ATI RN
Intrapartum Complications NCLEX Questions Questions
Question 1 of 5
What is the condition in which the umbilical cord vessels branch prior to insertion into the placenta?
Correct Answer: C
Rationale: The correct answer is C: velamentous insertion. In this condition, the umbilical cord vessels branch before reaching the placenta, making them vulnerable to compression and rupture. Placenta previa (A) refers to the placenta covering the cervix, not cord insertion. Placenta cervix (B) is not a recognized term. Vasa previa (D) is when fetal vessels traverse the fetal membranes overlying the cervix, not related to branching of umbilical cord vessels before insertion into the placenta.
Question 2 of 5
In a spontaneous abortion, if bleeding from the retained products of conception cannot be stopped, what is the next course of action?
Correct Answer: C
Rationale: The correct answer is C: administration of magnesium sulfate. This is because magnesium sulfate is used to control bleeding in cases of retained products of conception in a spontaneous abortion. It works by causing uterine contractions, which help expel the remaining tissue and stop the bleeding. Surgery for dilation and curettage (choice A) is typically performed if bleeding persists after medical management. Surgery for a hysterectomy (choice B) is not necessary for managing bleeding in this situation. Administration of calcium gluconate (choice D) is not indicated for controlling bleeding in cases of retained products of conception.
Question 3 of 5
Decreased capillary refill, delay in milk production, and diminished peripheral pulses are signs of what complication?
Correct Answer: C
Rationale: The correct answer is C, alteration in kidney function. Decreased capillary refill indicates poor perfusion due to impaired kidney function leading to reduced blood flow. Delay in milk production is not directly related to kidney or liver function. Diminished peripheral pulses can be a sign of decreased blood flow due to kidney dysfunction affecting circulation. Alteration in liver or uterine function would not typically present with these specific signs. Therefore, the signs listed are most indicative of a complication related to kidney function.
Question 4 of 5
A patient who is expecting her first baby tells the nurse, “I am afraid of the whole birth experience and plan to ask the doctor for a cesarean delivery.” Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Most women avoid cesarean births unless it is an emergency. Rationale: 1. Cesarean delivery is a major surgery with potential risks and longer recovery time compared to vaginal birth. 2. Most women opt for vaginal birth unless there are medical reasons necessitating a cesarean section. 3. It is important for the nurse to educate the patient on the benefits of vaginal birth and address her fears about the birth experience. 4. Encouraging the patient to consider vaginal birth unless there is a medical emergency aligns with best practices in obstetric care. Summary: - Choice A is incorrect because focusing solely on pain management may not address the patient's underlying fear of the birth experience. - Choice C is incorrect as seeking another opinion may not be necessary if the patient's concerns can be addressed through education and counseling. - Choice D is incorrect as not all cesarean deliveries lead to complications in subsequent pregnancies.
Question 5 of 5
An emergency cesarean is being implemented. The patient describes tingling in her ears and a metallic taste with the administration of regional anesthesia. The nurse is aware that which incidence has occurred?
Correct Answer: B
Rationale: The correct answer is B: Inadvertent injection of the anesthetic agent into the maternal bloodstream. This is indicated by the patient experiencing tingling in her ears and a metallic taste, which are signs of systemic toxicity from the anesthetic agent. The anesthetic has entered the bloodstream instead of staying localized to the intended area. Other choices are incorrect as A is more related to opioid overdose, C is more related to hypotension, and D implies that these symptoms are normal when they are not.