ATI Custom Maternity Exam | Nurselytic

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ATI Custom Maternity Exam Questions

Extract:

A client at 3 weeks of gestation in early active labor with contractions every 3-4 minutes, oxytocin infusion, LOA vertex, 4 cm dilation, complete effacement, FHR decelerations to 100/min


Question 1 of 5

A nurse is assisting in the care of a client who is at 3 weeks of gestation. The client presents to the Labor and Delivery Unit in the early phase of active labor with contractions occurring every 3 to 4 minutes. An 18-gauge needle is inserted in the left hand and oxytocin infusion is initiated. An internal examination reveals a left occiput anterior (LOA) vertex, 4 cm dilation, complete effacement, and decelerations noted in the fetal heart rate (FHR) which decreases to 100/min with contractions, lasts 10 seconds, and returns to baseline within 20 seconds. What condition is the client most likely experiencing, what are 2 actions the nurse should take to address that condition, and what are 2 parameters the nurse should monitor to assess the client's progress?

Correct Answer: B,C

Rationale: FHR decelerations suggest potential fetal distress, requiring continued monitoring of contractions and fetal heart rate, and ensuring comfort and hydration to support labor.

Extract:


Question 2 of 5

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Question 5 of 5

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