ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who is at 40 weeks of gestation and is in labor
Question 1 of 5
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Correct Answer: D
Rationale: The correct answer is D: Variable decelerations. Variable decelerations are abrupt and visually apparent decreases in the fetal heart rate that vary in duration, depth, and timing. They are caused by cord compression, which can result in decreased blood flow to the fetus. The nurse should suspect a problem with the umbilical cord when observing variable decelerations because they indicate potential compromise to fetal oxygenation. Early decelerations (choice
A) are typically caused by head compression during contractions and are not concerning. Accelerations (choice
B) are indicative of fetal well-being. Late decelerations (choice
C) are associated with uteroplacental insufficiency. The presence of variable decelerations (choice
D) suggests umbilical cord compression and requires further assessment and intervention.
Extract:
Question 2 of 5
Correct Answer:
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Question 3 of 5
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Question 4 of 5
Correct Answer:
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Question 5 of 5
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