ATI RN
Intrapartum Complications Questions
Question 1 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 2 of 5
A multigravida patient comes into the clinic for one of her second-trimester prenatal visits. The nurse reviews her laboratories that were drawn prior to the visit. Which laboratories results should concern the nurse most?
Correct Answer: B
Rationale: The correct answer is B: Hemoglobin 9.5 g/dL. This result indicates the patient is anemic, which is concerning during pregnancy as it can lead to complications like preterm birth or low birth weight. Anemia can also affect the mother's health. Platelet count of 200,000/μL is within the normal range, not a cause for concern. White blood cell count of 11,000/μL may indicate infection but is not as critical as anemia in pregnancy. Rubella titer ratio of 1:10 suggests immunity to rubella, which is not an immediate concern during the prenatal visit.
Question 3 of 5
A nurse is reviewing the record of a woman who has just been told that she is pregnant. The physician has documented the presence of Goodell’s sign. The nurse determines this sign refers to which of the following?
Correct Answer: A
Rationale: The correct answer is A: A softening of the tip of the cervix. Goodell's sign is a softening of the tip of the cervix, which is one of the early signs of pregnancy due to increased vascularity and edema. This sign is often used by healthcare providers to confirm pregnancy. Rationale: 1. Goodell's sign specifically refers to the softening of the cervix, not any other part of the reproductive system. 2. It is an important early sign of pregnancy due to hormonal changes. 3. Enlargement of the uterus (Choice C) typically occurs later in pregnancy, not as an early sign. 4. A blowing sound corresponding to maternal pulse (Choice B) and softening of the lower uterine segment (Choice D) are not associated with Goodell's sign.
Question 4 of 5
A woman comes to the prenatal clinic because she thinks she is pregnant. Which of the following are probable signs of pregnancy? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C, positive pregnancy test. This is a probable sign of pregnancy because it directly indicates the presence of the pregnancy hormone hCG in the woman's body. Amenorrhea (choice A) and uterine enlargement (choice B) are actually presumptive signs of pregnancy, as they can be caused by factors other than pregnancy. Breast tenderness (choice D) is a possible sign of pregnancy but is not as specific or conclusive as a positive pregnancy test.
Question 5 of 5
What type of dystocia occurs when the fetal head is unable to navigate through the pelvis?
Correct Answer: C
Rationale: The correct answer is C: pelvic dystocia. Pelvic dystocia occurs when the fetal head is unable to navigate through the pelvis due to its size, shape, or orientation. This can lead to prolonged labor and potential complications during delivery. Uterine dystocia (A) refers to abnormalities in uterine contractions, fetal dystocia (B) pertains to issues with the fetus itself, and contraction dystocia (D) involves problems with the strength or coordination of uterine contractions. Pelvic dystocia specifically addresses the anatomical mismatch between the fetal head and maternal pelvis, making it the correct choice in this scenario.