ATI RN
Promoting patient comfort during labor and birth questions quizlet Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A laboring patient is 10 cm dilated; however, she does not feel the urge to push. The nurse understands that according to laboring down, the advantages of waiting until an urge to push are which of the following? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Less maternal fatigue. Waiting for the urge to push during laboring down helps conserve the mother's energy and prevents exhaustion. Pushing without the urge can lead to ineffective pushing efforts, increasing maternal fatigue. Incorrect choices: B: Less birth canal injuries - Pushing without the urge may increase the risk of birth canal injuries due to ineffective pushing efforts. C: Decreased pushing time - Pushing without the urge may actually prolong pushing time as the efforts may be less effective. D: Faster descent of the fetus - Pushing without the urge may not necessarily result in faster descent of the fetus and can lead to prolonged labor.
Question 5 of 5
The nurse is monitoring a patient in the active stage of labor. Which conditions associated with fetal compromise should the nurse monitor? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Maternal hypotension. Maternal hypotension can lead to decreased perfusion to the placenta, compromising fetal oxygenation. Other choices are incorrect. B: A fetal heart rate of 140 to 150 bpm is within the normal range during labor. C: Meconium-stained amniotic fluid may indicate fetal distress but is not a direct condition associated with fetal compromise. D: Maternal fever can indicate infection but does not directly indicate fetal compromise in the active stage of labor.