ATI RN
External Maternal Monitoring Questions
Question 1 of 5
What is the purpose of the Leopold's maneuver in labor and delivery?
Correct Answer: A
Rationale: The purpose of Leopold's maneuver in labor and delivery is to assess fetal presentation and position. Step 1 evaluates the fundal grip to determine the fetal part. Step 2 assesses the sides of the abdomen to identify the fetal back. Step 3 determines the presenting part and position. Step 4 confirms the presenting part and its mobility. This systematic approach helps determine the position of the fetus in the uterus. Choices B, C, and D are incorrect as they do not align with the specific purpose of Leopold's maneuver, which is primarily focused on assessing fetal presentation and position.
Question 2 of 5
A nurse is monitoring a laboring person for signs of fetal distress. Which finding is most indicative of fetal distress?
Correct Answer: A
Rationale: The correct answer is A: bradycardia. Fetal distress is often indicated by a decreased fetal heart rate (bradycardia), which can be a sign of inadequate oxygenation. Bradycardia is a serious concern in labor and requires immediate intervention. Tachycardia (B) is an increased heart rate, which can indicate fetal distress but is not as specific as bradycardia. Late decelerations (C) are associated with uteroplacental insufficiency, not necessarily fetal distress. Variable decelerations (D) are often related to cord compression and can be a sign of fetal distress, but bradycardia is a more direct indicator.
Question 3 of 5
A nurse is caring for a postpartum person who is experiencing excessive bleeding. What is the first step in managing postpartum hemorrhage?
Correct Answer: A
Rationale: The correct answer is A: administer uterotonics. Uterotonics help to contract the uterus, which can help stop the bleeding in postpartum hemorrhage. This is the initial step in managing postpartum hemorrhage to address the primary cause of excessive bleeding. Administering IV fluids (B) can support circulation but does not address the underlying issue. Performing manual removal of the placenta (C) is invasive and not the first-line treatment for postpartum hemorrhage. Monitoring vital signs (D) is important but should not delay the immediate intervention of administering uterotonics.
Question 4 of 5
A postpartum person is breastfeeding her newborn. What is the most important factor for successful breastfeeding in the early postpartum period?
Correct Answer: B
Rationale: The correct answer is B: encourage skin-to-skin contact. Skin-to-skin contact in the early postpartum period promotes bonding, regulates the baby's body temperature, and encourages successful breastfeeding by stimulating the baby's natural feeding instincts. It also helps in establishing a strong emotional connection between the parent and the newborn. Encouraging frequent feeding (choice A) is important, but skin-to-skin contact is crucial for successful breastfeeding initiation. Supporting the baby's latch (choice C) is essential, but skin-to-skin contact precedes and aids in achieving a proper latch. While supporting early initiation of breastfeeding (choice D) is beneficial, skin-to-skin contact enhances the initiation process and overall breastfeeding success.
Question 5 of 5
A nurse is caring for a laboring person and is monitoring for signs of fetal distress. Which finding is the most concerning in this situation?
Correct Answer: A
Rationale: The correct answer is A: Late decelerations. Late decelerations indicate uteroplacental insufficiency, which can lead to fetal hypoxia and distress. This is the most concerning finding as it indicates a problem with oxygen delivery to the fetus. Bradycardia (B) and Tachycardia (C) can also be concerning, but late decelerations are more specific to fetal distress. Variable decelerations (D) are caused by cord compression and are concerning but not as indicative of fetal distress as late decelerations.