ATI NSG 4525 Intrapartum Exam Questions
With Correct Answers
A nurse is observing the electronic fetal heart rate monitor for a client who is at
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40 weeks of gestation and is in labor. The nurse should suspect cord compression
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when she observes which of the following patterns?
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-Early decelerations
|
-Accelerations
-Late decelerations
|
-Variable decelerations - CORRECT ANSWER✔✔-Variable decelerations -
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Variable decelerations occur when the umbilical cord becomes compressed and
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disrupts the flow of oxygen to the fetus.
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A nurse in the labor and delivery unit is caring for a client who is undergoing
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external fetal monitoring. the nurse observes the fetal heart rate begins to slow
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after the start of a contraction and the lowest rate occurs after the peak of the
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contraction. Which of the following actions should the nurse take first?
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-Place the client in the lateral position.
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-Increase the rate of maintenance IV infusion.
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-Elevate the client's legs.
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-Administer oxygen using a nonrebreather mask. - CORRECT ANSWER✔✔-Place
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the client in the lateral position. -
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, This is a late deceleration and is associated with fetal hypoxemia due to
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insufficient placental perfusion. Placing the client in the lateral position is the first
| | | | | | | | | | | |
|action the nurse should take.
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A nurse is assessing a client who is in active labor and notes that the presenting
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part is at 0 station. Which of the following is the correct interpretation of this
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clinical finding? |
-The fetal head is in the left occiput posterior position.
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-The largest fetal diameter has passed through the pelvic outlet.
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-The posterior fontanel is palpable.
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-The lowermost portion of the fetus is at the level of the ischial spines. - CORRECT
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|ANSWER✔✔-The lowermost portion of the fetus is at the level of the ischial | | | | | | | | | | | | |
spines. - |
The presenting part is at 0 station when its lowermost portion is at the level of an
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imaginary line drawn between the client's ischial spines. Levels above the ischial
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spines are negative values: -1, -2, -3. Levels below the ischial spines are positive
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values: +1, +2, +3. | | |
A nurse is caring for a client who is in labor and had an external fetal monitor. The
| | | | | | | | | | | | | | | | |
|nurse observed late deceleration on the monitor strip and interprets them as
| | | | | | | | | | | |
indicating which of the following? | | | |
-Uteroplacental insufficiency |
-Maternal bradycardia |
-Umbilical cord compression | |
-Fetal head compression - CORRECT ANSWER✔✔-Uteroplacental insufficiency -
| | | | | | |
The pattern of the fetal heart rate during labor is an indicator of fetal well-being.
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Late decelerations are the result of uteroplacental insufficiency and the fetus
| | | | | | | | | | |
With Correct Answers
A nurse is observing the electronic fetal heart rate monitor for a client who is at
| | | | | | | | | | | | | | | |
40 weeks of gestation and is in labor. The nurse should suspect cord compression
| | | | | | | | | | | | | |
when she observes which of the following patterns?
| | | | | | |
-Early decelerations
|
-Accelerations
-Late decelerations
|
-Variable decelerations - CORRECT ANSWER✔✔-Variable decelerations -
| | | | | |
Variable decelerations occur when the umbilical cord becomes compressed and
| | | | | | | | | |
disrupts the flow of oxygen to the fetus.
| | | | | | |
A nurse in the labor and delivery unit is caring for a client who is undergoing
| | | | | | | | | | | | | | | |
external fetal monitoring. the nurse observes the fetal heart rate begins to slow
| | | | | | | | | | | | |
after the start of a contraction and the lowest rate occurs after the peak of the
| | | | | | | | | | | | | | | |
contraction. Which of the following actions should the nurse take first?
| | | | | | | | | |
-Place the client in the lateral position.
| | | | | |
-Increase the rate of maintenance IV infusion.
| | | | | |
-Elevate the client's legs.
| | |
-Administer oxygen using a nonrebreather mask. - CORRECT ANSWER✔✔-Place
| | | | | | | | |
the client in the lateral position. -
| | | | | |
, This is a late deceleration and is associated with fetal hypoxemia due to
| | | | | | | | | | | | |
insufficient placental perfusion. Placing the client in the lateral position is the first
| | | | | | | | | | | |
|action the nurse should take.
| | | |
A nurse is assessing a client who is in active labor and notes that the presenting
| | | | | | | | | | | | | | | |
part is at 0 station. Which of the following is the correct interpretation of this
| | | | | | | | | | | | | | |
clinical finding? |
-The fetal head is in the left occiput posterior position.
| | | | | | | | |
-The largest fetal diameter has passed through the pelvic outlet.
| | | | | | | | |
-The posterior fontanel is palpable.
| | | |
-The lowermost portion of the fetus is at the level of the ischial spines. - CORRECT
| | | | | | | | | | | | | | |
|ANSWER✔✔-The lowermost portion of the fetus is at the level of the ischial | | | | | | | | | | | | |
spines. - |
The presenting part is at 0 station when its lowermost portion is at the level of an
| | | | | | | | | | | | | | | |
imaginary line drawn between the client's ischial spines. Levels above the ischial
| | | | | | | | | | | | |
spines are negative values: -1, -2, -3. Levels below the ischial spines are positive
| | | | | | | | | | | | | |
values: +1, +2, +3. | | |
A nurse is caring for a client who is in labor and had an external fetal monitor. The
| | | | | | | | | | | | | | | | |
|nurse observed late deceleration on the monitor strip and interprets them as
| | | | | | | | | | | |
indicating which of the following? | | | |
-Uteroplacental insufficiency |
-Maternal bradycardia |
-Umbilical cord compression | |
-Fetal head compression - CORRECT ANSWER✔✔-Uteroplacental insufficiency -
| | | | | | |
The pattern of the fetal heart rate during labor is an indicator of fetal well-being.
| | | | | | | | | | | | | | |
Late decelerations are the result of uteroplacental insufficiency and the fetus
| | | | | | | | | | |
