52 Questions
What is the main focus of the ATI Proctored Exam for Maternal Newborn Maternal Child Health Nursing?
Maternal and newborn health
Why is it important for nurses to have knowledge of maternal and child health?
To provide comprehensive care to families
Which area of nursing would be least relevant to the content covered in the ATI Proctored Exam?
Psychiatric nursing
What aspect of caregiving is emphasized in maternal-child health nursing?
Family-centered care
Which of the following nursing specialties would share the closest overlap with maternal-child health nursing?
Pediatric nursing
In which setting would a nurse specializing in maternal-child health be most likely to work?
Labor and delivery unit
What is the primary focus of maternal-child health nursing?
Promoting the health of women before, during, and after pregnancy
Where would a nurse specializing in maternal-child health most likely work?
Pediatric clinic
What knowledge is essential for nurses in maternal-child health?
Expertise in maternal and child health
Which specialty would NOT overlap significantly with maternal-child health nursing?
Geriatric nursing
What is a key area of focus in the ATI Proctored Exam for Maternal Newborn Maternal Child Health Nursing?
Maternal and child health concepts
In which setting would knowledge of maternal-child health be least relevant?
Geriatric rehabilitation center
Why is promoting women's health before, during, and after pregnancy crucial in maternal-child health nursing?
To prevent complications during childbirth and promote healthy outcomes for both mother and child
Which area of maternal-child health nursing involves interventions to support the mental well-being of women?
Offering counseling services to women experiencing postpartum depression
What role does a nurse specializing in maternal-child health play in educating new parents?
Providing guidance on infant care and breastfeeding techniques
What is the mL per hour for infusing 10,000 milliunits based on the information provided?
3 mL/hr
Which statement about uterine hyperstimulation is accurate according to the information?
A duration of 130 seconds indicates normal uterine activity.
What should the nurse do if the baseline fetal heart rate drops over 20 bpm during labor?
Consult with the physician.
Why does the nurse intervene when managing hyperstimulation in labor?
To ensure a positive outcome.
If hypertension occurs during oxytocin administration in labor, what action should be taken according to the text?
Continue administering oxytocin at the same rate.
What does a drop in the baseline fetal heart rate over 20 bpm indicate according to the information?
The need to turn off the oxytocin infusion.
What is the expected outcome when a nurse intervenes to reverse hyperstimulation from oxytocin administration?
Normal contraction frequency as evidence of positive outcome.
What is the appropriate nursing care outcome for a woman who suddenly develops an amniotic fluid embolism during labor?
Client will exhibit normal breathing function at discharge.
Why should nurses carefully monitor intake and output in clients induced with oxytocin?
To prevent water intoxication.
What are the classic signs of water intoxication in a woman receiving oxytocin?
Hyponatremia and hypokalemia.
Why is induction contraindicated in a transverse lie?
To prevent complications due to abnormal fetal positioning.
What is the reason behind the high risk of water intoxication in clients receiving oxytocin over a long period?
Oxytocin molecule's similarity to antidiuretic hormone (ADH) molecule.
What should be the nurse's priority when caring for a client with water intoxication?
Restricting fluid intake.
Which of the following symptoms is unrelated to water intoxication in a client induced with oxytocin?
Thrombocytopenia.
What complication may arise if a client in labor develops an amniotic fluid embolism?
Blood clot formation in the lungs.
Which action should the nurse prioritize when caring for a client with a prolapsed cord?
Preparing for an emergency cesarean section
Why is placental abruption of particular concern in clients who have abused drugs during pregnancy?
Chronic drug use exacerbates vasoconstriction leading to abruption
What should the nurse consider when a laboring client who has abused drugs requests pain medication?
Notifying the healthcare provider of the request
Which condition is NOT associated with maternal illicit drug use?
Retained placenta
What effect does crack cocaine have on the placenta during pregnancy?
It atrophies the chorionic villi
Why is identifying the priority action difficult for nurses in certain situations?
