ATI LPN
ATI LPN Maternity OB Cohort 65 Exam Questions
Extract:
Client had epidural anesthesia during early labor, BP 80/40 mm Hg, fetal heart rate 140/min.
Question 1 of 5
A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 140/min. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Lateral positioning improves venous return and cardiac output, addressing hypotension from epidural anesthesia, which is the priority action.
Extract:
Client in labor.
Question 2 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:
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:
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 receiving oxytocin for labor induction.
Question 5 of 5
A major responsibility of the nurse caring for a patient receiving oxytocin for labor induction is to
Correct Answer: B
Rationale: Tachysystole, defined as more than 5 contractions in 10 minutes, is a critical complication of oxytocin that can lead to fetal distress, making it a primary monitoring responsibility.