ATI RN
Intrapartum Complications Questions
Question 1 of 5
When the deceleration pattern of the fetal heart rate mirrors the uterine contraction, which nursing action is indicated?
Correct Answer: C
Rationale: Rationale for correct answer (C): Recording the normal pattern is indicated because the deceleration pattern mirroring uterine contractions is a reassuring sign of fetal well-being. It indicates a physiologic response to labor. Repositioning the patient (A) is unnecessary as the pattern is normal. Applying a fetal scalp electrode (B) is invasive and unnecessary in this scenario. Administering oxygen (D) is not indicated as the fetal heart rate pattern is normal.
Question 2 of 5
The physician has ordered an amnioinfusion for the laboring patient. Which data supports the use of this therapeutic procedure?
Correct Answer: B
Rationale: The correct answer is B because +4 meconium-stained amniotic fluid on AROM indicates meconium passage by the fetus, which can lead to meconium aspiration syndrome. Amnioinfusion can help dilute the meconium, reducing the risk of respiratory complications for the newborn. A: Presenting part not engaged is not a direct indication for amnioinfusion. C: Breech position of the fetus does not specifically warrant amnioinfusion. D: Twin gestation alone is not a direct indication for amnioinfusion.
Question 3 of 5
Which of the following is theN pUriRorSitIy NinGteTrvBen.tiConO fMor the patient in a left side-lying position whose monitor strip shows a deceleration that extends beyond the end of the contraction?
Correct Answer: A
Rationale: The correct answer is A: Administer O at 8 to 10 L/minut. In a left side-lying position, this deceleration indicates possible umbilical cord compression, reducing oxygen supply to the fetus. Administering oxygen at 8 to 10 L/min can help improve fetal oxygenation. Decreasing the IV rate (B) wouldn't directly address the fetal distress. Repositioning the ultrasound transducer (C) is irrelevant to the situation. Performing a vaginal exam (D) could worsen the cord compression if the cord is prolapsed.
Question 4 of 5
Which clinical finding would be considered normal for a preterm fetus during the labor period?
Correct Answer: A
Rationale: The correct answer is A: Baseline tachycardia. During labor, it is normal for a preterm fetus to have a higher heart rate due to the stress of the labor process. This is a physiological response to the stress and is considered normal. Baseline bradycardia (choice B) would not be normal as it indicates fetal distress. Fetal anemia (choice C) can affect the oxygen-carrying capacity of the blood and lead to fetal distress. Acidosis (choice D) results from inadequate oxygen supply and accumulation of acid in the blood, indicating fetal distress.
Question 5 of 5
The nurse documents a prenatal patient’s GTPAL as G5T2P1A1L4. Which obstetric history is consistent with this assessment?
Correct Answer: A
Rationale: Rationale: 1. G5 = Gravida 5 (woman has been pregnant 5 times) 2. T2 = Term births 2 (woman has had 2 full-term pregnancies) 3. P1 = Preterm births 1 (woman has had 1 preterm pregnancy) 4. A1 = Abortions 1 (woman has had 1 abortion) 5. L4 = Living children 4 (woman has 4 living children) Summary: - Choice A is correct as it aligns with the GTPAL components. - Choice B is incorrect because it does not match the number of term and preterm births. - Choice C is incorrect as it does not reflect the number of living children. - Choice D is incorrect as it does not indicate any preterm pregnancies.