ATI RN
Promoting patient comfort during labor and birth questions quizlet Questions
Question 1 of 5
Which patient presentation is an acceptable indication for serial oxytocin induction of labor?
Correct Answer: D
Rationale: Rationale: 1. Past 42 weeks of gestation increases the risk of stillbirth. 2. Oxytocin can help initiate labor to reduce the risk. 3. Induction at this stage is considered safe and beneficial. 4. Other choices are not direct indications for oxytocin induction and may have different management strategies. Summary: - A: Multiple fetuses and polyhydramnios may require different approaches. - B: History of long labors may not necessarily indicate the need for oxytocin induction.
Question 2 of 5
While assisting with a vacuum extraction birth, which alteration should the nurse immediately report to the obstetric provider?
Correct Answer: C
Rationale: The correct answer is C: Persistent fetal bradycardia below 100 bpm. This is crucial because it indicates fetal distress and requires immediate intervention to prevent potential harm to the baby. Bradycardia below 100 bpm may indicate inadequate oxygen supply to the fetus, necessitating urgent action. Maternal vital signs in choices A and B are within normal ranges. Choice D, decreased intensity of uterine contractions, while important, is not as critical as fetal bradycardia in this scenario.
Question 3 of 5
A patient who is receiving oxytocin (Pitocin) infusion for the augmentation of labor is
Correct Answer: A
Rationale: The correct answer is A because the priority intervention for a patient receiving oxytocin infusion for labor augmentation is to monitor fetal heart rate and uterine contractions. This is essential to ensure the safety of both the mother and the baby. Increasing the rate of Pitocin infusion (B) can lead to hyperstimulation and fetal distress. Providing oxygen and changing position (C) may be helpful in some situations but are not the priority. Stopping the Pitocin infusion (D) should only be done if there are signs of fetal distress or other complications.
Question 4 of 5
Which aspect of newborn assessment may be limited by the application of a vacuum extractor at birth?
Correct Answer: C
Rationale: The correct answer is C: Posterior fontanel. When a vacuum extractor is used during birth, it can cause swelling or molding of the baby's head, which may affect the assessment of the posterior fontanel. This fontanel is an important landmark for determining head size and shape. Swelling or molding can make it difficult to accurately assess the fontanel's size and shape, potentially impacting the overall assessment of the newborn's head. A: The anterior fontanel is not typically affected by the use of a vacuum extractor. B: The coronal suture lines are not directly impacted by the vacuum extractor. D: The biparietal diameter can still be measured accurately even with molding caused by the vacuum extractor.
Question 5 of 5
The pregnant patient expresses a desire to schedule birth during the baby's father's furlough
Correct Answer: C
Rationale: The correct answer is C: Fetal lung maturity. It is essential to determine fetal lung maturity before induction of labor to ensure that the baby's lungs are developed enough to breathe outside the womb. This is important for the baby's well-being and can help prevent complications. Rationale: 1. Fetal lung maturity is crucial for the baby's ability to breathe independently. 2. Inducing labor without ensuring fetal lung maturity can lead to respiratory distress syndrome in the newborn. 3. A dilated cervix is important for labor progression but does not directly impact the baby's lung maturity. 4. Rupture of membranes may indicate potential labor but does not address the baby's lung development.