ATI RN
Framing Comfort During the Childbirth Process Questions
Question 1 of 5
Increased blood volume during pregnancy leads to:
Correct Answer: C
Rationale: During pregnancy, the body undergoes several physiological changes to accommodate the growing fetus. One of these changes is an increase in blood volume. This increased blood volume is essential to support the needs of both the mother and the developing baby. Choice A, decreased oxygen delivery to the placenta, is incorrect. Increased blood volume actually enhances oxygen delivery to the placenta, ensuring that the fetus receives an adequate oxygen supply for growth and development. Choice B, iron-deficiency anemia, is also incorrect. While pregnant women are at an increased risk of developing anemia due to the higher demands for iron, the increased blood volume during pregnancy is not the cause of iron-deficiency anemia. Rather, it is due to the body's increased need for iron to support the production of red blood cells. Choice D, plasma fibrin and fibrinogen increase, is incorrect. Increased blood volume during pregnancy does not directly lead to an increase in plasma fibrin and fibrinogen. These changes in blood clotting factors are more related to the body's response to pregnancy and are not directly caused by the increase in blood volume. The correct answer, choice C, physiological anemia of pregnancy, is the most accurate. This type of anemia is a normal adaptation to pregnancy and is characterized by a relative decrease in hemoglobin and hematocrit levels despite the increase in blood volume. This type of anemia is considered physiological because it is a natural response to the changes that occur during pregnancy and is not typically associated with any negative health outcomes for the mother or baby.
Question 2 of 5
On completing a fundal assessment, the nurse notes the fundus is situated on the client's right abdomen. Which of the following actions is appropriate?
Correct Answer: A
Rationale: A fundal assessment is performed to assess the position and height of the uterus in the postpartum period. In a normal postpartum period, the fundus should be located midline and at or slightly below the umbilicus. If the fundus is located on the right abdomen, this may indicate a full bladder pushing the uterus to the side. Option A: Asking the client to empty her bladder is the appropriate action in this situation. A full bladder can displace the uterus and cause it to deviate from its normal position. Once the client empties her bladder, the fundus may return to the midline position. Option B: Straight catheterizing the client immediately is not necessary in this scenario. Unless the client is unable to empty her bladder on her own or experiencing urinary retention, straight catheterization should not be the first intervention. Option C: Calling the client's health provider for direction is not the most immediate action needed in this situation. Emptying the bladder can be done by the nurse without requiring direction from the health provider. Option D: None of the above is incorrect because the appropriate action in this situation is to ask the client to empty her bladder. Ignoring the displaced fundus could lead to inaccurate assessment findings and potentially delay appropriate interventions if needed.
Question 3 of 5
Which nursing intervention for a formula-feeding postpartum client will hinder milk production?
Correct Answer: B
Rationale: The correct answer is B. Wearing a tight-fitting bra can hinder milk production in a formula-feeding postpartum client. Here's why: A: Using warm compresses on her breasts (Choice A) is actually a helpful nursing intervention as it can help stimulate milk production. Warm compresses can help increase blood flow to the breasts, which can lead to increased milk production. B: Wearing a tight-fitting bra (Choice B) can compress the breasts and restrict milk flow. This can lead to engorgement and decrease milk production. It is important for postpartum clients to wear a supportive but not overly tight bra to allow for proper milk production. C: Massaging her breast while in the shower (Choice C) is another beneficial nursing intervention. Breast massage can help with milk letdown and can also help prevent clogged ducts. It is a good practice for postpartum clients to incorporate breast massage into their routine. D: Wearing a loose-fitting bra (Choice D) is also a good choice for a formula-feeding postpartum client. A loose-fitting bra can provide support without constricting the breasts, allowing for proper milk production. It is important for postpartum clients to wear bras that are comfortable and do not impede milk flow. In conclusion, wearing a tight-fitting bra (Choice B) is the nursing intervention that will hinder milk production in a formula-feeding postpartum client. The other choices (using warm compresses, massaging the breasts, and wearing a loose-fitting bra) are all beneficial interventions that can support milk production.
Question 4 of 5
One example that may be used is that untreated gonorrhea may be associated with:
Correct Answer: A
Rationale: Untreated gonorrhea can lead to various complications, one of which is infertility. When left untreated, gonorrhea can cause pelvic inflammatory disease (PID) in women and epididymitis in men, which can result in scarring of the reproductive organs. This scarring can block the fallopian tubes in women or the sperm ducts in men, leading to infertility. Therefore, it is crucial to treat gonorrhea promptly to prevent long-term consequences like infertility. Skin eruptions (choice B) are not a common symptom or complication of untreated gonorrhea. Gonorrhea primarily affects the genital tract and can cause symptoms such as painful urination, discharge, and pelvic pain, rather than skin eruptions. Paralysis (choice C) is not associated with gonorrhea. Gonorrhea is a sexually transmitted infection caused by bacteria, whereas paralysis is a neurological condition that can be caused by various factors such as trauma, infections like polio, or autoimmune disorders. Psychosis (choice D) is also not a known complication of gonorrhea. Psychosis refers to a severe mental disorder characterized by a loss of contact with reality, while gonorrhea primarily affects the reproductive system and does not directly impact mental health. In conclusion, the correct answer is A (infertility) because untreated gonorrhea can lead to pelvic inflammatory disease and scarring of the reproductive organs, resulting in infertility. Skin eruptions, paralysis, and psychosis are not typical complications of gonorrhea.
Question 5 of 5
A woman is in active labor and is being monitored electronically. She has just received Stadol 2 mg IM for pain. Which of the following fetal heart responses would the nurse expect to see on the internal monitor tracing?
Correct Answer: C
Rationale: C: Decreased variability is the correct answer in this scenario. Stadol (butorphanol) is an opioid agonist-antagonist analgesic that can cross the placenta and affect the fetus. Opioids can cause central nervous system depression in the fetus, leading to a decrease in fetal heart rate variability. Fetal heart rate variability is an important indicator of fetal well-being, as it reflects the autonomic nervous system's ability to respond to stimuli. A decrease in variability can be a sign of fetal distress and should be closely monitored. A: Variable decelerations are not typically associated with the administration of Stadol. Variable decelerations are often caused by cord compression or umbilical cord issues, not by opioid administration. B: Late decelerations are also not directly related to the administration of Stadol. Late decelerations are usually a sign of uteroplacental insufficiency or decreased oxygen supply to the fetus, not opioid effects. D: Transient accelerations are a reassuring sign on a fetal heart rate tracing and are not typically affected by the administration of Stadol. Accelerations are generally a sign of fetal well-being and a response to fetal movement or stimulation.