ATI LPN
ATI LPN Maternity OB Cohort 65 Exam Questions
Extract:
Question 1 of 5
What stage of labor ends with the physiologic stabilization of the mother?
Correct Answer: D
Rationale: Stage 4, the recovery phase post-placenta delivery, focuses on the mother's physiologic stabilization, typically lasting 1-2 hours.
Question 2 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 3 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:
Question 4 of 5
Leopold's maneuvers are performed to:
Correct Answer: B
Rationale: Leopold's maneuvers assess fetal position and presentation, aiding in labor and delivery planning.
Extract:
Client in active labor, cervix at least 4 cm dilated.
Question 5 of 5
An injection of local anesthetic drug into epidural space, which blocks transmission of pain impulses to brain and is given when cervix is in active labor at least 4cm dilated is called what?
Correct Answer: A
Rationale: Epidural anesthesia involves injecting anesthetic into the epidural space to block pain during active labor, typically at 4 cm dilation.