ATI RN
Maternity Heartbeat Monitor Questions
Question 1 of 5
A woman in labor begins to experience uterine rupture. What is the most important intervention?
Correct Answer: B
Rationale: The correct answer is B: Prepare for an emergency cesarean section. Uterine rupture during labor is a life-threatening emergency requiring immediate surgical intervention to prevent catastrophic outcomes for both the mother and the baby. A cesarean section is the most effective and timely intervention to address the uterine rupture and ensure the safety of both individuals. Administering pain relief medication (A) may be necessary but is not the most urgent intervention. Administering oxygen to the mother (C) can help with oxygenation, but it does not address the underlying issue of uterine rupture. Increasing IV fluid rate (D) may be helpful in some situations but is not the primary intervention needed to manage uterine rupture.
Question 2 of 5
A woman in labor requests an epidural. What should the nurse assess before administering the epidural?
Correct Answer: B
Rationale: The correct answer is B: Maternal blood pressure. Before administering an epidural, it is crucial to assess the maternal blood pressure to ensure it is within the normal range. Hypotension can occur as a common side effect of epidural anesthesia, which can lead to decreased placental perfusion and compromise fetal oxygenation. Assessing maternal blood pressure helps in preventing potential complications. Incorrect choices: A: Cervical dilation - Not directly related to the administration of an epidural. C: Fetal heart rate - Important but not the immediate assessment needed before administering an epidural. D: Maternal temperature - While it is important in general assessment, it is not specifically required before giving an epidural.
Question 3 of 5
A woman in labor begins to experience severe lower abdominal pain and is found to have a ruptured uterus. What is the first intervention the nurse should perform?
Correct Answer: B
Rationale: The correct answer is B: Prepare the patient for immediate surgery. In the case of a ruptured uterus, prompt surgical intervention is crucial to control bleeding, repair the uterus, and prevent further complications such as hemorrhage and infection. Performing surgery is the priority over other interventions like administering fluids, pain relief medications, or performing a vaginal examination, as these actions do not address the immediate life-threatening situation of uterine rupture. Administering IV fluids may be necessary during surgery, and pain relief can be addressed post-operatively. Vaginal examination is contraindicated in cases of suspected uterine rupture as it can exacerbate the bleeding and worsen the condition.
Question 4 of 5
The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk of which condition?
Correct Answer: B
Rationale: The correct answer is B: Blindness. Syphilis infection during pregnancy can lead to congenital syphilis, which can cause a range of complications for the fetus, including blindness. The spirochete that causes syphilis can cross the placenta and affect the developing fetus, leading to various abnormalities. Blindness is a common manifestation of congenital syphilis due to damage to the eyes and optic nerve. The other options are not directly associated with syphilis infection during pregnancy. Diabetes, pneumonia, and hypertension are not typically linked to congenital syphilis and its effects on the fetus. Therefore, the correct answer is B: Blindness.
Question 5 of 5
A pregnant patient with a BMI of 35 is concerned about health effects she and her baby may face during pregnancy. During routine testing, the patient tested negative for sexually transmitted illnesses (STIs) and indicated that she is in a committed, long-term relationship with the child's father. Which of the following is accurate?
Correct Answer: C
Rationale: Rationale: 1. Pregnancy with a high BMI increases the risk of wound infection post-delivery due to delayed wound healing and increased tissue trauma. 2. Negative STI test and committed relationship decrease risks of neonatal blindness and birth injury. 3. Wound infection risk is directly related to BMI and not affected by STI status or relationship status. Summary: A: Incorrect - No connection between STI status or relationship status with neonatal blindness. B: Incorrect - No direct relation between STI status or relationship status with birth injury risk. D: Incorrect - Preeclampsia risk is not influenced by STI status or relationship status.