ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
Which stage of labor is characterized by the period between the end of the third stage and the mother's recovery from delivery?
Correct Answer: D
Rationale: The correct answer is D: Fourth stage. The fourth stage of labor is the period immediately following the delivery of the baby and placenta, lasting up to 2 hours. This stage is crucial for monitoring the mother's vital signs and ensuring she recovers from the delivery process. It is characterized by postpartum uterine contractions, monitoring for excessive bleeding, and observing for signs of maternal complications. The first stage refers to the onset of labor until full dilation, the second stage is active labor and delivery of the baby, and the third stage is the delivery of the placenta.
Therefore, the fourth stage is specifically focused on the mother's recovery from delivery, making it the correct choice.
Question 2 of 5
What is the recommended method of pain relief during labor for a woman with a high-risk pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Epidural anesthesia. Epidural anesthesia is the recommended method for pain relief during labor for women with high-risk pregnancies as it provides effective pain relief while allowing the mother to remain conscious and able to actively participate in the birthing process. Epidurals can be adjusted to provide varying levels of pain relief and are considered safe for both the mother and the baby. Spinal anesthesia (
B) is typically used for cesarean sections and may not be suitable for the entire labor process. Intravenous opioids (
C) are less commonly used due to potential side effects on the baby.
Choice D is incorrect as not all methods are recommended for high-risk pregnancies.
Question 3 of 5
Which of the following is a potential complication of a vacuum-assisted delivery?
Correct Answer: C
Rationale: The correct answer is C: Intra-abdominal injury. During a vacuum-assisted delivery, the vacuum extractor can potentially apply excessive force leading to intra-abdominal injury to the mother. This can include injuries to the uterus, bladder, or other abdominal organs. Fetal distress (choice
A) and maternal hemorrhage (choice
B) are potential complications of vacuum-assisted delivery as well, but they are not directly related to the mechanical trauma that can cause intra-abdominal injury.
Therefore, the correct answer is C as it specifically addresses a unique complication associated with vacuum-assisted delivery.
Question 4 of 5
Which of the following is a potential complication of a retained placenta?
Correct Answer: B
Rationale: The correct answer is B: Postpartum hemorrhage. A retained placenta can lead to postpartum hemorrhage due to incomplete delivery of the placenta, causing excessive bleeding. Preeclampsia and gestational diabetes are not directly related to a retained placenta.
Therefore, the correct answer is B.
Question 5 of 5
What is the recommended method of pain relief for a woman who has a perineal laceration after delivery?
Correct Answer: D
Rationale: The correct answer is D, All of the above. After delivery, a woman with a perineal laceration may experience pain and inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Acetaminophen can also provide pain relief without affecting inflammation. Sitz baths can help promote healing and reduce discomfort.
Therefore, using all three methods together can provide comprehensive pain relief and aid in the healing process. Options A, B, and C alone may address specific aspects of pain relief but using all three together offers a more holistic approach to managing postpartum perineal pain.