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ATI RN · ATI Maternal Newborn · labor and delivery questions and answers

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Nurses can help their clients by keeping them informed about the distinctive stages of labor. Which description of the phases of the first stage of labor is accurate?

A. Latent: Mild, regular contractions; no dilation; bloody show; duration of 2 to 4 hours
B. Active: Moderate, regular contractions; 4- to 7-cm dilation; duration of 3 to 6 hours
C. Lull: No contractions; dilation stable; duration of 20 to 60 minutes
D. Transition: Very strong but irregular contractions; 8- to 10-cm dilation; duration of 1 to 2 hours

Expert Explanatory Rationale

Correct Answer: Active: Moderate, regular contractions; 4- to 7-cm dilation; duration of 3 to 6 hours

Question 2 of 5

The nurse expects which maternal cardiovascular finding during labor?

A. Increased cardiac output
B. Decreased pulse rate
C. Decreased white blood cell (WBC) count
D. Decreased blood pressure

Expert Explanatory Rationale

Correct Answer: Increased cardiac output

Question 3 of 5

Which criteria should be verified prior to vacuum or forceps use? Select all that apply.

A. The woman's bladder is empty.
B. The fetus must be at least 34 weeks gestation.
C. There is a Category I tracing.
D. The cervix must be completely dilated.

Expert Explanatory Rationale

Correct Answer: The fetus must be at least 34 weeks gestation.

Question 4 of 5

A new mother asks the nurse when the soft spot on her son's head will go away. What is the nurse's best response, based upon her understanding of when the anterior frontal closes?

A. 2 months
B. 8 months
C. 12 months
D. 18 months

Expert Explanatory Rationale

Correct Answer: 18 months

Question 5 of 5

A laboring woman who has not taken pain medication abruptly stops her previous breathing techniques during a contraction and makes low-pitched grunting sounds. The priority nursing action is to:

A. Ask her whether she needs pain medication.
B. Turn her to her left side.
C. Assess contraction duration.
D. Look at her perineum.

Expert Explanatory Rationale

Correct Answer: Look at her perineum.

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