ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
A nurse is caring for a laboring person who is experiencing irregular contractions. What is the priority intervention to address this issue?
Correct Answer: A
Rationale: The correct answer is A: Administer tocolytics. Tocolytics help to inhibit uterine contractions and can be used to address irregular contractions during labor. This intervention helps to prevent preterm labor and promote fetal well-being. Administering analgesics (choice B) may help with pain management but does not address the underlying issue of irregular contractions. Monitoring fetal heart rate (choice C) is important but does not directly address the irregular contractions. Increasing oxytocin infusion (choice D) would worsen the situation by further stimulating contractions. Therefore, administering tocolytics is the priority intervention to address irregular contractions during labor.
Question 2 of 5
A nurse is caring for a postpartum person who is breastfeeding. What is the most important action to support successful breastfeeding?
Correct Answer: B
Rationale: The correct answer is B: support skin-to-skin contact. Skin-to-skin contact immediately after birth helps regulate the baby's body temperature, promotes bonding, and enhances breastfeeding success by stimulating the baby's natural instincts to latch on and feed. This action establishes a strong foundation for successful breastfeeding. Rationale: 1. Skin-to-skin contact promotes bonding and attachment between the parent and baby, creating a supportive environment for breastfeeding. 2. It helps regulate the baby's body temperature, ensuring they are comfortable and more willing to breastfeed effectively. 3. Skin-to-skin contact triggers the baby's natural feeding reflexes, making it easier for them to latch on properly. 4. This action fosters a positive breastfeeding experience for both the parent and baby, setting the stage for successful breastfeeding. Summary: - Choice A: educating on proper latch is important, but skin-to-skin contact is more crucial for establishing successful breastfeeding. - Choice C: promoting frequent feeding is beneficial, but skin-to
Question 3 of 5
A nurse is preparing a laboring person for a cesarean birth. What is the most important action before the procedure?
Correct Answer: A
Rationale: The correct answer is A: administer preoperative medication. Before a cesarean birth, it is crucial to administer preoperative medication to ensure the person's comfort and safety during the procedure. This medication can include pain relief and sedatives to manage anxiety. Administering antibiotics (choice B) is important to prevent infection, but it typically occurs after preoperative medication. Assisting with perineal care (choice C) and applying pressure to the abdomen (choice D) are not necessary steps before a cesarean birth.
Question 4 of 5
A nurse is caring for a postpartum person who is at risk for uterine atony. What is the priority intervention to prevent uterine atony?
Correct Answer: B
Rationale: The correct answer is B: administer an analgesic. This is the priority intervention because pain management helps the person relax, which reduces stress on the uterus and promotes effective contraction to prevent uterine atony. Administering uterotonic medication (choice A) may help contract the uterus but addressing pain first is crucial. Performing uterine massage (choice C) can assist in contracting the uterus but is not the priority intervention. Administering IV fluids (choice D) is important for hydration but does not directly address preventing uterine atony.
Question 5 of 5
A nurse is caring for a laboring person who is in the first stage of labor. What is the most important intervention to support the person during this stage?
Correct Answer: A
Rationale: The correct answer is A: provide non-pharmacological pain relief. During the first stage of labor, it is crucial to prioritize non-pharmacological pain relief techniques such as breathing exercises, massage, and positioning to help manage the discomfort and promote comfort. This approach aligns with the goal of supporting the person's natural labor process and minimizing interventions that could potentially affect the progress of labor. Administering pain relief (B) or analgesics (C) may not be necessary or advisable at this stage unless specifically requested by the laboring person or deemed appropriate by the healthcare provider. Administering IV fluids (D) is important for hydration but is not the most critical intervention during the first stage of labor.