ATI MATERNAL NEWBORN NEWEST EXAM
LATEST (2024) WITH UPDATED AND
VERIFIED QUESTIONS AND WELL
ELABORATED ANSWERS WITH
RATIONALE (GRADED A+)
As the
... [Show More] nurse is explaining the difference between true versus false labor to her
childbirth class, she states that the major difference between them is:
a. Discomfort level is greater with false labor.
b. Progressive cervical changes occur in true labor.
c. There is a feeling of nausea with false labor.
d. There is more fetal movement with true labor. - ANSWER-b. Progressive cervical
changes occur in true labor.
Progressive cervical changes occur in true labor. This is not the case with false labor.
The shortest but most intense phase of labor is the:
a. Latent phase
b. Active phase
c. Transition phase
d. Placental expulsion phase - ANSWER-c. Transition phase
The transition phase of the first stage of labor occurs when the contractions are 1 to 2
minutes apart and the final dilation is taking place. The transition phase is the most
difficult and, fortunately, the shortest phase for the woman, lasting approximately 1 hour
in the first birth and perhaps 15 to 30 minutes in successive births. Many women are not
able to cope well with the intensity of this short period, become restless, and request
pain medications. During the latent phase, contractions are mild. The woman is in early
labor and able to cope with the infrequent contractions. This phase can last hours. The
active phase involves moderate contractions that allow for a brief rest period in
between, helping the woman to be able to cope with the next contraction. This phase
can last hours. The placental expulsion phase occurs during the third stage of labor.
After separation of the placenta from the uterine wall, continued uterine contractions
cause the placenta to be expelled. Although this phase can last 5 to 30 minutes, the
contraction intensity is less than that of the transition phase.
A laboring woman is admitted to the labor and birth suite at 6 cm dilation. She would be
in which phase of the first stage of labor?
a. Latent
b. Active
c. Transition
d. Early - ANSWER-b. Active
Cervical dilation of 6 cm indicates that the woman is in the active phase of the first stage
of labor. In this phase, the cervix dilates from 3 to 7 cm with 40% to 80% effacement
occurring. During the latent phase, the cervix dilates from 0 to 3 cm. During the
transition phase, the cervix dilates from 8 to 10 cm. The first stage of labor is divided
into three phases: latent, active, and transition. There is no early phase.
Which assessment would indicate that a woman is in true labor?
a. Membranes are ruptured and fluid is clear.
b. Presenting part is engaged and not floating.
c. Cervix is 4 cm dilated, 90% effaced.
d. Contractions last 30 seconds, every 5 to 10 minutes. - ANSWER-c. Cervix is 4 cm
dilated, 90% effaced.
When determining the frequency of contractions, the nurse would measure which of the
following?
a. Start of one contraction to the start of the next contraction
b. Beginning of one contraction to the end of the same contraction
c. Peak of one contraction to the peak of the next contraction
d. End of one contraction to the beginning of the next contraction - ANSWER-a. Start of
one contraction to the start of the next contraction
Frequency is measured from the start of one contraction to the start of the next
contraction. The duration of a contraction is measured from the beginning of one
contraction to the end of that same contraction. The intensity of two contractions is
measured by comparing the peak of one contraction with the peak of the next
contraction. The resting interval is measured from the end of one contraction to the
beginning of the next contraction.
Which fetal lie is most conducive to a spontaneous vaginal birth?
a. Transverse
b. Longitudinal
c. Perpendicular
d. Oblique - ANSWER-b. Longitudinal [Show Less]