ATI RN
Intrapartum Complications NCLEX Questions Questions
Question 1 of 5
When evaluating the patient's progress, the nurse knows that four of the five fetal factors that interact to regulate the heart Nrate Rare I(SeGlect Bal.l CthatM apply.) U S N T O
Correct Answer: A
Rationale: The correct answer is A: baroreceptors. Baroreceptors are sensory receptors that detect changes in blood pressure and play a role in regulating heart rate. They are one of the fetal factors that interact to regulate heart rate. Adrenal glands (B) primarily regulate stress response, chemoreceptors (C) detect changes in oxygen and carbon dioxide levels, and uterine activity (D) refers to contractions during labor, which are not directly related to regulating fetal heart rate. Thus, A is correct as it directly influences heart rate regulation.
Question 2 of 5
Which statement by the patient indicates to the nurse that the patient understands danger signs during the second trimester?
Correct Answer: C
Rationale: The correct answer is C because pain while urinating can be a sign of a urinary tract infection, which is common during pregnancy and can lead to complications if not treated promptly. Heartburn, constipation, and leg cramps are common discomforts during pregnancy but are not typically considered emergency danger signs. Therefore, option C is the most critical symptom that requires immediate medical attention to prevent potential harm to the mother and baby.
Question 3 of 5
The nurse is assessing the client for the presence of ballottement. Which should the nurse perform to test for the presence of ballottement?
Correct Answer: C
Rationale: The correct answer is C. To test for the presence of ballottement, the nurse should initiate a gentle upward tap on the cervix. Ballottement is a technique used in obstetrics to assess for the presence of a floating object in the uterus, such as a fetus. By tapping the cervix gently, the nurse can feel for a rebound effect, indicating the presence of a floating object. This technique helps to confirm the presence of a fetus in the uterus. Explanation of why other choices are incorrect: A: Palpating the uterus for contractions is not relevant to testing for ballottement. B: Assessing the skin for increased pigmentation is not related to assessing for the presence of a floating object in the uterus. D: Palpating the abdomen for fetal outline does not specifically test for ballottement, which involves tapping the cervix.
Question 4 of 5
A nurse is taking a birth history assessment on a client who is 8 weeks gestation and has one child who was born at 38 weeks. Which is consistent with this birth history?
Correct Answer: D
Rationale: The correct answer is D: Multipara. This term refers to a woman who has given birth to two or more children. In this case, the client has one child already, making her a multipara. A: Primipara refers to a woman who has given birth to one child, which does not match the client's birth history. B: Primigravida refers to a woman who is pregnant for the first time, which also does not match the client's history. C: Nulligravida refers to a woman who has never been pregnant, which is not the case for the client. Therefore, the correct term to describe the client's birth history is Multipara, as she has one child and is currently 8 weeks gestation.
Question 5 of 5
What pregnant person is at high risk for labor dystocia?
Correct Answer: B
Rationale: The correct answer is B: 41-year-old. Advanced maternal age increases the risk of labor dystocia due to reduced uterine muscle tone and coordination. Older individuals are more likely to experience prolonged labor or difficulty with fetal descent. Choice A (38-week gestation) is not a risk factor for labor dystocia. Prenatal anemia (Choice C) may lead to complications during pregnancy but is not directly linked to labor dystocia. Lack of prenatal care (Choice D) can increase the risk of complications but is not a specific risk factor for labor dystocia.