ATI RN
Intrapartum Complications Nursing Questions
Question 1 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 2 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 3 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.
Question 4 of 5
In a research study performed by Schneuder, L., Crenshaw, J., and Gilder, R. (2017), which action by the nurse will be implemented following a cesarean delivery?
Correct Answer: D
Rationale: The correct answer is D: Encourage skin-to-skin contact between the mother and neonate. This action is crucial following a cesarean delivery to promote bonding, regulate the baby's temperature, and facilitate breastfeeding. Skin-to-skin contact also helps stabilize the baby's heart rate, breathing, and blood sugar levels. A: Allowing the birth partner to hand the neonate to the mother may be a good practice but is not as essential as skin-to-skin contact for immediate benefits. B: Assisting the mother and partner to cut the umbilical cord is not typically the nurse's responsibility immediately after a cesarean delivery and does not provide the same benefits as skin-to-skin contact. C: Moving the neonate into the visual field of the mother is important for bonding but does not offer the same physiological benefits as direct skin-to-skin contact.
Question 5 of 5
The nurse is aware that there are multiple classifications for cesarean deliveries. Which situations does the nurse classify as an unscheduled cesarean birth? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C because an unscheduled cesarean birth occurs when the cervix fails to fully dilate after prolonged labor, leading to the need for an emergency cesarean section. This situation poses risks to both the mother and the baby, necessitating immediate intervention. Choice A is incorrect because a previous cesarean delivery does not necessarily mean the current cesarean birth is unscheduled. Choice B is incorrect as evidence of a prolapsed cord with membrane rupture would typically lead to an emergency cesarean delivery but is not the only scenario for unscheduled cesarean birth. Choice D is also incorrect as a preexisting cardiac health condition does not automatically indicate the need for an unscheduled cesarean birth.