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. This is the priority intervention because a transverse lie is a malpresentation that can lead to complications during labor and delivery. The healthcare provider needs to be informed immediately to determine the best course of action, which may include attempting to manually rotate the baby or preparing for a cesarean section. Performing a vaginal exam (A) can be dangerous and should be avoided in cases of transverse lie. Initiating parenteral therapy (C) and applying oxygen (D) are not priorities in this situation as addressing the malpresentation is more urgent.
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 timing indicate early labor. The nurse should ask about the frequency, duration, and intensity of contractions to assess progression. Choices B and C focus on specific signs of labor but do not address the need for continuous monitoring and assessment like choice A does. Choice D does not address the need to gather specific information about the contraction pattern to determine the appropriate next steps. Therefore, A is the correct choice as it directly addresses the patient's current situation and provides guidance on what information is necessary for appropriate triage.
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: Offer the patient a warm blanket. In the fourth stage of labor, the mother experiences postpartum hemorrhage risk due to uterine atony. Keeping the patient warm helps prevent hypothermia, which can lead to increased bleeding. Ice packs (B) are not indicated as they can cause vasoconstriction and inhibit proper blood flow. Massaging the uterus (C) is appropriate in the third stage of labor to prevent hemorrhage but not in the fourth stage. Delaying breastfeeding (D) is incorrect as early breastfeeding promotes uterine contractions, reducing the risk of postpartum hemorrhage.
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 because some women experience a burst of energy as the body prepares for childbirth. Weight gain (A) is not a typical sign of impending labor, as weight gain usually occurs earlier in pregnancy. Increase in urinary frequency (C) is a common symptom throughout pregnancy and may not specifically indicate impending labor. Dyspnea (D), which is difficulty breathing, is not typically a sign of impending labor unless it is due to specific complications.
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. An anthropoid pelvis is characterized by a long and narrow shape with an anteroposterior diameter greater than the transverse diameter. This type of pelvis resembles the pelvic structure of anthropoid (higher primates) mammals. The other choices are incorrect because: A: Platypelloid pelvis is flat and broad, not long and narrow. B: Android pelvis has a heart-shaped inlet with an android appearance, not a long and narrow shape. D: Gynecoid pelvis is rounded and wider with a transverse diameter greater than the anteroposterior diameter, opposite of the described characteristics.