ATI RN
Maternal Monitoring During Labor ppt Questions
Question 1 of 5
A nurse is caring for a postpartum person who is at risk for thrombophlebitis. What is the most important intervention to reduce this risk?
Correct Answer: A
Rationale: The correct answer is A: administer anticoagulants. Anticoagulants help prevent blood clots, reducing the risk of thrombophlebitis. Administering anticoagulants is the most effective intervention for someone at risk. Applying compression stockings (B) can help with circulation but may not be sufficient for someone at high risk. Using a footstool (C) can promote circulation but is not as direct as anticoagulants. Monitoring for signs of DVT (D) is important but not as proactive as administering anticoagulants for prevention.
Question 2 of 5
A nurse is caring for a postpartum person who is at risk for uterine atony. What is the most important action to prevent uterine atony?
Correct Answer: B
Rationale: The correct answer is B: perform uterine massage. Uterine massage helps the uterus contract, reducing the risk of uterine atony by promoting uterine tone and preventing excessive bleeding. It is crucial in preventing postpartum hemorrhage. Administering uterotonic medications (choice A) can also help prevent uterine atony but is not the most important initial action. Performing a vaginal exam (choice C) is not necessary to prevent uterine atony. Monitoring the baby's latch (choice D) is unrelated to preventing uterine atony.
Question 3 of 5
A nurse is preparing a postpartum person for discharge. What is the most important aspect of discharge teaching for a person who has had a cesarean section?
Correct Answer: B
Rationale: The correct answer is B: teach about signs of infection. This is the most important aspect of discharge teaching for a person who has had a cesarean section because infection is a common complication post-surgery. By educating the person on signs of infection such as fever, increased pain, redness, or discharge from the incision site, they can promptly seek medical attention if needed. Ensuring proper incision care (choice A) is important but preventing infection through early detection is crucial. Providing skin-to-skin contact (choice C) is beneficial for bonding but not directly related to post-cesarean care. Assessing for bleeding (choice D) is important but typically done in a healthcare setting post-surgery.
Question 4 of 5
A nurse is assisting with a vaginal delivery. What is the most important intervention when the fetal head begins to crown?
Correct Answer: A
Rationale: The correct answer is A: apply gentle downward pressure. This intervention helps to control the speed of delivery, prevent rapid tearing of the perineum, and reduce the risk of maternal and fetal complications. Applying pressure can also help guide the baby's head to prevent sudden expulsion, allowing for a controlled delivery. Performing perineal massage (B) and assisting with perineal care (C) are important but not the most critical interventions at this stage. Applying a warm compress (D) may provide comfort but does not address the immediate need for controlled delivery.
Question 5 of 5
A nurse is caring for a postpartum person who is at risk for infection. What is the most important intervention to reduce the risk of infection?
Correct Answer: A
Rationale: Correct Answer: A (administer antibiotics) Rationale: 1. Administering antibiotics targets potential infection-causing pathogens directly. 2. Antibiotics help prevent the spread of infection within the body. 3. Prophylactic antibiotics are commonly used postpartum for high-risk individuals. 4. This intervention directly addresses the root cause of infection risk. Summary: B: Applying a sterile dressing is important for wound care but doesn't target systemic infection risk. C: Performing a vaginal exam can introduce pathogens and increase infection risk. D: Administering pain relief is important for comfort but doesn't directly reduce infection risk.