ATI RN
Intrapartum Complications Questions
Question 1 of 5
The nurse documents a prenatal patient’s GTPAL as G5T2P1A1L4. Which obstetric history is consistent with this assessment?
Correct Answer: A
Rationale: Rationale: 1. G5 = Gravida 5 (woman has been pregnant 5 times) 2. T2 = Term births 2 (woman has had 2 full-term pregnancies) 3. P1 = Preterm births 1 (woman has had 1 preterm pregnancy) 4. A1 = Abortions 1 (woman has had 1 abortion) 5. L4 = Living children 4 (woman has 4 living children) Summary: - Choice A is correct as it aligns with the GTPAL components. - Choice B is incorrect because it does not match the number of term and preterm births. - Choice C is incorrect as it does not reflect the number of living children. - Choice D is incorrect as it does not indicate any preterm pregnancies.
Question 2 of 5
A nurse is reviewing the record of a woman who has just been told that she is pregnant. The physician has documented the presence of Goodell’s sign. The nurse determines this sign refers to which of the following?
Correct Answer: A
Rationale: The correct answer is A: A softening of the tip of the cervix. Goodell's sign is a softening of the tip of the cervix, which is one of the early signs of pregnancy due to increased vascularity and edema. This sign is often used by healthcare providers to confirm pregnancy. Rationale: 1. Goodell's sign specifically refers to the softening of the cervix, not any other part of the reproductive system. 2. It is an important early sign of pregnancy due to hormonal changes. 3. Enlargement of the uterus (Choice C) typically occurs later in pregnancy, not as an early sign. 4. A blowing sound corresponding to maternal pulse (Choice B) and softening of the lower uterine segment (Choice D) are not associated with Goodell's sign.
Question 3 of 5
A woman comes to the prenatal clinic because she thinks she is pregnant. Which of the following are probable signs of pregnancy? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C, positive pregnancy test. This is a probable sign of pregnancy because it directly indicates the presence of the pregnancy hormone hCG in the woman's body. Amenorrhea (choice A) and uterine enlargement (choice B) are actually presumptive signs of pregnancy, as they can be caused by factors other than pregnancy. Breast tenderness (choice D) is a possible sign of pregnancy but is not as specific or conclusive as a positive pregnancy test.
Question 4 of 5
What type of dystocia occurs when the fetal head is unable to navigate through the pelvis?
Correct Answer: C
Rationale: The correct answer is C: pelvic dystocia. Pelvic dystocia occurs when the fetal head is unable to navigate through the pelvis due to its size, shape, or orientation. This can lead to prolonged labor and potential complications during delivery. Uterine dystocia (A) refers to abnormalities in uterine contractions, fetal dystocia (B) pertains to issues with the fetus itself, and contraction dystocia (D) involves problems with the strength or coordination of uterine contractions. Pelvic dystocia specifically addresses the anatomical mismatch between the fetal head and maternal pelvis, making it the correct choice in this scenario.
Question 5 of 5
What is a possible complication of uterine tachysystole?
Correct Answer: C
Rationale: Uterine tachysystole is excessive uterine contractions, reducing placental perfusion and causing fetal hypoxia. This can lead to potential complications such as fetal distress and hypoxia. Category I fetal heart rate tracing is typically associated with normal fetal heart rate. Placenta previa is unrelated to uterine tachysystole. Prolapsed cord is a potential complication of uterine hyperstimulation, not tachysystole.