ATI RN
Intrapartum Complication Questions
Question 1 of 5
What is the condition where the umbilical cord vessels cross the cervix?
Correct Answer: D
Rationale: The correct answer is D: vasa previa. This condition occurs when the umbilical cord vessels cross the cervix, making them vulnerable to compression during labor. This can lead to fetal blood vessel rupture and potentially life-threatening bleeding. Placenta previa (A) is when the placenta partially or fully covers the cervix, unrelated to the cord position. Placenta cervix (B) is not a recognized medical term. Velamentous insertion (C) is when the blood vessels of the umbilical cord insert into the fetal membranes before reaching the placenta, also not directly related to cord position over the cervix.
Question 2 of 5
The placenta is diagnosed as retained when it is not delivered in what timeframe after the birth of the infant?
Correct Answer: B
Rationale: The correct answer is B (30 minutes) because the placenta should be delivered within 30 minutes after the birth of the infant to prevent excessive bleeding and potential complications. If the placenta is retained beyond 30 minutes, it may lead to postpartum hemorrhage. Choices A, C, and D are incorrect as they do not align with the standard timeframe for the delivery of the placenta. A (10 minutes) is too soon for a normal delivery, C (1 hour) is too long and increases the risk of complications, and D (2 hours) is significantly delayed and poses serious health risks.
Question 3 of 5
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 4 of 5
What complications can cocaine and methamphetamine use in pregnancy cause?
Correct Answer: C
Rationale: The correct answer is C: Prolonged second stage labor. Cocaine and methamphetamine use in pregnancy can lead to vasoconstriction, decreased blood flow to the uterus, and reduced oxygen supply to the fetus, resulting in uterine hyperactivity and fetal distress during labor. This can cause the second stage of labor to be prolonged as the uterus may struggle to effectively contract and progress labor. Explanation for other choices: A: Seizures - While cocaine and methamphetamine use can lead to seizures in pregnant individuals, this is not directly related to labor complications. B: Hypotonic contractions - Cocaine and methamphetamine use are more likely to cause hypertonic contractions (excessive uterine contractions) rather than hypotonic contractions. D: Prolonged first stage labor - Cocaine and methamphetamine use are more likely to impact the second stage of labor rather than the first stage.
Question 5 of 5
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.