ATI RN
Comfort During Labor Questions
Question 1 of 5
What action is appropriate for a doula during labor?
Correct Answer: A
Rationale: A doula's role during labor is to provide emotional, physical, and informational support to the mother. Giving the mother a back rub is a key action for a doula during labor because it helps to relieve tension, promote relaxation, and provide comfort to the mother. This physical support can help the mother cope with the intensity of labor and manage pain more effectively. Assessing the fetal heart rate, checking the blood pressure, and regulating the intravenous are tasks typically performed by medical professionals such as doctors, nurses, or midwives. These tasks require specialized training and expertise to ensure the safety and well-being of both the mother and baby during labor. It is not within the scope of practice for a doula to perform these medical tasks. Therefore, giving the mother a back rub is the most appropriate action for a doula during labor as it aligns with their role of providing comfort and support to the mother. It is important for doulas to understand their role and limitations in order to provide the best possible care for the mother during labor.
Question 2 of 5
What is the correct order of cardinal moves of labor?
Correct Answer: A
Rationale: The correct order of cardinal moves of labor is internal rotation, extension, external rotation (Answer A). Firstly, internal rotation occurs when the baby's head rotates so that the widest part of the head aligns with the widest part of the pelvis. This movement helps the baby navigate through the birth canal more easily. Next, extension takes place as the baby's head extends as it passes under the mother's pubic bone. This movement allows the baby's head to move through the pelvis and be born. Finally, external rotation occurs as the baby's head rotates back to its original position, allowing the shoulders to be born. This movement facilitates the safe delivery of the baby. Now, let's discuss why the other options are incorrect: Option B (External rotation, descent, extension) is incorrect because descent typically occurs before external rotation. Descent refers to the baby's movement down the birth canal, which usually happens before external rotation. Option C (Extension, flexion, internal rotation) is incorrect because flexion typically occurs before extension. Flexion is when the baby's head is tucked into its chest, allowing it to pass through the birth canal more easily. Extension follows flexion. Option D (External rotation, internal rotation, expulsion) is incorrect because internal rotation generally occurs before external rotation. Internal rotation is necessary for the baby's head to align with the pelvis before external rotation occurs, leading to expulsion (birth). In conclusion, the correct order of cardinal moves of labor is internal rotation, extension, external rotation, making Answer A the correct choice.
Question 3 of 5
A nurse is teaching a client who is at 6 weeks of gestation about common discomforts of pregnancy. Which findings should the nurse include? (Select all that apply.)
Correct Answer: D
Rationale: Dysuria is a common discomfort of pregnancy that the nurse should include in the teaching for a client who is at 6 weeks of gestation. Dysuria refers to pain or discomfort during urination, which can be caused by hormonal changes or urinary tract infections common in pregnancy. It is important for the client to be aware of this discomfort so they can seek appropriate medical attention if needed to prevent complications. Breast tenderness is also a common discomfort of pregnancy that the nurse should include in the teaching. Hormonal changes can cause the breasts to become tender, swollen, or sensitive, which is a normal symptom of pregnancy. It is important for the client to know that this discomfort is common and typically resolves on its own. Urinary frequency is another common discomfort of pregnancy that the nurse should discuss with the client. Hormonal changes and the growing uterus can put pressure on the bladder, leading to increased urination frequency. It is important for the client to stay hydrated but also be aware of the need to empty their bladder frequently to avoid urinary tract infections. Epistaxis, or nosebleeds, is not a common discomfort of pregnancy that the nurse should include in the teaching. While hormonal changes can cause increased blood flow to the mucous membranes, leading to nasal congestion, nosebleeds are not typically listed as a common discomfort of pregnancy. The nurse should focus on more common discomforts that the client is likely to experience. In conclusion, dysuria, breast tenderness, and urinary frequency are common discomforts of pregnancy that the nurse should include in the teaching for a client who is at 6 weeks of gestation. Epistaxis is not a common discomfort of pregnancy and should not be included in the teaching.
Question 4 of 5
The physician performs an ultrasound to confirm the pregnancy and also dates the pregnancy at 10 3/7 weeks gestation. While providing client education, the nurse makes sure to include that which symptom is considered a normal finding at this point in pregnancy?
Correct Answer: D
Rationale: At 10 3/7 weeks gestation, urinary frequency is considered a normal finding in pregnancy due to hormonal changes causing increased blood flow to the kidneys. This results in the kidneys producing more urine, leading to more frequent urination. This symptom is common in early pregnancy and typically resolves as the pregnancy progresses. Option A, diarrhea, is not typically considered a normal finding in early pregnancy. Diarrhea can be a symptom of various conditions such as food poisoning or gastrointestinal issues, but it is not a common symptom of pregnancy unless it is associated with other symptoms. Option B, leg cramps, are not specifically related to pregnancy at 10 3/7 weeks gestation. Leg cramps are more commonly associated with factors like dehydration, electrolyte imbalances, or poor circulation. While some pregnant women may experience leg cramps later in pregnancy due to changes in blood flow and pressure on nerves, it is not a common symptom in early pregnancy. Option C, occipital headache, is also not typically associated with early pregnancy. Headaches can occur in pregnancy due to hormonal changes, stress, dehydration, or fatigue, but occipital headaches specifically are not a common symptom of pregnancy at 10 3/7 weeks gestation. It is important to monitor headaches during pregnancy as they can sometimes be a sign of more serious conditions like preeclampsia.
Question 5 of 5
The nurse is explaining to the nursing student that amniotic fluid helps the fetus to maintain a normal body temperature and: (Select all that apply)
Correct Answer: C
Rationale: Amniotic fluid plays a crucial role in the development and protection of the fetus during pregnancy. One of the key functions of amniotic fluid is to promote the adherence of fetal lung tissue to the chest wall. This is important because it helps the lungs to properly develop and function after birth. Option A is incorrect because while amniotic fluid does provide some protection and cushioning for the fetus, it does not serve as a primary source of nutrition. The fetus receives its nutrients through the placenta. Option B is incorrect because amniotic fluid does not directly influence the growth of the fetal limbs. Limb growth is primarily determined by genetic factors and the fetus's overall development. Option D is incorrect because while amniotic fluid can help the fetus to develop muscle tone through movement and exercise in the womb, it is not the primary factor in promoting muscle tone development. Muscle tone development is influenced by genetic factors and the fetus's overall health and development.