ATI RN
Maternal Monitoring Questions
Question 1 of 5
Which food should the nurse advise a pregnant woman to avoid?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
What fetal change occurs when the fundal height reaches the xiphoid process?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The nurse who will care for a patient in labor receives a report and is told that the patient's status is as follows: 4 cm, 50%, and +1 station. What should be the nurse's interpretation of this information?
Correct Answer: C
Rationale: The correct interpretation is C because in labor progress, cervical dilation (4 cm) refers to how much the cervix has opened, effacement (50%) indicates the thinning of the cervix, and station (+1) describes the descent of the baby's head in relation to the ischial spines. Therefore, the nurse should understand that the cervix is dilated 4 cm, effaced 50%, and the baby's head is 1 cm below the ischial spines, which is indicative of progressing labor. Choice A is incorrect because it incorrectly describes the station as being 1 cm below the ischial spines instead of above. Choice B is incorrect as it inaccurately states that the cervix is effaced to 50% rather than dilated. Choice D is incorrect because it states that the cervix is effaced 4 cm, which is not a correct representation of effacement.
Question 4 of 5
A patient who was admitted to the delivery room undergoes an ultrasound, which reveals that the sacrum is the presenting part; the lie is longitudinal, with both the hips and knees in flexion. Which describes this fetal presentation?
Correct Answer: C
Rationale: The correct answer is A: Cephalic. In this presentation, the sacrum is the presenting part, indicating the baby is head down, which is characteristic of a cephalic presentation. Additionally, the lie is longitudinal, further supporting the cephalic presentation. The flexion of both hips and knees is also consistent with the normal positioning of a baby in the cephalic presentation. Summary of other choices: B: Complete breech - In a complete breech presentation, the baby is bottom down with both hips and knees flexed, but the sacrum would not be the presenting part. C: Frank breech - In a frank breech presentation, the baby's buttocks are the presenting part with the legs extended and the feet near the head. D: Footling breech - In a footling breech presentation, one or both feet are the presenting part, with the hips and knees extended, not flexed as described in the scenario.
Question 5 of 5
Which of the following is the most accurate description of fetal station during labor?
Correct Answer: B
Rationale: The correct answer is B: The level of the presenting part in relation to the ischial spines. Fetal station refers to the position of the baby's head in the mother's pelvis during labor. It is measured in centimeters above or below the ischial spines. This measurement helps determine the progress of labor and the descent of the baby through the birth canal. Choices A, C, and D do not accurately describe fetal station and are therefore incorrect. Choice A refers to the cervical length, choice C refers to fetal position, and choice D refers to cervical dilation, which are not related to fetal station.