ATI RN
Maternal Monitoring During Labor Questions
Question 1 of 5
What response is appropriate regarding sushi consumption during pregnancy?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Place these developmental milestones in chronological order: Four-chambered heart forms, Vernix caseosa appears, Blastocyst development completes, Testes descend
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
Which is fetal tachycardia likely caused by?
Correct Answer: B
Rationale: The correct answer is B: Maternal infection. Maternal infection can lead to fetal tachycardia due to the transfer of inflammatory mediators from the mother to the fetus, causing an increase in the fetal heart rate. This physiological response is a common indicator of fetal distress in utero. A: Compression of the umbilical cord can lead to fetal distress, but it typically manifests as bradycardia rather than tachycardia. C: Compression of the fetal head can cause fetal distress, but it is more likely to result in decelerations in heart rate rather than tachycardia. D: Maternal hypertension can lead to complications during pregnancy, but it is not typically associated with fetal tachycardia.
Question 4 of 5
A 40-year-old primiparous woman who is 38 weeks pregnant has been on the labor unit for an hour when she starts to complain of feeling dizzy, light-headed, and nauseous. Her blood pressure is 90/60. What should be the first response of the nurse?
Correct Answer: B
Rationale: The correct answer is B: Turn the patient to her left side. Rationale: 1. The patient's symptoms of dizziness, light-headedness, and low blood pressure (90/60) suggest hypotension, which could be due to supine hypotensive syndrome in pregnancy. 2. Turning the patient to her left side can help alleviate pressure on the vena cava, improving blood flow back to the heart and subsequently increasing blood pressure. 3. This immediate action can help prevent further complications such as decreased placental perfusion and fetal distress. Summary: - Choice A (Give the patient a bolus of intravenous fluid): While IV fluids may be needed, the priority is to address the underlying cause of hypotension first. - Choice C (Call the obstetrician or nurse midwife): While it is important to involve the healthcare provider, immediate action to address the hypotension is crucial. - Choice D (Give the patient an antiemetic medication for
Question 5 of 5
A patient in labor is experiencing back labor and complains of severe back pain. Which position is likely to provide the most comfort?
Correct Answer: B
Rationale: The correct answer is B: Hands and knees position. This position helps relieve pressure on the lower back by allowing the baby to shift away from the mother's spine, reducing back pain. It also promotes optimal fetal positioning for labor progress. A: Supine with knees bent may worsen back labor by putting pressure on the spine. C: Lying flat on the left side does not actively alleviate back pain or assist with fetal positioning. D: Sitting upright in a chair may not provide the same relief as the hands and knees position since it doesn't encourage the baby to shift position away from the back.