ATI RN
Intrapartum Complications Nursing Questions
Question 1 of 5
Which patient is a candidate for internal monitoring with an intrauterine pressure catheter?
Correct Answer: B
Rationale: The correct answer is B because the patient is a primigravida (first pregnancy) with frequent contractions (2 to 3 minutes apart, lasting 60 seconds), which indicates active labor and the need for internal monitoring with an intrauterine pressure catheter. This level of contraction frequency and duration suggests progression towards the active phase of labor, where accurate monitoring is crucial for the well-being of both the mother and the baby. Choice A is incorrect because the contractions are not as frequent or long-lasting as in active labor. Choice C is incorrect because although the contractions are frequent, the duration is longer than typical active labor. Choice D is incorrect because the contractions are irregular and mild, indicating the latent phase of labor where internal monitoring is not necessary.
Question 2 of 5
The nurse is preparing supplies for an amnioinfusion on a patient with intact membranes. Which supplies should the nurse gather? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Extra underpads. For an amnioinfusion on a patient with intact membranes, extra underpads are necessary to absorb any excess fluid leakage during the procedure. The other choices are incorrect because: B: Solution of 3% normal saline is not necessary for an amnioinfusion with intact membranes as there is no need for amniotic fluid replacement. C: Amniotic hook to perform an amniotomy is not required when the patient's membranes are intact; this procedure involves rupturing the membranes. D: Solid intrauterine pressure catheter with a pressure transducer on its tip is used for monitoring intrauterine pressure during labor, not for an amnioinfusion procedure.
Question 3 of 5
The nurse is educating a primigravida patient about prenatal testing/screening. She inquires why she needs to be tested for HIV. Which of the following is the nurse’s best response?
Correct Answer: A
Rationale: The correct answer is A: It is a recommended screening for all women, regardless of risk factors. This is because HIV screening during pregnancy is essential to prevent mother-to-child transmission. HIV can be asymptomatic, so screening all pregnant women is crucial. Options B, C, and D are incorrect because marital status, history of gonorrhea, or number of sexual partners do not determine the need for HIV screening during pregnancy. HIV screening is recommended universally to ensure the health of both the mother and the baby.
Question 4 of 5
A gravida 1 para 0 who is 10 weeks pregnant has her first prenatal visit. After performing a history and physical, which test ordered by the physician should the nurse verify with the examiner?
Correct Answer: D
Rationale: The correct answer is D: Abdominal ultrasound. At 10 weeks gestation, an abdominal ultrasound is typically ordered to confirm the viability of the pregnancy, assess fetal development, and determine gestational age. This test allows the healthcare provider to visualize the fetus, placenta, and amniotic fluid. It is essential in monitoring the progress of the pregnancy and identifying any potential complications. Rationale for other choices: A: Serological test for syphilis - While this test is important in prenatal care to screen for syphilis, it is usually done as part of routine prenatal blood work and not typically verified immediately after the first visit. B: Rubella vaccine - Administering the rubella vaccine during pregnancy is contraindicated as it poses a risk to the developing fetus. C: Clean-catch urinalysis - While urinalysis is a common test in prenatal care to screen for urinary tract infections and other conditions, it is not typically the first test verified following
Question 5 of 5
The nurse is educating a gravida 1 para 0 who is 28 weeks pregnant. Which educational topics are appropriate for the nurse to discuss with the patient at this prenatal visit? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B, Discussion of alcohol use. This topic is important for prenatal education to ensure the well-being of the mother and baby. Alcohol consumption during pregnancy can lead to fetal alcohol spectrum disorders. The other choices are incorrect because: A: Discussion of prenatal classes is relevant, but not a priority at 28 weeks. C: Discussion of family history for pregnancy-induced hypertension is important but not usually discussed at every prenatal visit. D: Discussion of signs and symptoms of preterm labor is crucial, but typically discussed later in pregnancy.