ATI RN
Midwifery Practice Questions Questions
Question 1 of 5
An early sign of a ruptured uterus includes
Correct Answer: D
Rationale: The correct answer is D. A ruptured uterus can lead to fetal distress and necessitate a cesarean section. Failure of the cervix to dilate is indicative of a potential uterine rupture, as the uterus may not be able to contract effectively due to the rupture. Maternal dehydration (A), pyrexia (B), and oliguria (C) are not specific signs of a ruptured uterus and may be present in various other conditions. Therefore, failure of the cervix to dilate is the most relevant early sign in this scenario.
Question 2 of 5
Which one of the following statements is CORRECT with regards to precipitate delivery?
Correct Answer: D
Rationale: The correct answer is D because precipitate delivery, characterized by rapid descent and delivery of the baby, can cause cervical lacerations due to the fast and forceful passage of the baby through the birth canal. This can result in tearing of the cervical tissue. Choice A is incorrect because uterine atony is not typically associated with precipitate delivery. Choice B is incorrect as puerperal sepsis is not directly related to the speed of delivery. Choice C is incorrect as the occurrence of precipitate delivery does not guarantee reduced risk of recurrence with prenatal monitoring.
Question 3 of 5
Delivery of the head in a complete breech presentation is usually accomplished through
Correct Answer: B
Rationale: The correct answer is B: Mauriceau-Smellie-Veit. This method involves flexing the hips, extending the thighs, and applying suprapubic pressure to deliver the head in a complete breech presentation. This technique helps to avoid hyperextension of the neck and potential spinal cord injury. The Lovset maneuver (A) is used for delivering the arms in a breech presentation. The Burns Marshall method (C) involves performing an episiotomy and delivering the baby by flexion and traction on the legs. Gentle traction of the neck (D) is not recommended as it can cause spinal cord injury. Mauriceau-Smellie-Veit is the preferred method for safe delivery of the head in a complete breech presentation.
Question 4 of 5
Which one of the following is involved in the management of cord prolapse?
Correct Answer: C
Rationale: The correct answer is C: Placing client on Trendelenburg position. This helps prevent compression of the cord by moving the presenting part off the cord. Placing the client on all fours (choice A) may worsen cord compression. Application of fundal pressure (choice B) is contraindicated as it can further compress the cord. Labor augmentation with oxytocin (choice D) is not indicated in cord prolapse management as it does not address the immediate risk to the fetus. Trendelenburg position is the recommended intervention to alleviate cord compression and improve fetal oxygenation.
Question 5 of 5
Delivery of the head in a breech presentation is usually accomplished through
Correct Answer: C
Rationale: The Mauriceau-Smellie-Veit maneuver is the correct answer for delivering the head in a breech presentation. This maneuver involves applying pressure to the fetal head with the fingers in the mouth to flex the head, guiding it through the pelvis. This technique helps prevent hyperextension of the head and facilitates a safe delivery. The Lovset maneuver involves rotating the fetus to disengage the impacted shoulder, not for delivering the head. The Burns Marshall Method is used for delivering the aftercoming head in a breech presentation. The Reverse woodscrew maneuver is a technique to disimpact a shoulder dystocia, not for delivering the head in a breech presentation.