ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
Which of the following is a risk factor for developing a cesarean section?
Correct Answer: A
Rationale: The correct answer is A: Fetal malpresentation. This is a risk factor for cesarean section because the baby's position can impact the ability to deliver vaginally. If the baby is in a breech or transverse position, a cesarean section may be necessary to ensure a safe delivery. Choice B, spontaneous labor, is not a risk factor for cesarean section as it is a natural part of childbirth. Choice C, low maternal age, is also not a risk factor as age alone does not determine the need for a cesarean section. Choice D, no previous pregnancies, is not a risk factor as it does not directly impact the likelihood of needing a cesarean section.
Question 2 of 5
A woman in labor has a history of previous cesarean section. What is the most important factor to monitor for during this labor?
Correct Answer: A
Rationale: The correct answer is A: Uterine rupture. The most important factor to monitor in a woman with a history of previous cesarean section is the risk of uterine rupture during labor. Uterine rupture is a serious complication that can lead to life-threatening hemorrhage for both the mother and the baby. Monitoring for signs such as sudden onset of severe abdominal pain, abnormal fetal heart rate patterns, and cessation of contractions is crucial. Maternal hypotension (Choice B) is important but not as critical as uterine rupture. Fetal malpresentation (Choice C) and prolonged labor (Choice D) are important factors to monitor but do not pose the same level of immediate risk as uterine rupture in this situation.
Question 3 of 5
A patient in labor is diagnosed with an occiput posterior (OP) fetal position. What is the most appropriate intervention to facilitate delivery?
Correct Answer: B
Rationale: The correct answer is B: Position the patient on her hands and knees. This position, known as the all-fours position, can help rotate the baby from an occiput posterior position to a more favorable position for delivery. Gravity assists in the rotation of the baby, making delivery easier. Encouraging the patient to push vigorously (option A) may not be effective in this situation as the baby may be facing the wrong way. Performing a cesarean section (option C and D) should be considered only if other interventions fail or if there are complications that necessitate surgical delivery.
Question 4 of 5
A patient who is 40 weeks pregnant presents to the labor and delivery unit with decreased fetal movement. What is the first step in management?
Correct Answer: A
Rationale: The correct answer is A: Perform a nonstress test (NST). This is the first step in assessing fetal well-being when a patient presents with decreased fetal movement at 40 weeks gestation. The NST evaluates fetal heart rate in response to fetal movement, providing immediate information on fetal well-being. Administering a corticosteroid injection (B) would not be indicated at this point as it is not the first-line management for decreased fetal movement. Monitoring fetal heart rate (C and D) is important, but the NST provides more comprehensive information on fetal well-being.
Question 5 of 5
The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the information provided, which condition is the patient's baby at higher risk for?
Correct Answer: B
Rationale: Step 1: The patient tested negative for chlamydia, syphilis, gonorrhea, and HIV, reducing the risk of transmission of these infections to the baby. Step 2: Neonatal conjunctivitis is commonly caused by exposure to maternal genital tract bacteria during birth. Step 3: Since the patient tested negative for the common infections, neonatal conjunctivitis becomes the higher risk for the baby. Summary: A, C, and D are not directly related to the information provided, making them incorrect choices. Neonatal conjunctivitis is the most likely risk due to maternal genital tract bacteria exposure during birth.