ATI LPN
ATI LPN Maternity OB Cohort 65 Exam Questions
Extract:
Client admitted for preterm labor, receiving magnesium sulfate, respiratory rate 8/min.
Question 1 of 5
A nurse is assisting with monitoring a client who is admitted for preterm labor and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?
Correct Answer: B
Rationale: A respiratory rate of 8/min indicates magnesium toxicity, and calcium gluconate is the antidote to reverse this toxicity by counteracting the effects of excessive magnesium.
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 2 of 5
The nurse is preparing to assist the nurse midwife with an amnioinfusion. The patient asks, 'Why do I need this?' The best response by the nurse is:
Correct Answer: B
Rationale: Amnioinfusion adds sterile fluid to the uterus to relieve umbilical cord compression, common in oligohydramnios, which can cause fetal distress by allowing the baby to compress the cord.
Extract:
Client in first stage of labor, umbilical cord protruding from vagina.
Question 3 of 5
A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Placing the client in a knee-chest or Trendelenburg position immediately relieves pressure on the prolapsed cord, preventing fetal hypoxia, which is the priority in this emergency.
Extract:
Question 4 of 5
During the active phase of labor, which of the following is a common sign that indicates progress?
Correct Answer: B
Rationale: Increased intensity and frequency of contractions in the active phase drive cervical dilation, indicating labor progression.
Extract:
Client pregnant.
Question 5 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.