ATI LPN
ATI LPN Maternity OB Cohort 65 Exam Questions
Extract:
Client in active labor, clear fluid and pulsating umbilical cord outside vagina.
Question 1 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 2 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.
Extract:
Client in active labor, clear fluid and pulsating umbilical cord outside vagina.
Question 3 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 primigravida at 42 weeks of gestation, states she thinks she is in labor.
Question 4 of 5
A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor?
Correct Answer: D
Rationale: Cervical dilation and effacement are definitive indicators of true labor, confirming the labor process has begun.
Extract:
Question 5 of 5
What is considered non-pharmacological pain management from the list below? (please select all that apply)
Correct Answer: A,B,D
Rationale: Non-pharmacological methods like creating a relaxing environment, sacral counterpressure, and effleurage reduce labor pain without medications.