ATI RN
Intrapartum Complications Questions
Question 1 of 5
With what has maternal hypertension been associated?
Correct Answer: B
Rationale: Maternal hypertension can lead to decreased blood flow to the placenta, resulting in restricted growth and low birth weight in the baby. This association is well-documented in research and clinical practice. Low birth weight is a common consequence of maternal hypertension due to inadequate nutrient and oxygen supply to the fetus. Therefore, choice B is the correct answer. Choices A, C, and D are not directly associated with maternal hypertension. Anorexia is a psychological disorder related to eating habits, macrosomia refers to excessive birth weight, and symphysis pubis dysfunction is a musculoskeletal issue during pregnancy.
Question 2 of 5
How soon should delivery of the fetus occur when a Category III FHR tracing is diagnosed?
Correct Answer: B
Rationale: The correct answer is B: 30 minutes. When a Category III FHR tracing is diagnosed, it indicates severe fetal distress. Prompt delivery is crucial to prevent adverse outcomes. 30 minutes allows for timely intervention without risking further harm to the fetus. Option A (15 minutes) may be too rushed, potentially causing unnecessary stress during the delivery process. Options C (45 minutes) and D (60 minutes) delay delivery, increasing the risk of complications due to prolonged fetal distress. Timing is critical in ensuring the best possible outcome for both the mother and the baby.
Question 3 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 4 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 5 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.