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ATI RN · ATI Maternal Newborn · Maternal Monitoring During Labor ppt

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

During a vaginal birth, a birthing person experienced a second-degree perineal laceration. What is a characteristic of a second-degree laceration?

A. It involves only the vaginal mucosa.

B. It extends through the vaginal and perineal muscles.

C. It is the least severe type of laceration.

D. It does not require suturing.

Expert Explanatory Rationale

Correct Answer: It extends through the vaginal and perineal muscles.

Question 2 of 5

A third-trimester client is being seen for routine prenatal care.

A. Blood glucose.

B. Blood pressure.

C. Fetal heart rate.

D. Urine protein.

Expert Explanatory Rationale

Correct Answer: Blood glucose.

Question 3 of 5

The nurse is assessing a pregnant patient who is at 32 weeks gestation and is concerned about leg cramps. Which intervention should the nurse recommend?

A. Apply a heating pad to the legs to relieve cramps.

B. Perform gentle stretching exercises to reduce muscle tension.

C. Increase calcium intake to prevent muscle cramps.

D. Lie down and elevate the legs to prevent cramps.

Expert Explanatory Rationale

Correct Answer: Perform gentle stretching exercises to reduce muscle tension.

Question 4 of 5

A nurse is monitoring a laboring person's vital signs during the first stage of labor. Which vital sign change is most likely to indicate the need for further evaluation?

A. decrease in heart rate

B. increase in blood pressure

C. increase in pulse rate

D. no change in vital signs

Expert Explanatory Rationale

Correct Answer: increase in blood pressure

Question 5 of 5

What is the most appropriate action when a laboring person's membranes rupture and meconium is present?

A. notify the healthcare provider

B. document the amount of meconium

C. prepare the person for vacuum extraction

D. apply pressure to the abdomen

Expert Explanatory Rationale

Correct Answer: notify the healthcare provider

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