ATI OB EXAM Complete
ATI OBS EXAM 2 Complete Verified
Questions And Correct Detailed Answers
with Rationales| Graded A+ GUARANTEED
PASS ACE YOUR EXAM
Client is at 38 weeks gestation, gravida 1, para 0, vaginal exam4 cm, 100% effaced, +1 station
vertex. What is the most likely intervention for this fetal heart rate pattern?
a. Continue oxytocin (Pitocin) infusion.
b. Contact the anesthesia department for epidural administration.
c. Change maternal position.
d. Administer Narcan to client and prepare for immediate vaginal delivery. –
A+ TEST BANK 1
, ATI OB EXAM Complete
Correct Answer :c. Change maternal position.
Late decelerations indicate fetal compromise (uteroplacental insufficiency) and are
considered to be a significant event requiring immediate assessment and intervention. Of all
the options listed, changing maternal position may increase placental perfusion. In the
presence of late decelerations, Pitocin infusion should be stopped. Contacting anesthesia
for epidural administration will not solve the existing problem of late decelerations. There
are no data to support the administration of Narcan and because client is still in early labor,
birth is not imminent.
The physician has ordered an amnioinfusion for the laboring client. What data supports the
use of this therapeutic procedure?
a. Presenting part not engaged
b. +4 meconium-stained amniotic fluid on artificial rupture of membranes (AROM)
c. Breech position of fetus
d. Twin gestation –
Correct Answer :b. +4 meconium-stained amniotic fluid on artificial rupture of membranes
(AROM)
Amnioinfusion is a procedure used during labor when cord compression or the detection of
gross meconium staining is found in the amniotic fluid. A saline solution is used as an
irrigation method through the IUPC (intrauterine pressure catheter).
Which of the following is the priority intervention for a supine client whose monitor strip
shows decelerations that begin after the peak of the contraction and return to the baseline
after the contraction ends?
A+ TEST BANK 2
, ATI OB EXAM Complete
a. Increase IV infusion.
b. Elevate lower extremities.
c. Reposition to left side-lying position.
d. Administer oxygen per face mask at 4 to 6 L/min. –
Correct Answer :c. Reposition to left side-lying position.
Decelerations that begin at the peak of the contractions and recover after the contractions
end are caused by uteroplacental insufficiency. When the client is in the supine position, the
weight of the uterus partially occludes the vena cava and descending aorta, resulting in
hypotension and decreased placental perfusion. Increasing the IV infusion, elevating the
lower extremities, and administering O2 will not be effective as long as the client is in a
supine position.
Decelerations that mirror the contractions are present with each contraction on the monitor
strip of a multipara who received epidural anesthesia 20 minutes ago. The nurse should:
a. maintain the normal assessment routine.
b. administer O2 at 8 to 10 L/min by face mask.
c. increase the IV flow rate from 125 to 150 mL/hr.
d. assess the maternal blood pressure for a systolic pressure below 100 mm Hg. –
Correct Answer :a. maintain the normal assessment routine.
Decelerations that mirror the contraction are early decelerations caused by fetal head
compression. Early decelerations are not associated with fetal compromise and require no
intervention. Administering O2, increasing the IV flow rate, and assessing for hypotension
are not necessary in early decelerations.
To clarify the fetal condition when baseline variability is absent, the nurse should first:
A+ TEST BANK 3
, ATI OB EXAM Complete
a. monitor fetal oxygen saturation using fetal pulse oximetry.
b. notify the physician so that a fetal scalp blood sample can be obtained.
c. apply pressure to the fetal scalp with a glove finger using a circular motion.
d. increase the rate of non-additive IV fluid to expand the mothers blood volume. –
Correct Answer :c. apply pressure to the fetal scalp with a glove finger using a circular
motion.
Fetal scalp stimulation helps identify whether the fetus responds to gentle massage. An
acceleration in response to the massage suggests that the fetus is in normal oxygen and
acid-base balance. Monitoring fetal oxygen saturation using fetal pulse oximetry is no longer
available in the United States. Obtaining a fetal scalp blood sample is invasive and the results
are not immediately available. Increasing the rate of non-additive IV fluid would not clarify
the fetal condition.
Which client is a candidate for internal monitoring with an intrauterine pressure catheter?
a. Obese client whose contractions are 3 to 6 minutes apart, lasting 20 to 50 seconds
b. Gravida 1, para 0, whose contractions are 2 to 3 minutes apart, lasting 60 seconds
c. Multigravida whose contractions are 2 minutes apart, lasting 60 to 70 seconds
d. Gravida 2, para 1, in latent phase whose contractions are irregular and mild –
Correct Answer :a. Obese client whose contractions are 3 to 6 minutes apart, lasting 20 to
50 seconds
A thick layer of abdominal fat absorbs energy from uterine contractions, reducing their
apparent intensity on the monitor strip. Contraction patterns of 2 to 3 minutes lasting 60
seconds and every 2 minutes lasting 60 to 70 seconds indicate accurate measurement of
uterine activity. Irregular and mild contractions are common in the latent phase.
