ATI RN
Pregnancy Assessment Questions Questions
Question 1 of 5
A fetus, descending through the birth canal, is going through the cardinal moves of labor. Please place the following moves in chronological order.
Correct Answer: D
Rationale: In the context of pharmacology education, understanding the cardinal moves of labor is crucial as certain medications can impact labor progression. The correct chronological order of the cardinal moves of labor is D) Internal rotation, A) External rotation, B) Flexion, and C) Extension. The correct answer, D) Internal rotation, occurs when the fetus rotates to align its head with the mother's pelvis, facilitating descent through the birth canal. This move is essential for the optimal passage of the baby during childbirth. Option A) External rotation typically follows internal rotation and involves the fetus rotating further as it moves through the birth canal. This move helps the baby's shoulders navigate the maternal pelvis. Option B) Flexion is when the baby's head flexes towards its chest, allowing the smallest diameter of the head to present first during delivery, aiding in the passage through the birth canal. Option C) Extension is the final move where the baby's head extends as it emerges from the birth canal, enabling the rest of the body to follow smoothly. Understanding the sequence of these cardinal moves is vital for healthcare providers involved in labor and delivery to monitor the progress of labor, anticipate potential complications, and intervene appropriately if necessary. Pharmacology students should grasp this concept to appreciate how medications may impact the natural process of labor and delivery.
Question 2 of 5
Which of the following complications of labor and delivery may develop when a baby enters the pelvis in the LMP position?
Correct Answer: A
Rationale: In the context of pharmacology and pregnancy assessment, understanding the implications of the baby's position in the pelvis during labor and delivery is crucial. The correct answer is A) Cephalopelvic disproportion. This occurs when the baby's head is too large or the pelvis is too small, leading to difficulties in the birthing process. It can result in prolonged labor, increased risk of instrumental delivery, and potential birth injuries. Option B) Placental abruption is incorrect in this scenario as it refers to the premature separation of the placenta from the uterine wall, not related to the baby's position in the pelvis. Option C) Breech presentation involves the baby being positioned feet or buttocks first instead of head first, which is a different scenario from the baby entering the pelvis in the LMP position. Option D) Acute fetal distress can occur due to various reasons during labor, but it is not directly tied to the baby's positioning in the pelvis. Understanding these complications is essential for healthcare providers involved in labor and delivery to anticipate and manage potential risks effectively. Pharmacological interventions may also be impacted by the progress and complications of labor, emphasizing the importance of a comprehensive understanding of pregnancy assessment factors.
Question 3 of 5
A client on the obstetric unit is receiving IV medications per physician’s orders. On rounds the nurse notes that the client’s IV has infiltrated. Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: In this scenario, the correct action for the nurse to take first is to choose option B) Stop the infusion and remove the catheter. This is the most appropriate immediate response to an infiltrated IV as it helps prevent further harm to the patient. Stopping the infusion will prevent any more of the medication from entering the surrounding tissues, reducing the risk of tissue damage, infection, or other complications. Removing the catheter promptly is essential to prevent further infiltration and minimize the potential for adverse effects. The other options are incorrect in this context: A) Determining whether the infusion is a vesicant is important but not the immediate priority when an IV has infiltrated. C) Documenting the occurrence in the medical record is necessary but should be done after addressing the immediate issue. D) Elevating the extremity and monitoring the site can be done after removing the catheter but is not the initial step to take. In an educational context, understanding the correct response to an infiltrated IV is crucial for nurses caring for patients receiving IV medications, especially in high-risk situations like pregnancy. This knowledge ensures patient safety and prevents potential complications associated with IV therapy.
Question 4 of 5
The nurse is obtaining the first postpartum meal for a client who has stated that she practices Mormonism (the Church of Jesus Christ of Latter-Day Saints). Which of the following items should the nurse remove from the clients’ food tray?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Caffeinated coffee. The nurse should remove caffeinated coffee from the client's food tray because Mormons typically abstain from consuming caffeine as part of their religious beliefs. Caffeine is considered a stimulant and is avoided by many members of the Mormon faith. Option B) Cheeseburger, option C) Fried fish, and option D) Pork sausage do not need to be removed from the client's food tray based on religious beliefs. While dietary preferences can vary among individuals, there is no specific restriction within Mormonism against the consumption of cheeseburgers, fried fish, or pork sausage. From an educational standpoint, this question highlights the importance of cultural competence and respecting an individual's religious beliefs and dietary practices in healthcare settings. Understanding and accommodating a patient's cultural and religious preferences can contribute to providing patient-centered care and promoting trust between healthcare providers and patients.
Question 5 of 5
A client, 6 cm and 80% effaced, has just received Demerol (meperidine) 50 mg IV for pain. Which of the following fetal heart changes would the nurse expect to observe on the internal fetal monitor tracing?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) Decrease in variability. Meperidine (Demerol) is an opioid analgesic that can cross the placental barrier and affect the fetus. Opioids can lead to central nervous system depression in both the mother and the fetus, resulting in a decrease in variability on the fetal heart monitor tracing. Variability is an important indicator of fetal well-being, so a decrease in variability can be concerning. Option A) Drop in baseline heart rate is not typically associated with meperidine administration, as opioids usually do not cause a direct drop in the baseline fetal heart rate. Option B) Increase in number of variable decelerations is not a common effect of meperidine. Variable decelerations are usually associated with cord compression, not opioid administration. Option D) Rise in number of early decelerations is also not a typical response to meperidine. Early decelerations are often considered benign and are associated with head compression during contractions. It is crucial for nurses and healthcare providers to understand the effects of medications on both the mother and fetus during pregnancy to provide safe and effective care. Monitoring fetal well-being during labor is essential to ensure timely intervention if any abnormalities are detected, especially when medications like opioids are involved.