ATI LPN
ATI LPN Maternity OB Cohort 65 Exam Questions
Extract:
Client in labor.
Question 1 of 5
A nurse is assisting with the care of a client who is in labor. Which of the following nursing actions reflects application of the gate control theory of pain?
Correct Answer: C
Rationale: The gate control theory posits that non-painful stimuli, like back massage, can block pain signals, reducing pain perception during labor contractions.
Extract:
Question 2 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.
Extract:
Client in active labor, external fetal monitor shows tachycardia.
Question 3 of 5
A nurse is assisting in the care of a client who is in active labor. The nurse notes tachycardia on the external fetal monitor tracing. Which of the following conditions should the nurse identify as a potential cause of the heart rate?
Correct Answer: B
Rationale: Maternal fever can cause fetal tachycardia by increasing fetal temperature, elevating the heart rate as a response.
Extract:
Question 4 of 5
A nurse is preparing to administer indomethacin 50 mg PO. Available is indomethacin oral suspension 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10 mL
Rationale: Using the formula: 50 mg / 5 mg/mL = 10 mL, the nurse should administer 10 mL of indomethacin.
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
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.