ATI RN
Intrapartum Complications Questions
Question 1 of 5
Which of the following is theN pUriRorSitIy NinGteTrvBen.tiConO fMor the patient in a left side-lying position whose monitor strip shows a deceleration that extends beyond the end of the contraction?
Correct Answer: A
Rationale: The correct answer is A: Administer O at 8 to 10 L/minut. In a left side-lying position, this deceleration indicates possible umbilical cord compression, reducing oxygen supply to the fetus. Administering oxygen at 8 to 10 L/min can help improve fetal oxygenation. Decreasing the IV rate (B) wouldn't directly address the fetal distress. Repositioning the ultrasound transducer (C) is irrelevant to the situation. Performing a vaginal exam (D) could worsen the cord compression if the cord is prolapsed.
Question 2 of 5
The nurse documents a prenatal patient’s GTPAL as G5T2P1A1L4. Which obstetric history is consistent with this assessment?
Correct Answer: A
Rationale: Rationale: 1. G5 = Gravida 5 (woman has been pregnant 5 times) 2. T2 = Term births 2 (woman has had 2 full-term pregnancies) 3. P1 = Preterm births 1 (woman has had 1 preterm pregnancy) 4. A1 = Abortions 1 (woman has had 1 abortion) 5. L4 = Living children 4 (woman has 4 living children) Summary: - Choice A is correct as it aligns with the GTPAL components. - Choice B is incorrect because it does not match the number of term and preterm births. - Choice C is incorrect as it does not reflect the number of living children. - Choice D is incorrect as it does not indicate any preterm pregnancies.
Question 3 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 4 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 5 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.