ATI LPN
ATI LPN Maternity OB Cohort 65 Exam Questions
Extract:
Question 1 of 5
What stage of labor begins with full 10cm dilation of the cervix to the birth of the baby?
Correct Answer: D
Rationale: The second stage of labor starts at full 10 cm cervical dilation and ends with the baby's birth.
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 2 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.
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 primigravida at 42 weeks of gestation, states she thinks she is in labor.
Question 4 of 5
A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor?
Correct Answer: D
Rationale: Cervical dilation and effacement are definitive indicators of true labor, confirming the labor process has begun.
Extract:
Question 5 of 5
A disadvantage of internal fetal monitoring is:
Correct Answer: D
Rationale: Internal fetal monitoring is invasive, requiring device insertion into the uterus, which increases the risk of infection compared to external monitoring.