ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
Which stage of labor is characterized by cervical dilation from 4-10 cm?
Correct Answer: A
Rationale: The correct answer is A: First stage. This stage of labor is characterized by cervical dilation from 4-10 cm. During this stage, the cervix prepares for childbirth by thinning and opening up to allow the baby to pass through the birth canal. The first stage is further divided into early labor (0-4 cm dilation) and active labor (4-10 cm dilation). It is crucial for monitoring progress and determining when to move to the next stage of labor. The other choices are incorrect because the second stage is characterized by pushing and delivery of the baby, the third stage is delivery of the placenta, and the fourth stage is the postpartum period immediately after delivery.
Question 2 of 5
What is the most common type of anesthesia used during labor?
Correct Answer: A
Rationale: The correct answer is A: Epidural. Epidural anesthesia is the most common type used during labor because it provides pain relief while allowing the mother to remain awake and actively participate in the delivery. It works by blocking nerve signals in the lower spine, numbing the lower half of the body. This allows the mother to have a more comfortable labor experience without losing consciousness. Spinal anesthesia (
B) is similar but is typically used for cesarean sections. General anesthesia (
C) is rarely used during labor due to the potential risks to the baby. Local anesthesia (
D) is not commonly used for labor as it only numbs a small area and is not sufficient for the pain relief needed during childbirth.
Question 3 of 5
Which of the following is a potential complication of a vaginal delivery?
Correct Answer: A
Rationale: The correct answer is A: Shoulder dystocia. This is a potential complication of vaginal delivery where the baby's shoulder gets stuck behind the mother's pubic bone. It can lead to serious complications for both the mother and the baby, such as brachial plexus injury or fetal hypoxia. Shoulder dystocia requires immediate intervention to prevent harm. Placenta previa (
B) and umbilical cord prolapse (
C) are complications related to the placenta and umbilical cord, not the delivery process itself. Cephalopelvic disproportion (
D) refers to the mismatch between the size of the baby's head and the mother's pelvis, which may lead to difficulties in labor but is not a direct complication of vaginal delivery.
Question 4 of 5
What is the recommended method of contraception for a woman who is breastfeeding?
Correct Answer: D
Rationale: The correct answer is D: Progestin-only pills. Progestin-only pills are recommended for breastfeeding women as they do not affect milk supply. These pills are safe to use during lactation and have minimal impact on the infant. Combined oral contraceptives (
A) are not recommended due to potential negative effects on milk supply. Depo-Provera injection (
B) may also decrease milk supply. Copper IUD (
C) is generally safe but may cause heavier periods. Progestin-only pills (
D) are the most suitable option for breastfeeding women due to their minimal impact on milk production and infant health.
Question 5 of 5
Which of the following is a potential complication of a cesarean delivery?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Postpartum hemorrhage can occur due to surgical trauma, infection can develop at the incision site, and deep vein thrombosis (DVT) can result from immobility post-surgery. Choosing A, B, or C alone would be incorrect as cesarean delivery carries risks of all these complications. Selecting E, F, or G is incorrect due to lack of relevance to cesarean delivery complications.