RN ATI MATERNAL NEWBORN PROCTORED EXAM (VERSION 9)

ATI Capstone - Maternal Newborn Assessment Questions The nurse is assessing a new mother's efforts to bond with her newly born infant. Identify three (3) factors that can impact effective bonding between mother and infant? • A client’s emotional and physical condition (unwanted pregnancy, adolescent pregnancy, history of depression, difficult pregnancy and birth) • The newborn’s physical condition (prematurity, congenital anomalies) after birth can affect the family’s bonding process. • Culture, age, and socioeconomic level are factors that can influence the bonding process. Bonding can be delayed secondary to maternal or neonatal factors A nurse is providing community education regarding risk factors for ovarian cancer. Identify five (5) risk factors associated with the development of ovarian cancer. (Review the Med Surg RM) • Age greater than 40 years • Nulliparity or first pregnancy after 30 years of age • Family history of ovarian, breast, or genetic mutation for hereditary nonpolyposis colon cancer (HNPCC) • BRCA1 or BRCA2 gene mutations • Diabetes mellitus • Early menarche/late menopause • History of dysmenorrhea or heavy bleeding • Endometriosis • High‑fat diet (possible risk) • Hormone replacement therapy • Use of infertility medications • Older adult clients following surgery for cancer What are risks/possible complications/contraindications for the use of intrauterine contraceptive devices? • Best used by women in a monogamous relationship due to the risks of STIs • Can cause irregular menstrual bleeding • Risk of bacterial vaginosis, uterine perforation, or uterine expulsion • Must be removed in the event of pregnancy • Active pelvic infection, abnormal uterine bleeding, severe uterine distortion; for copper IUD also Wilson’s diseases and copper allergy