Questions 42

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ATI NUR270A Maternity Exam Questions

Extract:

Client gravida 3, para 2, in active labor, fetal head at +5 station.


Question 1 of 5

A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 5+ station after a vaginal examination. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: At +5 station, delivery is imminent, and checking for a nuchal cord is critical to ensure safe delivery.

Extract:


Question 2 of 5

The nurse knows that which of the following interventions is not useful for induction of labor:

Correct Answer: A

Rationale: Squatting and pelvic lunges aid labor progression but are not medically recognized for inducing labor.

Extract:

Multiparous woman at 5 cm dilated, 50% effaced, 1+ station, with urge to have a bowel movement.


Question 3 of 5

The nurse is in the process of admitting a multiparous woman to labor and delivery from the triage area. One hour ago her vaginal exam was 5 cm dilated, 50% effaced, 1+ station. While completing your review of her prenatal record and completing the admission Questionnaire, she tells you she has an urge to have a bowel movement. The priority nursing intervention is to:

Correct Answer: D

Rationale: The urge to have a bowel movement suggests imminent delivery, requiring a vaginal exam to assess labor progress.

Extract:

Client in labor, 2 cm dilated, 60% effaced, -2 station.


Question 4 of 5

A client arrives in labor and delivery, and the L&D primary nurse gets a report from the L&D triage nurse. How does the primary nurse interpret the following information on the client's labor: 2 cm, 60%, and -2 station?

Correct Answer: B

Rationale: 2 cm dilation, 60% effacement, and -2 station indicate the fetus is 2 cm above the ischial spines.

Extract:

3800 gram newborn with meconium aspiration.


Question 5 of 5

A 3800 gram newborn was admitted to the neonatal intensive care unit at 39 weeks with meconium aspiration. Metoclopramide 0.1 mg/kg every 12 hours was started. On hand is Metoclopramide 0.5 mg/ml. What is the appropriate dose the RN will administer in ml in 12 hours?

Correct Answer: A

Rationale: Calculation: 3800 g = 3.8 kg; 3.8 kg x 0.1 mg/kg = 0.38 mg; 0.38 mg / 0.5 mg/mL = 0.76 mL.

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