ATI RN
Monitoring Baby During Labour Questions
Question 1 of 5
A nurse is caring for a postpartum person who is at risk for deep vein thrombosis (DVT). What is the most important intervention to prevent DVT?
Correct Answer: B
Rationale: The correct answer is B: administer IV fluids. IV fluids help maintain adequate hydration which prevents blood from becoming too thick and reduces the risk of clot formation. Adequate hydration also promotes blood circulation, decreasing the risk of DVT. Administering anticoagulants (choice A) is important in managing DVT but is not the most important preventive intervention. Performing leg exercises (choice C) and ensuring early ambulation (choice D) are also beneficial in preventing DVT, but maintaining hydration with IV fluids is the most crucial intervention as it directly addresses the primary factor contributing to DVT formation.
Question 2 of 5
A nurse is assessing a postpartum person for signs of thrombophlebitis. What is the most common sign of thrombophlebitis?
Correct Answer: B
Rationale: The correct answer is B: pain and swelling in the leg. Thrombophlebitis is inflammation of a vein due to a blood clot, commonly occurring in the lower extremities. Pain and swelling are classic symptoms due to the clot obstructing blood flow. Redness and heat may be present but are not as specific. Hardening of the calf is not a common sign. Heat intolerance in the leg is not a typical symptom of thrombophlebitis.
Question 3 of 5
A nurse is assisting a postpartum person with breastfeeding. What is the most important factor for successful breastfeeding?
Correct Answer: B
Rationale: The correct answer is B: proper latch. A proper latch is crucial for successful breastfeeding as it ensures the baby is effectively extracting milk from the breast, preventing nipple soreness and ensuring an adequate milk supply. Without a proper latch, the baby may not receive enough milk, leading to issues such as poor weight gain and frustration for both the baby and the person breastfeeding. Frequent breastfeeding (choice A) is important, but without a proper latch, it may not be effective. Positioning (choice C) is also important, but proper latch takes precedence. Administering oxytocin (choice D) is not necessary for successful breastfeeding and may have side effects.
Question 4 of 5
Which hormone is responsible for converting the endometrium into decidual cells for implantation?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
When preparing to teach a class about prenatal development, the nurse would include information about folic acid supplementation. What is folic acid known to prevent?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.