ATI RN
Intrapartum Complication Questions
Question 1 of 4
What complication makes uterine inversion an emergency?
Correct Answer: A
Rationale: The correct answer is A: shock. Uterine inversion is an emergency due to the risk of shock. When the uterus turns inside out, it can lead to severe bleeding and disruption of blood flow, causing hypovolemic shock. This can be life-threatening if not promptly addressed. Pain (choice B) and retained placenta (choice C) are potential complications of uterine inversion but do not pose the immediate threat of shock. Hypertension (choice D) is not directly related to the urgency of uterine inversion.
Question 2 of 4
The nurse is monitoring a patient who has been in prolonged labor. Which assessment finding will result in the nurse notifying the health care provider about the development of an emergent situation requiring a cesarean delivery?
Correct Answer: C
Rationale: The correct answer is C: Recognition of a Category II fetal heart rate pattern. This indicates fetal distress and potential compromise to the baby's well-being, necessitating immediate intervention like a cesarean delivery to prevent adverse outcomes. A: Maternal hypotension may require intervention but is not an emergent indication for a cesarean section. B: Maternal exhaustion can be managed with support and rest, not an immediate indication for cesarean delivery. D: Maternal fever may indicate infection but does not necessarily require cesarean delivery unless it poses a significant risk to the baby.
Question 3 of 4
The nurse in the post-delivery unit is encouraging skin-to-skin contact for a mother and neonate after cesarean delivery. Which action, if noticed by the nurse, requires immediate intervention by the nurse?
Correct Answer: B
Rationale: B is the correct answer because having the mother in a supine position with the neonate prone on her chest can potentially increase the risk of neonatal suffocation or accidental injury due to the baby slipping off. This position restricts the baby's ability to breathe properly and may lead to adverse outcomes. A: Sitting up with the neonate prone on her chest allows for better supervision and support for the baby's breathing. C: The neonate facing to the side is a safe position for skin-to-skin contact and breastfeeding. D: Neonate resting in semi-Fowler's position is a safe and comfortable position that allows for proper breathing and bonding between mother and baby.
Question 4 of 4
A nurse has recently transferred to a labor and delivery unit. During a scheduled cesarean, the nurse notices a prescription for the administration of 1,000 mL of prewarmed IV fluid. For which reason does the health care provider prescribe the fluid in this manner? Select all that apply.
Correct Answer: A
Rationale: Step 1: IV fluid is prewarmed to prevent hypothermia in the mother during cesarean delivery, which can occur due to exposure to cold operating room environment. Step 2: Hypothermia in the mother can lead to adverse outcomes such as increased blood loss, delayed wound healing, and increased risk of infection. Step 3: Maintaining maternal normothermia through prewarmed IV fluids is crucial for optimal maternal outcomes during cesarean delivery. Summary: - B: Improved neonatal umbilical arterial pH is not directly related to prewarmed IV fluid administration. - C: Apgar scores are primarily influenced by factors like neonatal resuscitation and immediate care, not IV fluid temperature. - D: Prewarmed IV fluid administration is more about preventing hypothermia in the mother rather than decreasing the risk for maternal shock.