ATI RN
Intrapartum Complications Nursing Questions
Question 1 of 5
How much blood loss must occur to define the loss as a postpartum hemorrhage?
Correct Answer: B
Rationale: The correct answer is B (500 mL) for defining postpartum hemorrhage. This amount is used as the threshold because it represents a significant loss that may lead to maternal complications. Excessive bleeding after childbirth can quickly become life-threatening, so it is crucial to define postpartum hemorrhage accurately. Choices A (250 mL), C (750 mL), and D (1,000 mL) are incorrect as they do not align with the standard definition of postpartum hemorrhage, which is typically considered when blood loss exceeds 500 mL.
Question 2 of 5
The nurses in a labor and delivery unit are concerned about the high incidence of cesarean deliveries at their facility and initiate an internal study. Which is the most likely condition the nurses will recognize as a contributor to the rate of cesarean births?
Correct Answer: D
Rationale: Step 1: Maternal requests for cesarean delivery are a significant contributor to the high incidence of cesarean births. Step 2: Maternal requests may stem from various factors such as fear of labor pain, convenience, or personal preferences. Step 3: Nurses can address this issue by educating women on the risks and benefits of cesarean versus vaginal delivery. Step 4: By understanding and addressing maternal requests, the facility can potentially lower the cesarean delivery rate. Summary: - Choice A is incorrect as high-risk pregnancies do not directly contribute to the rate of cesarean births. - Choice B is incorrect as reviewing cesarean policies alone may not address the underlying issue of maternal requests. - Choice C is incorrect as community education, while important, may not directly impact the rate of cesarean deliveries as compared to addressing maternal requests.
Question 3 of 5
In a research study performed by Schneuder, L., Crenshaw, J., and Gilder, R. (2017), which action by the nurse will be implemented following a cesarean delivery?
Correct Answer: D
Rationale: The correct answer is D: Encourage skin-to-skin contact between the mother and neonate. This action is crucial following a cesarean delivery to promote bonding, regulate the baby's temperature, and facilitate breastfeeding. Skin-to-skin contact also helps stabilize the baby's heart rate, breathing, and blood sugar levels. A: Allowing the birth partner to hand the neonate to the mother may be a good practice but is not as essential as skin-to-skin contact for immediate benefits. B: Assisting the mother and partner to cut the umbilical cord is not typically the nurse's responsibility immediately after a cesarean delivery and does not provide the same benefits as skin-to-skin contact. C: Moving the neonate into the visual field of the mother is important for bonding but does not offer the same physiological benefits as direct skin-to-skin contact.
Question 4 of 5
The nurse is aware that there are multiple classifications for cesarean deliveries. Which situations does the nurse classify as an unscheduled cesarean birth? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C because an unscheduled cesarean birth occurs when the cervix fails to fully dilate after prolonged labor, leading to the need for an emergency cesarean section. This situation poses risks to both the mother and the baby, necessitating immediate intervention. Choice A is incorrect because a previous cesarean delivery does not necessarily mean the current cesarean birth is unscheduled. Choice B is incorrect as evidence of a prolapsed cord with membrane rupture would typically lead to an emergency cesarean delivery but is not the only scenario for unscheduled cesarean birth. Choice D is also incorrect as a preexisting cardiac health condition does not automatically indicate the need for an unscheduled cesarean birth.
Question 5 of 5
The nurse is making a plan of care for a patient who is in the first 24-hour period past a cesarean delivery. Which interventions will the nurse include in regards to medications? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Ensure the availability of naloxone. Naloxone is an opioid antagonist used to reverse the effects of opioid overdose, which could occur if the patient is receiving morphine for pain management post-cesarean delivery. It is essential to have naloxone readily available to counteract any potential opioid-related respiratory depression. A: Continuing a daily stool softener is not directly related to medications typically given post-cesarean delivery and is not a priority in the immediate post-operative period. B: Managing pain with morphine is a common practice post-cesarean delivery, but the focus here is on the intervention related to medication safety, which is ensuring naloxone availability. D: Providing prophylactic antibiotics is important post-cesarean delivery to prevent infection but is not directly related to medication safety in this scenario.