ATI RN
Intrapartum Complications Nursing Questions
Question 1 of 5
What condition is related to an increased risk for fetal demise?
Correct Answer: A
Rationale: The correct answer is A: diabetes. Diabetes is associated with an increased risk of fetal demise due to complications such as congenital anomalies, macrosomia, and placental insufficiency. High blood sugar levels can lead to adverse effects on the fetus, including stillbirth. Migraine headache (B) and spina bifida (C) are not directly linked to fetal demise. Thyroid disorders (D) can impact pregnancy outcomes but are not specifically associated with an increased risk of fetal demise.
Question 2 of 5
What is a potential risk associated with prolonged second stage labor?
Correct Answer: C
Rationale: The correct answer is C: increased risk of fetal distress. Prolonged second stage labor can lead to decreased oxygen supply to the fetus, causing fetal distress. This can result in adverse outcomes for the baby. Other options are incorrect because prolonged second stage labor is actually associated with an increased risk of instrumental delivery (A), an increased risk of cesarean birth (B), and not rapid delivery (D) as it is a prolonged process.
Question 3 of 5
How much blood loss must occur to define the loss as a postpartum hemorrhage?
Correct Answer: B
Rationale: The correct answer is B (500 mL) for defining postpartum hemorrhage. This amount is used as the threshold because it represents a significant loss that may lead to maternal complications. Excessive bleeding after childbirth can quickly become life-threatening, so it is crucial to define postpartum hemorrhage accurately. Choices A (250 mL), C (750 mL), and D (1,000 mL) are incorrect as they do not align with the standard definition of postpartum hemorrhage, which is typically considered when blood loss exceeds 500 mL.
Question 4 of 5
What condition do restlessness, cyanosis, nasal flaring, orthopnea, and use of accessory muscles indicate?
Correct Answer: A
Rationale: The correct answer is B: alteration in oxygenation. Restlessness, cyanosis, nasal flaring, orthopnea, and the use of accessory muscles are all classic signs of respiratory distress, indicating a problem with oxygenation. Liver failure (A) would typically present with jaundice, ascites, and coagulopathy, not respiratory symptoms. Preterm delivery (C) is related to early labor signs, such as contractions and cervical changes. Gestational diabetes (D) would manifest with symptoms like increased thirst, frequent urination, and fatigue, not respiratory distress.
Question 5 of 5
The nurses in a labor and delivery unit are concerned about the high incidence of cesarean deliveries at their facility and initiate an internal study. Which is the most likely condition the nurses will recognize as a contributor to the rate of cesarean births?
Correct Answer: D
Rationale: Step 1: Maternal requests for cesarean delivery are a significant contributor to the high incidence of cesarean births. Step 2: Maternal requests may stem from various factors such as fear of labor pain, convenience, or personal preferences. Step 3: Nurses can address this issue by educating women on the risks and benefits of cesarean versus vaginal delivery. Step 4: By understanding and addressing maternal requests, the facility can potentially lower the cesarean delivery rate. Summary: - Choice A is incorrect as high-risk pregnancies do not directly contribute to the rate of cesarean births. - Choice B is incorrect as reviewing cesarean policies alone may not address the underlying issue of maternal requests. - Choice C is incorrect as community education, while important, may not directly impact the rate of cesarean deliveries as compared to addressing maternal requests.