ATI RN
Promoting patient comfort during labor and birth questions quizlet Questions
Question 1 of 5
Which fetal position increases the likelihood of a longer and more painful labor?
Correct Answer: A
Rationale: The correct answer is A: Left occiput posterior. In this position, the baby's head is facing the mother's sacrum, making labor longer and more painful due to the baby's position causing more pressure on the mother's back and pelvis. Left occiput anterior (B) and Right occiput anterior (C) are favorable positions for a smoother labor. Right occiput transverse (D) can also lead to a longer and more complicated labor, but not as much as Left occiput posterior.
Question 2 of 5
A patient in active labor asks about using a birth ball. What is the primary benefit of using a birth ball during labor?
Correct Answer: B
Rationale: The correct answer is B: Helps maintain proper fetal alignment. Using a birth ball during labor helps the mother maintain an upright position, which can aid in proper alignment of the fetus for an optimal birthing position. This can facilitate the progress of labor and potentially reduce the risk of complications. A: Provides a distraction from labor pain - While using a birth ball may offer some distraction, the primary benefit is not pain management. C: Increases the rate of cervical dilation - While movement and positioning can support the body's natural labor process, the birth ball itself does not directly increase cervical dilation rate. D: Reduces the likelihood of epidural anesthesia use - While movement and positioning can sometimes help manage pain and reduce the need for epidural anesthesia, the primary benefit of the birth ball is more related to fetal alignment than pain management.
Question 3 of 5
During a vaginal exam, the nurse identifies that the fetal station is at +2. What does this finding indicate?
Correct Answer: C
Rationale: The correct answer is C because when the fetal station is at +2, it indicates that the presenting part is below the ischial spines. This means the baby's head is 2 cm below the ischial spines, which is a significant milestone in the descent of the fetus through the birth canal. The other choices are incorrect because: A) +2 station indicates descent, not that the fetus is high in the pelvis; B) Ischial spines are at 0 station, not +2; D) Crowning is at +5 station, not +2.
Question 4 of 5
A laboring patient experiences a sudden rupture of membranes and the nurse observes a prolapsed cord. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A: Reposition the patient to relieve pressure on the cord. This is the priority action because a prolapsed cord can lead to fetal compromise due to decreased blood flow. By repositioning the patient to a knee-chest or Trendelenburg position, gravity helps alleviate pressure on the cord. This action is crucial to prevent further compromise to the fetus. Incorrect Choices: B: Immediately prepare the patient for a cesarean delivery - While this may be necessary eventually, the immediate priority is to relieve pressure on the cord. C: Administer oxygen at 10 L/min - Oxygen may be needed, but it is not the priority action in this emergency situation. D: Monitor the fetal heart rate continuously - Monitoring is important, but repositioning the patient to relieve cord compression takes precedence.
Question 5 of 5
Which of the following describes the purpose of Leopold's maneuvers?
Correct Answer: B
Rationale: The purpose of Leopold's maneuvers is to determine the fetal presentation and position. Step 1 assesses the fundal height and shape, indicating the fetal part. Step 2 locates the back or limbs. Step 3 determines the presenting part in the pelvis. Step 4 confirms the presenting part and its mobility. This method helps in identifying the optimal fetal position for delivery. Assessing cervical dilation and effacement (Choice A) is typically done through vaginal examination. Measuring the frequency of contractions (Choice C) and estimating the weight of the fetus (Choice D) are not objectives of Leopold's maneuvers.