ATI LPN
ATI LPN Maternity OB Cohort 65 Exam Questions
Extract:
Question 1 of 5
A disadvantage of internal fetal monitoring is:
Correct Answer: D
Rationale: Internal fetal monitoring is invasive, requiring device insertion into the uterus, which increases the risk of infection compared to external monitoring.
Extract:
Client pregnant.
Question 2 of 5
A nurse is reviewing true labor vs false labor with a pregnant client. What statement by the client indicates teaching has been effective?
Correct Answer: A
Rationale: False labor contractions often decrease with activity like walking, unlike true labor, which progresses with cervical changes.
Extract:
Question 3 of 5
What is measured from the beginning of one contraction to the beginning of the next contraction?
Correct Answer: C
Rationale: Frequency is the time from the start of one contraction to the start of the next, measuring contraction intervals.
Extract:
Client in active labor, clear fluid and pulsating umbilical cord outside vagina.
Question 4 of 5
A nurse is assisting with the care of a client in active labor. The nurse observes clear fluid and a loop of pulsating umbilical cord outside the client's vagina. Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: Cord prolapse is an emergency requiring immediate assistance to manage the situation and prevent fetal hypoxia, making calling for help the first action.
Extract:
Client is a 26-year-old gravida 3 para 2 at 39 weeks gestation being induced for oligohydramnios. No significant social or medical history. Only complication is oligohydramnios. Previously delivered a 7-pound, 5-ounce infant vaginally without complications. Upon admission: 1 cm, 40% effaced, -2 station. No bloody show. Induced via Foley bulb induction. At 1200: 6 cm, 70% effaced, 0 station, membranes intact. Contractions every 2-3 min, strong. Fetal heart rate 140-145/min with average variability, drops to 100/min with contractions, lasts 20 sec, returns to baseline within 30 sec. Vital Signs at 1000: BP 122/74 mm Hg, HR 98/min, RR 20/min, Temp 36.7°C (98.1°F), O2 sat 99% on room air.
Question 5 of 5
Complete the diagram by dragging from the choices below to specify what complication the client is most likely experiencing, 2 actions the nurse should take to address that complication, and 2 parameters the nurse should monitor to assess the client's progress. Actions to take:
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer:
Rationale: Variable decelerations, indicated by a drop to 100/min with contractions, suggest cord compression due to oligohydramnios. Turning the client to the left side relieves cord pressure, and amnioinfusion adds fluid to cushion the cord. Monitoring fetal heart rate baseline and uterine contraction strength assesses intervention effectiveness.