ATI RN
Promoting patient comfort during labor and birth questions quizlet Questions
Question 1 of 5
During labor, a patient using hydrotherapy reports feeling faint. What is the nurse's priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Remove the patient from the water. This is the priority intervention because the patient's safety is at risk due to feeling faint. Removing the patient from the water helps prevent potential drowning or injury. Increasing room temperature (choice B) may worsen the patient's condition by increasing heat stress. Providing additional fluids orally (choice C) may not address the immediate risk of fainting. Notifying the physician immediately (choice D) is important, but ensuring the patient's safety by removing them from the water takes precedence.
Question 2 of 5
During a vaginal exam, the nurse identifies that the fetal station is at +2. What does this finding indicate?
Correct Answer: C
Rationale: The correct answer is C because when the fetal station is at +2, it indicates that the presenting part is below the ischial spines. This means the baby's head is 2 cm below the ischial spines, which is a significant milestone in the descent of the fetus through the birth canal. The other choices are incorrect because: A) +2 station indicates descent, not that the fetus is high in the pelvis; B) Ischial spines are at 0 station, not +2; D) Crowning is at +5 station, not +2.
Question 3 of 5
A laboring patient experiences a sudden rupture of membranes and the nurse observes a prolapsed cord. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A: Reposition the patient to relieve pressure on the cord. This is the priority action because a prolapsed cord can lead to fetal compromise due to decreased blood flow. By repositioning the patient to a knee-chest or Trendelenburg position, gravity helps alleviate pressure on the cord. This action is crucial to prevent further compromise to the fetus. Incorrect Choices: B: Immediately prepare the patient for a cesarean delivery - While this may be necessary eventually, the immediate priority is to relieve pressure on the cord. C: Administer oxygen at 10 L/min - Oxygen may be needed, but it is not the priority action in this emergency situation. D: Monitor the fetal heart rate continuously - Monitoring is important, but repositioning the patient to relieve cord compression takes precedence.
Question 4 of 5
Which of the following describes the purpose of Leopold's maneuvers?
Correct Answer: B
Rationale: The purpose of Leopold's maneuvers is to determine the fetal presentation and position. Step 1 assesses the fundal height and shape, indicating the fetal part. Step 2 locates the back or limbs. Step 3 determines the presenting part in the pelvis. Step 4 confirms the presenting part and its mobility. This method helps in identifying the optimal fetal position for delivery. Assessing cervical dilation and effacement (Choice A) is typically done through vaginal examination. Measuring the frequency of contractions (Choice C) and estimating the weight of the fetus (Choice D) are not objectives of Leopold's maneuvers.
Question 5 of 5
The nurse is assisting a patient who wishes to use hydrotherapy during labor. What is the primary benefit of hydrotherapy?
Correct Answer: B
Rationale: The correct answer is B: Increases maternal relaxation. Hydrotherapy during labor helps relax the mother by reducing stress, anxiety, and pain perception, promoting a sense of well-being. Relaxation can lead to better pain management and overall labor experience. Choice A is incorrect because hydrotherapy may not directly accelerate cervical dilation. Choice C is incorrect as it may reduce discomfort but does not necessarily prevent perineal trauma. Choice D is incorrect as the duration of labor can vary and is not solely determined by hydrotherapy.