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ATI RN · ATI Maternal Newborn · Comfort Measures During Labor and Delivery

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

What complication does gestational diabetes increase?

A. breech

B. macrosomia

C. postterm birth

D. precipitous birth

Expert Explanatory Rationale

Correct Answer: macrosomia

Question 2 of 5

A nurse is coaching a woman who is in the second stage of labor. Which of the following should the nurse encourage the woman to do?

A. Hold her breath for twenty seconds during every contraction.

B. Blow out forcefully during every contraction.

C. Push between contractions until the fetal head is visible.

D. Take a slow cleansing breath before bearing down.

Expert Explanatory Rationale

Correct Answer: Take a slow cleansing breath before bearing down.

Question 3 of 5

How often should the nurse assess the fetal heart rate in a low-risk person during the second stage?

A. every 5 minutes with contractions

B. at least every 30 minutes

C. every 5-15 minutes

D. only when the physician orders assessment

Expert Explanatory Rationale

Correct Answer: at least every 30 minutes

Question 4 of 5

The nurse is performing a vaginal examination on a client in labor. The client is found to be 5 cm dilated, 90% effaced, and station 2. Which of the following has the nurse palpated?

A. Thin cervix.

B. Bulging fetal membranes.

C. Head at the pelvic outlet.

D. Closed cervix.

Expert Explanatory Rationale

Correct Answer: Thin cervix.

Question 5 of 5

What is consistent with the assessment of fetal buttocks at 1 cm above the ischial spines?

A. LOA -1 station

B. LSP -1 station

C. LMP -1 station

D. LSA -1 station

Expert Explanatory Rationale

Correct Answer: LSP -1 station

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