ATI RN
Framing Comfort During the Childbirth Process Questions
Question 1 of 5
What corresponds to contractions every 3 minutes lasting 60 seconds?
Correct Answer: D
Rationale: Contractions every 3 minutes lasting 60 seconds means there is a contraction for 1 minute followed by a rest period of 2 minutes. This is equivalent to option D, which states contractions lasting 1 minute followed by a 120-second rest period. Option A is incorrect because it describes contractions lasting 60 seconds followed by a 1-minute rest period, which does not match the given scenario of contractions every 3 minutes. Option B is incorrect as it describes contractions lasting 120 seconds followed by a 2-minute rest period, which is not consistent with contractions every 3 minutes lasting 60 seconds. Option C is incorrect because it describes contractions lasting 2 minutes followed by a 60-second rest period, which is not in line with the specified pattern of contractions every 3 minutes lasting 60 seconds. In conclusion, option D is the correct answer as it aligns with the given scenario of contractions every 3 minutes lasting 60 seconds, with a contraction lasting 1 minute followed by a rest period of 2 minutes.
Question 2 of 5
A woman's obstetric history indicates that she is pregnant for the fourth time, and all of her children from previous pregnancies are living. One child was born at 39 weeks of gestation, twin girls were born at 34 weeks of gestation, and the most recent child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system?
Correct Answer: B
Rationale: The correct answer is B: 4-1-2-0-4. Gravidity refers to the total number of pregnancies a woman has had, including the current one. Parity refers to the number of pregnancies that have reached viability. The GTPAL system breaks down a woman's obstetric history into Gravidity, Term births, Preterm births, Abortions/miscarriages, and Living children. In this case, the woman is pregnant for the fourth time, so her gravidity is 4. She has had one term birth (39 weeks gestation), two preterm births (34 and 35 weeks gestation), no abortions/miscarriages, and all her children from previous pregnancies are living. Let's break down each choice: A: 3-1-1-1-3 - Gravidity of 3 is incorrect as the woman is pregnant for the fourth time. - Parity of 1 is correct as she has had one term birth. - Two preterm births are incorrect. - One abortion/miscarriage is incorrect. - Living children of 3 is incorrect. C: 3-0-3-0-3 - Gravidity of 3 is incorrect. - Parity of 0 is incorrect as she has had one term birth. - Three preterm births are incorrect. - No abortions/miscarriages is incorrect. - Living children of 3 is incorrect. D: 4-2-1-0-3 - Gravidity of 4 is correct. - Parity of 2 is incorrect as she has had one term birth. - One preterm birth is correct. - No abortions/miscarriages is correct. - Living children of 3 is incorrect. Therefore, the correct answer is B: 4-1-2-0-4, as it accurately represents the woman's obstetric history.
Question 3 of 5
Increased blood volume during pregnancy leads to:
Correct Answer: C
Rationale: During pregnancy, the body undergoes several physiological changes to accommodate the growing fetus. One of these changes is an increase in blood volume. This increased blood volume is essential to support the needs of both the mother and the developing baby. Choice A, decreased oxygen delivery to the placenta, is incorrect. Increased blood volume actually enhances oxygen delivery to the placenta, ensuring that the fetus receives an adequate oxygen supply for growth and development. Choice B, iron-deficiency anemia, is also incorrect. While pregnant women are at an increased risk of developing anemia due to the higher demands for iron, the increased blood volume during pregnancy is not the cause of iron-deficiency anemia. Rather, it is due to the body's increased need for iron to support the production of red blood cells. Choice D, plasma fibrin and fibrinogen increase, is incorrect. Increased blood volume during pregnancy does not directly lead to an increase in plasma fibrin and fibrinogen. These changes in blood clotting factors are more related to the body's response to pregnancy and are not directly caused by the increase in blood volume. The correct answer, choice C, physiological anemia of pregnancy, is the most accurate. This type of anemia is a normal adaptation to pregnancy and is characterized by a relative decrease in hemoglobin and hematocrit levels despite the increase in blood volume. This type of anemia is considered physiological because it is a natural response to the changes that occur during pregnancy and is not typically associated with any negative health outcomes for the mother or baby.
Question 4 of 5
A nurse is caring for a newborn immediately following birth. Which nursing intervention is the highest priority?
Correct Answer: D
Rationale: Placing the neonate skin-to-skin and covering the head with a cap is the highest priority nursing intervention following birth for several reasons. Firstly, skin-to-skin contact immediately after birth promotes bonding between the newborn and the mother, regulates the baby's temperature, stabilizes their heart rate, and helps establish breastfeeding. This practice also allows for the transfer of beneficial bacteria from the mother to the newborn, which can help boost the baby's immune system. Initiating breastfeeding is important, but it is not the highest priority immediately after birth. While breastfeeding is crucial for the newborn's nutrition and overall health, establishing skin-to-skin contact takes precedence as it provides numerous immediate benefits to the newborn's well-being. Performing the initial bath is not a priority immediately following birth. Delaying the newborn's first bath allows for the retention of vernix, a protective substance that helps moisturize the baby's skin and acts as a barrier against infection. It is recommended to delay the first bath for at least 24 hours to ensure the newborn receives these benefits. Giving a Vitamin K injection is important for preventing hemorrhagic disease of the newborn, but it is not the highest priority immediately after birth. While Vitamin K administration is typically done shortly after birth, promoting skin-to-skin contact and bonding between the newborn and mother take precedence in the immediate postnatal period.
Question 5 of 5
On completing a fundal assessment, the nurse notes the fundus is situated on the client's right abdomen. Which of the following actions is appropriate?
Correct Answer: A
Rationale: A fundal assessment is performed to assess the position and height of the uterus in the postpartum period. In a normal postpartum period, the fundus should be located midline and at or slightly below the umbilicus. If the fundus is located on the right abdomen, this may indicate a full bladder pushing the uterus to the side. Option A: Asking the client to empty her bladder is the appropriate action in this situation. A full bladder can displace the uterus and cause it to deviate from its normal position. Once the client empties her bladder, the fundus may return to the midline position. Option B: Straight catheterizing the client immediately is not necessary in this scenario. Unless the client is unable to empty her bladder on her own or experiencing urinary retention, straight catheterization should not be the first intervention. Option C: Calling the client's health provider for direction is not the most immediate action needed in this situation. Emptying the bladder can be done by the nurse without requiring direction from the health provider. Option D: None of the above is incorrect because the appropriate action in this situation is to ask the client to empty her bladder. Ignoring the displaced fundus could lead to inaccurate assessment findings and potentially delay appropriate interventions if needed.