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ATI Maternal Newborn exam maltoso
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Total Questions : 32
Showing 10 questions, Sign in for moreQuestion 1:
A student nurse is reviewing the Five P's of labor and how they can affect labor dystocia.
Which of the following fetal (passenger) factors can contribute to labor dystocia?
Which of the following fetal (passenger) factors can contribute to labor dystocia?
Answer and Explanation
A
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Question 2:
A student nurse is reviewing the Five P's of labor and how they can affect labor dystocia.
Which of the following fetal (passenger) factors can contribute to labor dystocia?
Which of the following fetal (passenger) factors can contribute to labor dystocia?
Answer and Explanation
A
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Question 3:
A nurse is caring for a client who is in the second stage of labor.
The nurse observes the umbilical cord protruding from the vagina.
Which of the following actions should the nurse perform first?
The nurse observes the umbilical cord protruding from the vagina.
Which of the following actions should the nurse perform first?
Answer and Explanation
A
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Question 4:
A nurse is caring for a client in labor that has been struggling with hypotonic uterine dysfunction.
Throughout labor the client's plan of care included oxytocin titration, amniotomy, and IUPC placement.
Despite adequate contractions (Montevideo units over 200 mmHg) for many hours, there has been no cervical change and cervix remains 7 cm, 75% effaced, and fetal station of minus (-) 2. The provider tells the patient she believes there is a cephalopelvic disproportion (CPD). What recommendation does the nurse anticipate the provider will discuss next?
Throughout labor the client's plan of care included oxytocin titration, amniotomy, and IUPC placement.
Despite adequate contractions (Montevideo units over 200 mmHg) for many hours, there has been no cervical change and cervix remains 7 cm, 75% effaced, and fetal station of minus (-) 2. The provider tells the patient she believes there is a cephalopelvic disproportion (CPD). What recommendation does the nurse anticipate the provider will discuss next?
Answer and Explanation
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Question 5:
A client at 37 weeks gestation is being admitted for a scheduled external cephalic version (ECV). Which of the following actions should the nurse anticipate being completed prior to the provider performing this elective procedure? (Select four options).
Answer and Explanation
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Question 6:
A nurse is caring for a client that has a new order for Laminaria for cervical ripening.
The nurse provides education on this type of cervical ripener.
Which of the following statements would the nurse include in the education?
The nurse provides education on this type of cervical ripener.
Which of the following statements would the nurse include in the education?
Answer and Explanation
A
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Question 7:
The nurse is observing a fetal heart tracing of a term pregnant client in spontaneous labor and observes excessive uterine activity.
There are six contractions in 10 minutes over a 30-minute window and the fetal heart rate has changed to a category II tracing with late decelerations.
The client has been repositioned, oxygen has been initiated, and an IV fluid bolus is infusing.
The nurse anticipates an order for which medication?
There are six contractions in 10 minutes over a 30-minute window and the fetal heart rate has changed to a category II tracing with late decelerations.
The client has been repositioned, oxygen has been initiated, and an IV fluid bolus is infusing.
The nurse anticipates an order for which medication?
Answer and Explanation
A
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Question 8:
A nurse is caring for a client with persistent variable decelerations despite intrauterine resuscitation interventions.
An order for an amnioinfusion is received.
The order is for a 250 ml bolus of 0.9% Sodium Chloride over 30 minutes.
Available is 0.9% Sodium Chloride in a 1000ml bag.
How many ml/hr will the nurse program the IV pump for? (Round to the nearest whole number.)
Answer and Explanation
Correct Answer: "500" mL/hour
Explanation
Step 1 is calculate the total volume to be infused: 250 mL
Step 2 is determine the time in hours: 30 minutes ÷ 60 minutes/hour = 0.5 hours.
Step 3 is calculate the rate in mL/hour: 250 mL ÷ 0.5 hours = 500 mL/hour.
The nurse will program the IV pump for 500 mL/hour.
A
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Question 9:
A nurse is caring for a newborn immediately after delivery.
Which of the following would indicate the newborn is showing signs of respiratory distress?
Which of the following would indicate the newborn is showing signs of respiratory distress?
Answer and Explanation
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Question 10:
Vasa previa is a rare obstetric complication.
In order for this complication to occur, there has to first be an abnormality of which of the following structures of pregnancy?
In order for this complication to occur, there has to first be an abnormality of which of the following structures of pregnancy?
Answer and Explanation
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