As it involves determining life-threatening conditions
In maternal-child health nursing, why is prolapsed cord considered life-threatening?
Because it can cause fetal asphyxia
What should be the nurse's immediate action upon suspecting a prolapsed cord in a laboring client?
Placing the client in a Trendelenburg position
In the scenario provided, the nurse's interpretation of the fetal heart tracing showing a sinusoidal pattern is most indicative of which complication?
Cord compression
What should the nurse prioritize when caring for a client in active labor with a fetal scalp sampling pH of 7.19?
Fetal scalp sampling pH of 7.19
When interpreting the results of a fetal blood sampling test reporting pH 7.22, the nurse should understand that this result indicates:
The results are equivocal, warranting further sampling
What action should the nurse take upon observing a client in active labor contracting every 3 minutes for 30 seconds who suddenly becomes dyspneic, cyanotic, and coughs up bloody sputum?
Notify the practitioner
Which finding would be most concerning in a client in active labor?
Fetal scalp sampling pH of 7.19
What should a nurse prioritize when analyzing fetal heart tracing for a newly admitted client showing signs of sinusoidal pattern?
Notify the practitioner
Upon interpreting the results of a fetal blood sampling test reporting a pH of 7.22, what should the nurse consider?
The results are equivocal, warranting further sampling
What is the most appropriate first action to take when a pregnant woman experiences variable decelerations during labor?
Repositioning the woman
In a situation where a client's practitioner believes surgery is necessary but the client refuses, what action could the practitioner potentially take?
Get a court order to mandate surgery
Why is it inappropriate for a nurse to scare a patient into submission regarding medical decisions?
It respects the client's legal right to refuse treatment
What is the likely consequence of applying oxygen via face mask as the first action in response to variable decelerations?
Exacerbation of decelerations
How should a nurse handle emergency situations involving a pregnant woman who refuses necessary surgical interventions?
Support the client's legal right to refuse treatment
Why might repositioning the woman be an effective initial response to variable decelerations?
To alleviate umbilical cord compression
What misconception might arise if a nurse increases the IV rate as the first action when dealing with variable decelerations?
It can worsen fetal heart rate patterns
Study Notes
Maternal Newborn Maternal Child Health Nursing
Water Intoxication
- Water intoxication is a risk for clients who receive oxytocin over a long period of time
- Oxytocin molecule is similar in structure to the antidiuretic hormone (ADH) molecule
- The body retains fluids in response to the medication much like it would in response to ADH
- Nurses should carefully monitor intake and output when clients are induced with oxytocin
Fetal Heart Rate
- A sinusoidal fetal heart pattern may be observed while analyzing a fetal heart tracing of a newly admitted client
- This warrants notification of the practitioner
- Fetal heart rate decelerations can occur due to umbilical cord compression
- Changing the mother's position may resolve the decelerations
Labor and Delivery
- Induction is contraindicated in transverse lie
- Prolonged labor is not associated with maternal illicit drug use
- Placental abruption is associated with maternal illicit drug use
- Substance abuse is not a contraindication for analgesic medication in labor
Nursing Interventions
- In the event of a woman suddenly developing an amniotic fluid embolism during labor, the nursing care outcome may include the client exhibiting normal breathing function at discharge
- In the event of a client experiencing dypsnea and cyanosis during oxytocin induction, the priority nursing intervention is to stop the oxytocin infusion
- If a client is experiencing a sinusoidal fetal heart pattern, the nurse should notify the practitioner
- If a client is experiencing severe variable decelerations, the nurse should reposition the woman first
Medication Administration
- When administering oxytocin, the nurse must determine the number of milliunits in 1,000 mL of fluid and calculate the mL per hour for the infusion pump
- 10 units in 1,000 mL = 10,000 milliunits in 1,000 mL
Prepare for the Maternal Newborn Maternal Child Health Nursing ATI Proctored Exam with this practice quiz. Test your knowledge on key concepts and topics in Maternal Newborn and Maternal Child Health Nursing.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
