ATI RN
Intrapartum Complications Questions
Question 1 of 5
Why is multiple gestation is a risk factor for cesarean delivery?
Correct Answer: A
Rationale: The correct answer is A: cord prolapse. In multiple gestation, there is a higher chance of cord prolapse due to the presence of more than one fetus in the uterus. This can lead to fetal distress and necessitate an emergency cesarean delivery to prevent complications. The other choices are incorrect because increased pain in labor, inability to push, and twins in cephalic-cephalic presentation are not direct risk factors for cesarean delivery in the context of multiple gestation.
Question 2 of 5
What intervention may be used to manage failure to descend during labor?
Correct Answer: D
Rationale: The correct answer is D because using forceps or a vacuum to assist delivery can help manage failure to descend during labor by aiding in the descent of the baby through the birth canal. Forceps or vacuum extraction can provide the necessary assistance to safely deliver the baby when maternal pushing alone is insufficient. Explanation for why the other choices are incorrect: A: Administering pain medication does not address the underlying issue of failure to descend during labor. B: Allowing the patient to rest may not resolve the issue of failure to descend and could potentially delay necessary interventions. C: Continuing to push for an extended period of time without progress can lead to maternal exhaustion and fetal distress without addressing the root cause of failure to descend.
Question 3 of 5
What medication is administered to treat uterine atony?
Correct Answer: D
Rationale: The correct answer is D: methylergonovine. Methylergonovine is a uterotonic medication used to treat uterine atony by causing the uterus to contract and prevent postpartum hemorrhage. Ampicillin (A) is an antibiotic, nitroglycerine (B) is a vasodilator, and magnesium sulfate (C) is a medication used for conditions like preeclampsia and eclampsia, but not specifically for uterine atony. Therefore, D is the correct choice for treating uterine atony.
Question 4 of 5
The nurse will monitor for aspiration, thought processes, and improved mobility after which complication?
Correct Answer: D
Rationale: The correct answer is D: postpartum hemorrhage. The nurse monitors for aspiration due to potential bleeding or clotting issues postpartum. Monitoring thought processes is important as postpartum hemorrhage can lead to hypovolemic shock affecting cognition. Improved mobility is assessed as excessive bleeding can cause weakness. Neurologic dysfunction (choice A) is not directly related to postpartum hemorrhage. Measuring blood loss (choice B) is important but not the primary focus after postpartum hemorrhage. Gestational diabetes (choice C) is a separate condition unrelated to postpartum hemorrhage.
Question 5 of 5
The nurse is assisting with the preparation of a patient admitted for a planned cesarean birth. The patient has signed the consent form and discussed the elected regional anesthesia with the nurse anesthetist. Which is the most important action for the nurse related to anesthesia?
Correct Answer: A
Rationale: Step-by-step rationale for why answer A is correct: 1. NPO status is crucial to prevent aspiration during anesthesia administration. 2. Anesthesia guidelines typically require patients to be NPO for 6-8 hours. 3. Failure to verify NPO status can lead to serious complications. 4. Ensuring NPO status is a fundamental safety measure in anesthesia administration. Summary of why other choices are incorrect: B. Starting an IV and administering fluids are important but not as critical as verifying NPO status for anesthesia safety. C. Administering preoperative medications is important, but ensuring NPO status takes precedence to prevent aspiration. D. Obtaining a fetal heart rate monitor strip is important for monitoring the baby's well-being but does not directly impact anesthesia safety.