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ATI (OBSTERICS) FINAL EXAM QUESTIONS WITH ACCURATE SOLUTION A+ GRADED.
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ATI (OBSTERICS) FINAL EXAM QUESTIONS WITH ACCURATE SOLUTION A+ GRADED.
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ATI (OBSTERICS) FINAL EXAM QUESTIONSWITH ACCURATE SOLUTION A+ GRADED.
The nurse providing care for the laboring woman realizes that variable fetal heart
rate (FHR) decelerations are caused by:
a. Altered fetal cerebral blood flow.
b. Umbilical cord compression.
c. Uteroplacental insufficiency.
d. Fetal hypoxemia.
ANS: B
Variable decelerations can occur any time during the uterine contracting phase and
are caused by compression of the umbilical cord. Altered fetal cerebral blood flow
would result in early decelerations in the FHR. Uteroplacental insufficiency would
result in late decelerations in the FHR. Fetal hypoxemia would result in tachycardia
initially and then bradycardia if hypoxia continues.
The nurse providing care for the laboring woman should understand that late fetal
heart rate (FHR) decelerations are the result of:
a. Altered cerebral blood flow.
b. Umbilical cord compression.
c. Uteroplacental insufficiency.
d. Meconium fluid.
ANS: C
Uteroplacental insufficiency would result in late decelerations in the FHR. Altered
fetal cerebral blood flow would result in early decelerations in the FHR. Umbilical
cord compression would result in variable decelerations in the FHR. Meconium-
stained fluid may or may not produce changes in the fetal heart rate, depending on
the gestational age of the fetus and whether other causative factors associated with
fetal distress are present.
Which fetal heart rate (FHR) finding would concern the nurse during labor?
,a. Accelerations with fetal movement
b. Early decelerations
c. An average FHR of 126 beats/min
d. Late decelerations
ANS: D
Late decelerations are caused by uteroplacental insufficiency and are associated
with fetal hypoxemia. They are considered ominous if persistent and uncorrected.
Accelerations in the FHR are an indication of fetal well-being. Early decelerations in
the FHR are associated with head compression as the fetus descends into the
maternal pelvic outlet; they generally are not a concern during normal labor.
Fetal well-being during labor is assessed by:
a. The response of the fetal heart rate (FHR) to uterine contractions (UCs).
b. Maternal pain control.
c. Accelerations in the FHR.
d. An FHR above 110 beats/min.
ANS: A
Fetal well-being during labor can be measured by the response of the FHR to UCs. In
general, reassuring FHR patterns are characterized by an FHR baseline in the range
of 110 to 160 beats/min with no periodic changes, a moderate baseline variability,
and accelerations with fetal movement. Maternal pain control is not the measure
used to determine fetal well-being in labor. Although FHR accelerations are a
reassuring pattern, they are only one component of the criteria by which fetal well-
being is assessed. Although an FHR above 110 beats/min may be reassuring, it is
only one component of the criteria by which fetal well-being is assessed. More
information would be needed to determine fetal well-being.
The nurse recognizes that a woman is in true labor when she states:
a. "I passed some thick, pink mucus when I urinated this morning."
b. "My bag of waters just broke."
c. "The contractions in my uterus are getting stronger and closer together."
d. "My baby dropped, and I have to urinate more frequently now."
c. "The contractions in my uterus are getting stronger and closer together."
, When a nulliparous woman telephones the hospital to report that she is in labor,
the nurse initially should:
a. Tell the woman to stay home until her membranes rupture.
b. Emphasize that food and fluid intake should stop.
c. Arrange for the woman to come to the hospital for labor evaluation.
d. Ask the woman to describe why she believes she is in labor.
ANS: D
Assessment begins at the first contact with the woman, whether by telephone or in
person. By asking the woman to describe her signs and symptoms, the nurse can
begin her assessment and gather data.
The initial nursing activity should be to gather data about the woman's status. The
amniotic membranes may or may not spontaneously rupture during labor. The client
may be instructed to stay home until the uterine contractions become strong and
regular.
The initial nursing activity should be to gather data about the woman's status. After
this assessment has been made, the nurse may want to discuss the appropriate oral
intake for early labor, such as light foods or clear liquids, depending on the
preference of the client or her primary health care provider.
Before instructing the woman to come to the hospital, the nurse should initiate her
assessment during the telephone interview.
DIF: Cognitive Level: Application REF: 434
A woman whose membranes have ruptured, the nurse recognizes that the
woman's risk for _________________________ has increased.
a. intrauterine infection
b. hemorrhage
c. precipitous labor
d. supine hypotension
ANS: A
When assessing a woman in the first stage of labor, the nurse recognizes that the
most conclusive sign that uterine contractions are effective would be:
a. dilation of the cervix.
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