ATI RN
labor and delivery questions and answers Questions
Question 1 of 5
On admission to the labor and birth unit, a 38-year-old female, gravida 4, para 3, at term in early labor is found to have a transverse lie on vaginal examination. What is the priority intervention at this time?
Correct Answer: B
Rationale: The correct answer is B: Notify the health care provider. In the case of a transverse lie, the fetus is positioned sideways in the uterus, which can lead to complications during labor. Notifying the health care provider is crucial as they will need to assess the situation and determine the appropriate course of action, such as attempting to manually rotate the fetus or preparing for a cesarean section if necessary. Performing a vaginal exam (choice A) may not be safe or effective in this situation. Initiating parenteral therapy (choice C) and applying oxygen (choice D) are not the priority interventions in the case of a transverse lie.
Question 2 of 5
A 28-year-old gravida 1, para 0 patient who is at term calls the labor and birth unit stating that she thinks she is in labor. She states that she does have some vaginal discharge and feels wet;
Correct Answer: A
Rationale: The correct answer is A because the patient's irregular contraction pattern and varying duration indicate early labor. By asking the patient about the contraction pattern, the nurse can assess the progression of labor and provide appropriate guidance. Choice B is incorrect because if the patient's membranes have ruptured, she would most likely feel a gush of fluid rather than just feeling wet. Choice C is incorrect as bloody show is not typically a reliable indicator of early labor. Choice D is incorrect as it does not address the need to assess the contraction pattern for progression of labor.
Question 3 of 5
The nurse is planning care for a patient during the fourth stage of labor. Which interventions should the nurse plan to implement? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A because offering the patient a warm blanket helps prevent hypothermia, which can occur due to heat loss during the delivery process. This intervention promotes patient comfort and helps maintain their body temperature. Choice B is incorrect because placing an ice pack on the perineum is typically done in the immediate postpartum period to reduce swelling and discomfort, not during the fourth stage of labor. Choice C is incorrect because massaging the uterus if it is boggy is a postpartum intervention to prevent or treat uterine atony, not typically performed during the fourth stage of labor. Choice D is incorrect because delaying breastfeeding until the patient is rested is not necessary during the fourth stage of labor. Breastfeeding should be initiated as soon as possible after delivery to promote bonding and stimulate milk production.
Question 4 of 5
Which of the following are signs of impending labor? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Surge of energy. This is a sign of impending labor as some women experience a sudden burst of energy before going into labor, known as the "nesting instinct." Weight gain (A) is not a sign of impending labor, but rather a common occurrence throughout pregnancy. Increase in urinary frequency (C) is a common symptom in the third trimester but not a direct sign of labor starting. Dyspnea (D), or shortness of breath, can be a normal pregnancy symptom but is not specifically indicative of impending labor.
Question 5 of 5
A woman’s pelvis is described as long and narrow with an anteroposterior diameter greater than the transverse diameter. This is known as which type of pelvis?
Correct Answer: C
Rationale: The correct answer is C: Anthropoid. In an anthropoid pelvis, the anteroposterior diameter is greater than the transverse diameter, giving it a long and narrow shape. This type of pelvis resembles the pelvis seen in higher primates. The other choices are incorrect because: A: Platypelloid pelvis has a transversely wide and short shape. B: Android pelvis has a heart-shaped inlet with a prominent sacrum and narrow pubic arch. D: Gynecoid pelvis has a round inlet and a wide pubic arch, typically seen in females and ideal for childbirth.