ATI RN
Promoting patient comfort during labor and birth questions quizlet Questions
Question 1 of 5
A patient who is receiving oxytocin (Pitocin) infusion for the augmentation of labor is
Correct Answer: A
Rationale: The correct answer is A because the priority intervention for a patient receiving oxytocin infusion for labor augmentation is to monitor fetal heart rate and uterine contractions. This is essential to ensure the safety of both the mother and the baby. Increasing the rate of Pitocin infusion (B) can lead to hyperstimulation and fetal distress. Providing oxygen and changing position (C) may be helpful in some situations but are not the priority. Stopping the Pitocin infusion (D) should only be done if there are signs of fetal distress or other complications.
Question 2 of 5
The pregnant patient expresses a desire to schedule birth during the baby's father's furlough
Correct Answer: C
Rationale: The correct answer is C: Fetal lung maturity. It is essential to determine fetal lung maturity before induction of labor to ensure that the baby's lungs are developed enough to breathe outside the womb. This is important for the baby's well-being and can help prevent complications. Rationale: 1. Fetal lung maturity is crucial for the baby's ability to breathe independently. 2. Inducing labor without ensuring fetal lung maturity can lead to respiratory distress syndrome in the newborn. 3. A dilated cervix is important for labor progression but does not directly impact the baby's lung maturity. 4. Rupture of membranes may indicate potential labor but does not address the baby's lung development.
Question 3 of 5
A laboring patient is 10 cm dilated; however, she does not feel the urge to push. The nurse understands that according to laboring down, the advantages of waiting until an urge to push are which of the following? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Less maternal fatigue. Waiting for the urge to push during laboring down helps conserve the mother's energy and prevents exhaustion. Pushing without the urge can lead to ineffective pushing efforts, increasing maternal fatigue. Incorrect choices: B: Less birth canal injuries - Pushing without the urge may increase the risk of birth canal injuries due to ineffective pushing efforts. C: Decreased pushing time - Pushing without the urge may actually prolong pushing time as the efforts may be less effective. D: Faster descent of the fetus - Pushing without the urge may not necessarily result in faster descent of the fetus and can lead to prolonged labor.
Question 4 of 5
The nurse is monitoring a patient in the active stage of labor. Which conditions associated with fetal compromise should the nurse monitor? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Maternal hypotension. Maternal hypotension can lead to decreased perfusion to the placenta, compromising fetal oxygenation. Other choices are incorrect. B: A fetal heart rate of 140 to 150 bpm is within the normal range during labor. C: Meconium-stained amniotic fluid may indicate fetal distress but is not a direct condition associated with fetal compromise. D: Maternal fever can indicate infection but does not directly indicate fetal compromise in the active stage of labor.
Question 5 of 5
Induction of labor is considered an acceptable obstetric procedure if it is a safe time to deliver the fetus. The charge nurse on the labor and birth unit is often asked to schedule patients for this procedure and therefore must be cognizant of the specific conditions appropriate for labor induction, including which of the following? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Postterm pregnancy. Induction of labor is considered appropriate for postterm pregnancies to prevent potential complications for the mother and fetus. Postterm pregnancy is defined as a pregnancy that extends beyond 42 weeks gestation, increasing the risk of stillbirth and other adverse outcomes. Therefore, inducing labor in postterm pregnancies can help to ensure the well-being of both the mother and fetus. Rationale for Incorrect Choices: A: Fetal death - Induction of labor is not appropriate in cases of fetal death as there is no live fetus to deliver. C: Rupture of membranes at or near term - Rupture of membranes alone does not always necessitate induction of labor unless there are other medical indications. D: Convenience of the patient or her health care provider - Induction of labor should not be performed for convenience but rather for medical reasons to ensure the safety of the mother and fetus.