer Choices:
The nurse is performing a cultural assessment of an Asian family that has a child hospitalized for leukemia. What is the best technique for providing culturally competent care for this family?
Answer Choices:
The nurse is caring for a 5-year-old girl posttonsillectomy. The girl looks out the window and tells the nurse that it is raining and says. The sky is crying because it is sad that my throat hurts." The nurse understands that the girl is demonstrating which mental process?
Answer Choices:
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 5