ATI LPN
ATI LPN Maternity OB Cohort 65 Exam Questions
Extract:
Newborn delivered by vacuum extraction, has swelling on head crossing suture line. Mother asks about the swelling.
Question 1 of 5
A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Caput succedaneum is swelling of scalp soft tissues from vacuum extraction pressure, crossing suture lines, unlike cephalhematoma, which is blood collection not crossing sutures.
Extract:
Client in first stage of labor, umbilical cord protruding from vagina.
Question 2 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:
Client in labor.
Question 3 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 with PROM, receiving magnesium sulfate IV at 2 g/hr.
Question 4 of 5
A nurse is assisting with the care of a client with PROM and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Correct Answer: D
Rationale: A respiratory rate of 16/min (normal 12-20/min) indicates no respiratory depression, a key sign of magnesium toxicity, suggesting it is safe to continue the infusion.
Extract:
Question 5 of 5
What is the most common cause of early decelerations in fetal heart rate?
Correct Answer: A
Rationale: Early decelerations are caused by fetal head compression during contractions, a benign finding reflecting normal labor progression.