ATI LPN
ATI LPN Maternity OB Cohort 65 Exam Questions
Extract:
Client is a 26-year-old gravida 3 para 2 at 39 weeks gestation being induced for oligohydramnios. No significant social or medical history. Only complication is oligohydramnios. Previously delivered a 7-pound, 5-ounce infant vaginally without complications. Upon admission: 1 cm, 40% effaced, -2 station. No bloody show. Induced via Foley bulb induction. At 1200: 6 cm, 70% effaced, 0 station, membranes intact. Contractions every 2-3 min, strong. Fetal heart rate 140-145/min with average variability, drops to 100/min with contractions, lasts 20 sec, returns to baseline within 30 sec. Vital Signs at 1000: BP 122/74 mm Hg, HR 98/min, RR 20/min, Temp 36.7°C (98.1°F), O2 sat 99% on room air.
Question 1 of 5
The nurse is preparing to assist the nurse midwife with an amnioinfusion. The patient asks, 'Why do I need this?' The best response by the nurse is:
Correct Answer: B
Rationale: Amnioinfusion adds sterile fluid to the uterus to relieve umbilical cord compression, common in oligohydramnios, which can cause fetal distress by allowing the baby to compress the cord.
Extract:
Question 2 of 5
A nurse is discussing intermittent fetal heart monitoring with a newly licensed nurse. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Assessing the fetal heart rate after a contraction is crucial to identify decelerations or baseline changes that may indicate fetal distress, ensuring accurate monitoring during labor.
Extract:
Client receiving oxytocin for labor induction.
Question 3 of 5
A major responsibility of the nurse caring for a patient receiving oxytocin for labor induction is to
Correct Answer: B
Rationale: Tachysystole, defined as more than 5 contractions in 10 minutes, is a critical complication of oxytocin that can lead to fetal distress, making it a primary monitoring responsibility.
Extract:
Client admitted for preterm labor, receiving magnesium sulfate, respiratory rate 8/min.
Question 4 of 5
A nurse is assisting with monitoring a client who is admitted for preterm labor and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?
Correct Answer: B
Rationale: A respiratory rate of 8/min indicates magnesium toxicity, and calcium gluconate is the antidote to reverse this toxicity by counteracting the effects of excessive magnesium.
Extract:
Question 5 of 5
The 5 factors that affect and define the labor and birth process are:
Correct Answer: B
Rationale: The five factors—passenger (fetus/placenta), passageway (birth canal), powers (contractions), position (maternal), and psychological response (emotional state)—comprehensively define the labor process.