ATI RN
Monitoring Baby During Labour Questions
Question 1 of 5
Which spice is safe for nausea and vomiting during pregnancy?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
A client asks the nurse, “Could you explain how the baby’s blood and my blood separate at delivery?” Which of the following responses is appropriate for the nurse to make?
Correct Answer: D
Rationale: During pregnancy, the mother's and baby's blood supplies do not mix. The placenta acts as a barrier and facilitates the exchange of nutrients, gases, and waste products between the maternal and fetal bloodstreams without direct mixing. This ensures that each individual maintains their own circulatory system.
Question 3 of 5
A 35-year-old patient is admitted to the delivery room having contractions 6 minutes apart. Upon palpation of the abdomen, the nurse feels a hard round object in the uterine fundus and a soft object in the pelvis. What should be anticipated?
Correct Answer: A
Rationale: The correct answer is A: Cesarean section. In this scenario, the presence of a hard round object in the uterine fundus and a soft object in the pelvis indicates a situation of breech presentation. Since the baby is presenting in a breech position, it is not safe for a vaginal delivery due to potential complications and risks involved. Therefore, a cesarean section should be anticipated to ensure a safe delivery for both the mother and the baby. Summary of other choices: B: Imminent delivery - Unlikely as the breech presentation may complicate the delivery process. C: Normal progressive labor and delivery - Inconsistent with the breech presentation findings. D: FHR to be heard below the umbilicus - FHR location does not impact the need for a cesarean section in breech presentation.
Question 4 of 5
A patient who is about to undergo a cesarean section for breech presentation without fetal distress asks her nurse what kind of anesthesia would be best for her. The nurse explains that which of the following is the preferred method of anesthesia in this nonemergent case?
Correct Answer: A
Rationale: The correct answer is A: Spinal block. In a non-emergent cesarean section for breech presentation without fetal distress, a spinal block is preferred due to its rapid onset, reliable anesthesia for surgical procedures, and minimal risk to the fetus. Spinal block provides adequate pain relief and muscle relaxation without affecting the mother's ability to breathe and interact with the newborn immediately after delivery. Summary of other choices: B: Epidural block - Epidural block may not provide a dense enough block for a cesarean section and might require more time to administer. C: General anesthesia - General anesthesia poses more risks to both the mother and the fetus compared to regional anesthesia methods. D: Intravenous sedation - Intravenous sedation may not provide sufficient anesthesia for a cesarean section and is not the preferred method for this type of surgery.
Question 5 of 5
A patient with a history of hypertension is admitted to the labor and delivery unit. Which of the following is most important to monitor for during labor?
Correct Answer: C
Rationale: The correct answer is C: Preeclampsia. Preeclampsia is a serious condition characterized by high blood pressure and protein in the urine, which can lead to complications for both the mother and baby during labor. Monitoring for signs of preeclampsia is crucial to ensure timely intervention and prevent adverse outcomes. A: Hypotension is not typically a major concern in a patient with a history of hypertension during labor. B: Precipitous delivery refers to an unusually fast labor, which can be managed but is not the most important issue to monitor for in this case. D: Increased bleeding risk may be a concern, but preeclampsia poses a more immediate threat to the patient's health and requires closer monitoring.