ATI RN
Maternal Monitoring During Labor ppt Questions
Question 1 of 5
What is the primary purpose of using a fetal monitor during labor?
Correct Answer: C
Rationale: The correct answer is C: to monitor maternal vital signs. During labor, monitoring maternal vital signs such as blood pressure, heart rate, and oxygen saturation is crucial to ensure the well-being of both the mother and the baby. Changes in these vital signs can indicate potential complications that may require immediate intervention. Fetal heart rate variability (A) is important but not the primary purpose of using a fetal monitor. Monitoring for fetal distress (B) is indeed important, but the primary purpose is to ensure the mother's health. Assessing the mother's emotional state (D) is not the primary reason for using a fetal monitor during labor.
Question 2 of 5
What is the most appropriate action when a laboring person's membranes rupture and meconium is present?
Correct Answer: A
Rationale: The correct answer is A: notify the healthcare provider. This is the most appropriate action because the presence of meconium in the amniotic fluid indicates potential fetal distress, requiring immediate medical evaluation. Notifying the healthcare provider allows for prompt assessment and necessary interventions to ensure the well-being of both the laboring person and the baby. Documenting the amount of meconium (choice B) may be important for the medical record but is not the priority in this situation. Choices C and D, preparing for vacuum extraction and applying pressure to the abdomen, are not indicated and could potentially harm the baby or the laboring person.
Question 3 of 5
A nurse is caring for a postpartum person who is at risk for thrombophlebitis. What is the most important intervention to reduce this risk?
Correct Answer: A
Rationale: The correct answer is A: administer anticoagulants. Anticoagulants help prevent blood clots, reducing the risk of thrombophlebitis. Administering anticoagulants is the most effective intervention for someone at risk. Applying compression stockings (B) can help with circulation but may not be sufficient for someone at high risk. Using a footstool (C) can promote circulation but is not as direct as anticoagulants. Monitoring for signs of DVT (D) is important but not as proactive as administering anticoagulants for prevention.
Question 4 of 5
A nurse is assisting with a vaginal delivery. What is the most important intervention when the head begins to crown?
Correct Answer: A
Rationale: The correct answer is A: apply gentle downward pressure. This intervention helps prevent rapid delivery to avoid perineal tearing and allows controlled stretching of the perineum. Applying upward pressure (B) can increase the risk of tearing. Positioning (C) is important but not the most critical at this stage. Perineal massage (D) is typically done before crowning, not during.
Question 5 of 5
A nurse is caring for a postpartum person who is at risk for uterine atony. What is the most important action to prevent uterine atony?
Correct Answer: B
Rationale: The correct answer is B: perform uterine massage. Uterine massage helps the uterus contract, reducing the risk of uterine atony by promoting uterine tone and preventing excessive bleeding. It is crucial in preventing postpartum hemorrhage. Administering uterotonic medications (choice A) can also help prevent uterine atony but is not the most important initial action. Performing a vaginal exam (choice C) is not necessary to prevent uterine atony. Monitoring the baby's latch (choice D) is unrelated to preventing uterine atony.