ATI RN
labor and delivery questions and answers Questions
Question 1 of 5
What anticipatory guidance should the nurse provide for new parents regarding sociologic changes?
Correct Answer: D
Rationale: The correct answer is D: Prepare them for possible strains on relationships. This guidance is important as the arrival of a newborn can bring significant changes to the dynamics of a relationship. By preparing new parents for possible strains on relationships, the nurse can help them navigate challenges together. A: Incorrect. Roles are likely to change at home with the addition of a newborn, so it is important to address this rather than dismissing it. B: Incorrect. Stressors may actually increase with the arrival of a newborn, so it is not accurate to say stresses will be over. C: Incorrect. Ignoring household changes can lead to added stress, so it is not advisable to tell parents not to stress over them. In summary, option D is correct as it addresses the potential strains on relationships that new parents may face, while the other options do not acknowledge the reality of sociologic changes that can occur.
Question 2 of 5
The nurse is directing an unlicensed assistive personnel (UAP) to obtain maternal vital signs between contractions. Which statement is the appropriate rationale for assessing maternal vital signs between contractions raNtheRr thaIn aGt anBot.heCr inMterval? U S N T O
Correct Answer: D
Rationale: The correct answer is D. During contractions, maternal circulating blood volume increases temporarily due to the compression of blood vessels. Therefore, assessing vital signs between contractions provides a more accurate baseline measurement. Choice A is incorrect because vital signs taken during contractions may be affected by the pain and stress of labor. Choice B is incorrect as fetal heart rate assessment is a separate priority. Choice C is incorrect as maternal blood flow to the heart actually increases during contractions to ensure adequate oxygen supply.
Question 3 of 5
Pregnant patients can usually tolerate the normal blood loss associated with childbirth because of which physiologic adaptation to pregnancy?
Correct Answer: C
Rationale: The correct answer is C: Increased blood volume. During pregnancy, blood volume increases by about 40-50% to support the growing fetus and prepare for potential blood loss during childbirth. This increased blood volume helps pregnant patients tolerate the normal blood loss during delivery. A higher hematocrit (choice A) could indicate dehydration, not increased blood volume. Increased leukocytes (choice B) are related to the immune response, not blood loss tolerance. A lower fibrinogen level (choice D) could lead to increased bleeding risk, not tolerance to blood loss.
Question 4 of 5
Which factor ensures that the smallest anterior-posterior diameter of the fetal head enters the pelvis?
Correct Answer: B
Rationale: Flexion is the correct answer. During labor, fetal head flexion allows the smallest anterior-posterior diameter of the head to enter the pelvis first, reducing the risk of cephalopelvic disproportion. Station refers to the level of the presenting part in the maternal pelvis, not the head orientation. Descent is the downward movement of the fetus in the birth canal, not related to head position. Engagement occurs when the widest part of the presenting part reaches the level of the maternal ischial spines, not specifically related to the orientation of the fetal head.
Question 5 of 5
The nurse is assessing a patient in the active phase of labor. What should the nurse expect during this phase?
Correct Answer: C
Rationale: During the active phase of labor, contractions become stronger and more frequent, leading to cervical dilation. This is when the patient typically experiences the urge to push as the cervix reaches around 7-10 cm dilation. This signifies progress towards the second stage of labor. Choices A, B, and D are incorrect as they do not specifically align with the characteristics of the active phase of labor. A patient may exhibit a range of emotions and behaviors during labor, but the key indicator of the active phase is the urge to push due to cervical dilation.