ATI RN
Maternal Monitoring During Labor ppt Questions
Question 1 of 5
Which fetal structures are well-formed by the end of the first trimester? Select all that apply.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A patient in active labor starts to complain of circumoral numbness and tingling in her fingertips. What should the nurse do?
Correct Answer: D
Rationale: The correct answer is D: Encourage the woman to slow down her breathing. Circumoral numbness and tingling in the fingertips are symptoms of hyperventilation, which can occur during labor due to increased anxiety. Slowing down breathing helps to correct the imbalance of oxygen and carbon dioxide levels, alleviating the symptoms. Increasing IV fluids (A) is not indicated for hyperventilation. Pain medication (B) does not address the root cause. Obtaining an arterial blood gas (C) is not necessary unless the symptoms persist after addressing hyperventilation.
Question 3 of 5
A patient who is 38 weeks pregnant presents to the labor and delivery unit. Upon vaginal examination, it is determined the fetus is engaged. What is the correct interpretation by the nurse?
Correct Answer: D
Rationale: The correct interpretation by the nurse is D: The biparietal diameter of the fetal head is at the level of the ischial spines. At 38 weeks, engagement indicates the fetal head has descended into the pelvis and reached the level of the ischial spines. This is a crucial landmark in labor progress, indicating descent and readiness for birth. Choices A, B, and C are incorrect. Choice A refers to cervical effacement, which is not related to engagement. Choice B refers to fetal lie, which describes the relationship of the fetal spine to the maternal spine. Choice C refers to fetal head flexion, which is important for the mechanism of labor but not specifically related to engagement.
Question 4 of 5
Which of the following is true about the use of a birthing ball during labor?
Correct Answer: B
Rationale: The correct answer is B because a birthing ball promotes pelvic mobility, which can help reduce pain during labor by encouraging movement and optimal positioning of the baby. It is not contraindicated for patients with high blood pressure unless specifically advised by a healthcare provider. It can be used throughout labor, not just during the second stage, and is effective at various stages, not just in early labor.
Question 5 of 5
A 32-week pregnant woman is admitted to the labor and delivery unit with contractions every 5 minutes. What is the most appropriate intervention?
Correct Answer: B
Rationale: The correct answer is B: Start an IV and monitor the fetal heart rate. This is the most appropriate intervention as it allows for assessment of fetal well-being and maternal status. IV access is crucial for potential interventions like administering medications or fluids. Monitoring fetal heart rate helps determine fetal distress. Administering magnesium sulfate (choice A) should be considered for preterm labor, not routine contractions. Performing a cesarean section immediately (choice C) is not indicated without proper evaluation. Encouraging the patient to push (choice D) is premature without assessing cervical dilation.