Maternal Newborn ATI Proctored Exam Related

Review Maternal Newborn ATI Proctored Exam related questions and content

A client in active labor reports back pain while being examined by a nurse who finds her to be 8 cm dilated, 100% effaced, -2 station, and in the occiput posterior position. What action should the nurse take?

  • A. Perform effleurage during contractions.
  • B. Place the client in lithotomy position.
  • C. Assist the client to the hands and knees position.
  • D. Apply a scalp electrode to the fetus.
Correct Answer: C

Rationale: The correct action is to assist the client to the hands and knees position. This position, also known as the all-fours position, can help alleviate back pain by encouraging the baby to rotate into a more favorable position for delivery. By being on hands and knees, gravity assists in the rotation of the baby. This position can also help relieve pressure on the mother's back and potentially facilitate a smoother labor progress. Effleurage (choice A) may provide comfort but doesn't address the positional issue. Placing the client in lithotomy position (choice B) can worsen the occiput posterior position. Applying a scalp electrode to the fetus (choice D) is not indicated in this scenario.