ATI RN
Intrapartum-Related Complications Questions
Question 1 of 5
What is the most common cause of placenta accreta?
Correct Answer: B
Rationale: In the context of pharmacology and intrapartum-related complications, understanding the etiology of placenta accreta is crucial. The correct answer is B) smoking. Placenta accreta is primarily caused by abnormal placentation where the placenta attaches too deeply into the uterine wall. Smoking is a well-established risk factor for placenta accreta due to its vasoconstrictive effects on uterine blood vessels, leading to poor placental implantation and increased risk of abnormal placentation. Option A) malnutrition is not directly linked to placenta accreta. Adequate nutrition is important during pregnancy, but malnutrition alone is not a primary cause of this specific complication. Option C) previous cesarean birth is actually a known risk factor for placenta accreta as it can lead to abnormal placentation due to scarring of the uterine wall. However, it is not the most common cause as smoking has a more direct impact on placental implantation. Option D) obesity is also a risk factor for placenta accreta, but it is not as commonly associated with the condition as smoking. Obesity can contribute to a variety of pregnancy complications, but it is not the most prevalent cause of placenta accreta. In an educational context, understanding the risk factors and causes of intrapartum complications like placenta accreta is essential for healthcare professionals involved in maternal care. By recognizing the impact of smoking on placental implantation, healthcare providers can counsel pregnant individuals on the importance of smoking cessation to reduce the risk of this serious obstetric complication.
Question 2 of 5
The nurse is providing care for a prenatal patient who is told she will require a cesarean delivery because of cephalopelvic disproportion. Which explanation of the condition will the nurse provide to the patient?
Correct Answer: B
Rationale: The correct answer is B) The size and/or shape of either the fetal head or patient pelvis is an issue. In cases of cephalopelvic disproportion, the baby's head is too large or the mother's pelvis is too small or misshapen to allow for a vaginal delivery. This condition can lead to complications during labor, making a cesarean delivery the safest option for both mother and baby. Option A is incorrect because cephalopelvic disproportion is not a preexisting medical condition but rather a specific issue related to the baby's head and the mother's pelvis. Option C is incorrect as it describes placenta previa, a different condition where the placenta implants low in the uterus. Option D is incorrect as it refers to a previous uterine surgery, not the current situation of cephalopelvic disproportion. Understanding intrapartum-related complications like cephalopelvic disproportion is crucial for nurses caring for prenatal patients. By knowing the reasons behind the need for a cesarean delivery, nurses can provide accurate information and support to patients facing this situation. It also helps in ensuring the safety and well-being of both the mother and the baby during childbirth.
Question 3 of 5
A patient is being prepared for an unplanned cesarean section. Which pre-procedure information is most important for the nurse to report before the administration of regional anesthesia?
Correct Answer: C
Rationale: In this scenario, the correct answer is option C, which is reporting a laboratory value indicating a low platelet count before administering regional anesthesia for an unplanned cesarean section. Platelets are essential for clotting, and a low platelet count can increase the risk of bleeding complications, particularly with regional anesthesia, which can cause epidural hematomas or spinal hematomas. By reporting this information, the healthcare team can adjust the anesthesia plan to minimize the risk of bleeding complications for the patient. Option A (Hypovolemia corrected with IV fluid administration) is important but not as crucial as ensuring the patient's platelet count is adequate before administering regional anesthesia. Hypovolemia can be managed with IV fluids perioperatively. Option B (Inability of the patient to sit on the bedside and flex forward) may indicate potential anatomical issues but is not as critical as ensuring the safety of regional anesthesia by checking platelet counts. Option D (History of patient experiencing headaches after a spinal) is relevant but does not take precedence over ensuring the patient's platelet count is within a safe range to prevent bleeding complications during regional anesthesia. From an educational perspective, understanding the importance of assessing platelet counts before regional anesthesia is crucial in preventing serious complications like hemorrhage. Nurses must prioritize patient safety by recognizing the significance of specific pre-procedure information in different clinical scenarios to provide optimal care.
Question 4 of 5
The nurse in labor and delivery notices an increase in the number of women requesting cesarean births. Which are the parameters and criteria used when making the decision to perform a cesarean delivery on maternal request (CDMR)? Select all that apply.
Correct Answer: D
Rationale: In the context of pharmacology and intrapartum-related complications, the correct answer is option D, which states that the patient is aware of possible neonatal complications. This criterion is crucial in the decision-making process for cesarean delivery on maternal request (CDMR) as it ensures that the mother understands the potential risks and benefits associated with the procedure, including the impact on the newborn. Option A, self-payment ability, is not a valid parameter for deciding on CDMR as financial status should not dictate medical decisions. Option B, willingness to defer from legal litigation, is also irrelevant as the decision for a cesarean should be based on medical necessity and informed consent, not legal concerns. Option C, the mother planning to have only one child, is not a determining factor for CDMR as it does not address the immediate medical needs of the current pregnancy. Educationally, understanding the criteria for CDMR is essential for healthcare providers working in labor and delivery to ensure safe and informed decision-making processes. It highlights the importance of patient education, informed consent, and shared decision-making in obstetric care, emphasizing the need for thorough discussions regarding risks and benefits to promote maternal and neonatal well-being.
Question 5 of 5
The nurse is providing care for a patient who delivered via cesarean 24 hours ago. Which teaching does the nurse provide for the patient and family? Select all that apply.
Correct Answer: D
Rationale: The correct answer is D) Encourage family to help with infant care and housework. After a cesarean delivery, the mother needs adequate rest and time to recover. Encouraging family members to assist with infant care and housework can help the mother focus on her recovery and bonding with the newborn. This support is crucial for her physical and emotional well-being during the postpartum period. Option A) Signs and symptoms to report to the healthcare provider is important, but it is not specific to the immediate post-cesarean care in this scenario. Option B) Comfortable positions for feeding the newborn is relevant for breastfeeding education but is not the priority immediately post-cesarean. Option C) Encouragement for early dietary intake of solid foods is not appropriate advice as the mother needs time to heal before resuming a normal diet post-cesarean. Educationally, it is essential to emphasize the importance of postpartum care, including the need for rest, assistance, and recovery time after a cesarean delivery to optimize maternal and newborn outcomes. Family support plays a crucial role in promoting the well-being of the mother and her newborn during this critical period.