A+ TEST BANK 4
ATI OBS EXAM 2 Complete Verified
Questions And Correct Detailed Answers
with Rationales| Graded A+ GUARANTEED
PASS ACE YOUR EXAM
Client is at 38 weeks gestation, gravida 1, para 0, vaginal exam4 cm, 100% effaced, +1 station
vertex. What is the most likely intervention for this fetal heart rate pattern?
a. Continue oxytocin (Pitocin) infusion.
b. Contact the anesthesia department for epidural administration.
c. Change maternal position.
d. Administer Narcan to client and prepare for immediate vaginal delivery. –
A+ TEST BANK 1
, ATI OB EXAM Complete
Correct Answer :c. Change maternal position.
Late decelerations indicate fetal compromise (uteroplacental insufficiency) and are
considered to be a significant event requiring immediate assessment and intervention. Of all
the options listed, changing maternal position may increase placental perfusion. In the
presence of late decelerations, Pitocin infusion should be stopped. Contacting anesthesia
for epidural administration will not solve the existing problem of late decelerations. There
are no data to support the administration of Narcan and because client is still in early labor,
birth is not imminent.
The physician has ordered an amnioinfusion for the laboring client. What data supports the
use of this therapeutic procedure?
a. Presenting part not engaged
b. +4 meconium-stained amniotic fluid on artificial rupture of membranes (AROM)
c. Breech position of fetus
d. Twin gestation –
Correct Answer :b. +4 meconium-stained amniotic fluid on artificial rupture of membranes
(AROM)
Amnioinfusion is a procedure used during labor when cord compression or the detection of
gross meconium staining is found in the amniotic fluid. A saline solution is used as an
irrigation method through the IUPC (intrauterine pressure catheter).
Which of the following is the priority intervention for a supine client whose monitor strip
shows decelerations that begin after the peak of the contraction and return to the baseline
after the contraction ends?
A+ TEST BANK 2
, ATI OB EXAM Complete
a. Increase IV infusion.
b. Elevate lower extremities.
c. Reposition to left side-lying position.
d. Administer oxygen per face mask at 4 to 6 L/min. –
Correct Answer :c. Reposition to left side-lying position.
Decelerations that begin at the peak of the contractions and recover after the contractions
end are caused by uteroplacental insufficiency. When the client is in the supine position, the
weight of the uterus partially occludes the vena cava and descending aorta, resulting in
hypotension and decreased placental perfusion. Increasing the IV infusion, elevating the
lower extremities, and administering O2 will not be effective as long as the client is in a
supine position.
Decelerations that mirror the contractions are present with each contraction on the monitor
strip of a multipara who received epidural anesthesia 20 minutes ago. The nurse should:
a. maintain the normal assessment routine.
b. administer O2 at 8 to 10 L/min by face mask.
c. increase the IV flow rate from 125 to 150 mL/hr.
d. assess the maternal blood pressure for a systolic pressure below 100 mm Hg. –
Correct Answer :a. maintain the normal assessment routine.
Decelerations that mirror the contraction are early decelerations caused by fetal head
compression. Early decelerations are not associated with fetal compromise and require no
intervention. Administering O2, increasing the IV flow rate, and assessing for hypotension
are not necessary in early decelerations.
To clarify the fetal condition when baseline variability is absent, the nurse should first:
A+ TEST BANK 3
, ATI OB EXAM Complete
a. monitor fetal oxygen saturation using fetal pulse oximetry.
b. notify the physician so that a fetal scalp blood sample can be obtained.
c. apply pressure to the fetal scalp with a glove finger using a circular motion.
d. increase the rate of non-additive IV fluid to expand the mothers blood volume. –
Correct Answer :c. apply pressure to the fetal scalp with a glove finger using a circular
motion.
Fetal scalp stimulation helps identify whether the fetus responds to gentle massage. An
acceleration in response to the massage suggests that the fetus is in normal oxygen and
acid-base balance. Monitoring fetal oxygen saturation using fetal pulse oximetry is no longer
available in the United States. Obtaining a fetal scalp blood sample is invasive and the results
are not immediately available. Increasing the rate of non-additive IV fluid would not clarify
the fetal condition.
Which client is a candidate for internal monitoring with an intrauterine pressure catheter?
a. Obese client whose contractions are 3 to 6 minutes apart, lasting 20 to 50 seconds
b. Gravida 1, para 0, whose contractions are 2 to 3 minutes apart, lasting 60 seconds
c. Multigravida whose contractions are 2 minutes apart, lasting 60 to 70 seconds
d. Gravida 2, para 1, in latent phase whose contractions are irregular and mild –
Correct Answer :a. Obese client whose contractions are 3 to 6 minutes apart, lasting 20 to
50 seconds
A thick layer of abdominal fat absorbs energy from uterine contractions, reducing their
apparent intensity on the monitor strip. Contraction patterns of 2 to 3 minutes lasting 60
seconds and every 2 minutes lasting 60 to 70 seconds indicate accurate measurement of
uterine activity. Irregular and mild contractions are common in the latent phase.
A+ TEST BANK 4
