ATI LPN
ATI LPN Maternity OB Cohort 65 Exam Questions
Extract:
Client in labor.
Question 1 of 5
A nurse is reinforcing teaching with a client who is in labor about an episiotomy. Which of the following information should the nurse include?
Correct Answer: A
Rationale: An episiotomy is a surgical incision in the perineum to facilitate delivery, reducing the risk of severe tears.
Extract:
Question 2 of 5
What is the primary purpose of assessing fetal heart rate patterns during labor and delivery?
Correct Answer: B
Rationale: Fetal heart rate monitoring assesses the baby's oxygenation and detects distress, ensuring fetal well-being during labor.
Extract:
Client with ruptured amniotic membranes.
Question 3 of 5
Once your client's amniotic membranes have ruptured you need to evaluate the amniotic fluid for the following. (please select all that apply)
Correct Answer: C,D,E
Rationale: Evaluating amniotic fluid amount, odor, and color is critical to assess for oligohydramnios, infection, or meconium, which impact fetal health.
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 4 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:
Question 5 of 5
A nurse is discussing intermittent fetal heart monitoring with a newly licensed nurse. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Assessing the fetal heart rate after a contraction is crucial to identify decelerations or baseline changes that may indicate fetal distress, ensuring accurate monitoring during labor.