ATI RN
labor and delivery questions and answers Questions
Question 1 of 5
To determine if the patient is in true labor, the nurse would assess for changes in
Correct Answer: D
Rationale: Step-by-step rationale: 1. The pattern of uterine contractions is crucial in determining true labor as true contractions are regular, increasing in frequency, duration, and intensity. 2. Assessing cervical dilation alone may not confirm true labor as some women may have cervical changes without being in active labor. 3. Bloody show may occur in both true and false labor, making it an unreliable indicator. 4. Fetal position and station are important for labor progression but do not definitively confirm true labor. Therefore, by assessing the pattern of uterine contractions, the nurse can accurately determine if the patient is in true labor.
Question 2 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 3 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 4 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.
Question 5 of 5
A 35-year-old gravida 1, para 0 is admitted to the labor and delivery unit. She reports intense rectal pressure. Which stage of labor is probable?
Correct Answer: B
Rationale: The correct answer is B: Second stage. This stage of labor is characterized by full dilation of the cervix and ends with the delivery of the baby. The intense rectal pressure reported by the patient indicates that the baby is descending through the birth canal, which is a hallmark sign of the second stage. In contrast, the first stage, latent (choice A) is characterized by early labor contractions and cervical dilation up to 6 cm. The third stage (choice C) is the delivery of the placenta, and the fourth stage (choice D) is the immediate postpartum period. The key here is recognizing the specific symptom of intense rectal pressure, which aligns with the second stage of labor.