ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
What is the primary benefit of delayed cord clamping in a term newborn?
Correct Answer: B
Rationale: The primary benefit of delayed cord clamping in a term newborn is improved thermoregulation. When the cord is clamped later, it allows more blood to flow from the placenta to the baby, aiding in temperature stabilization. This helps prevent hypothermia, a common issue in newborns. Increased hemoglobin levels (choice A) are not the primary benefit of delayed cord clamping. Decreased risk of bleeding (choice C) is not directly related to delayed cord clamping. Increased risk of infection (choice D) is incorrect as delayed cord clamping does not increase the risk of infection.
Question 2 of 5
A nurse is preparing a laboring person for a cesarean birth. What is the most important action the nurse should take prior to the procedure?
Correct Answer: A
Rationale: The correct answer is A: administer a preoperative medication. This is the most important action because it helps prepare the laboring person for the cesarean birth by ensuring they are adequately medicated for the procedure. Administering preoperative medication can help reduce anxiety, manage pain, and ensure the person is in a suitable condition for surgery. Summary of other choices: B: Assisting with positioning the person is important but not the most critical action before a cesarean birth. C: Performing a cesarean section is not a nursing responsibility and is done by the healthcare provider. D: Monitoring fetal heart tones is important but not the most crucial action for preparing the laboring person for a cesarean birth.
Question 3 of 5
What is the primary goal of using a forceps-assisted delivery?
Correct Answer: C
Rationale: The primary goal of using forceps in delivery is to help expel the placenta. Forceps are not typically used to assist with fetal descent, provide immediate relief of shoulder dystocia, or avoid unnecessary surgical interventions. Forceps are specifically designed to aid in the safe and efficient removal of the placenta after the baby has been delivered. This minimizes the risk of postpartum hemorrhage and other complications.
Question 4 of 5
A nurse is assisting a laboring person with a vacuum extraction. What is the most important nursing action to ensure a safe procedure?
Correct Answer: B
Rationale: The correct answer is B: prepare the person for a cesarean section. In the scenario of vacuum extraction, if there are complications or the procedure is unsuccessful, the person may need to undergo an emergency cesarean section. By preparing the person for this possibility, the nurse ensures timely intervention if needed, prioritizing the safety of both the person and the baby. Monitoring fetal heart rate continuously (A) is important but not the most crucial action in this case. Monitoring for signs of uterine rupture (C) is not directly related to vacuum extraction. Assisting with positioning (D) is important but not as critical as preparing for a potential cesarean section.
Question 5 of 5
A laboring person is requesting an epidural for pain relief. What is the most important nursing action before the procedure?
Correct Answer: B
Rationale: The correct answer is B: check for any contraindications. Before administering an epidural, it is crucial to assess for contraindications such as low platelet count, infection at the insertion site, or severe hypotension as these may increase the risk of complications. Administering an epidural bolus (A) without checking for contraindications can be dangerous. Performing a vaginal exam (C) is not necessary before an epidural and could increase the risk of infection. Ensuring continuous fetal monitoring (D) is important during labor but is not the most critical action before administering an epidural.