Questions 31

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ATI Maternal Newborn Exam Maltoso Questions

Extract:

A client for induction of labor, Bishop score 4.


Question 1 of 5

What does the nurse tell the client?

Correct Answer: B

Rationale: A Bishop score of 4 (
B) indicates an unfavorable cervix requiring ripening. Oxytocin (
A) needs a higher score, pushing (
C) is premature, and cesarean (
D) is not indicated.

Extract:

Before amniotomy, FHR 145 bpm, moderate variability, no decelerations; after, FHR 100 bpm, moderate variability, recurrent variable decelerations, clear fluid.


Question 2 of 5

Which complication does the nurse suspect?

Correct Answer: B

Rationale: Sudden FHR drop and variable decelerations (
B) suggest umbilical cord prolapse. Eclampsia (
A) involves seizures, previa (
C) causes bleeding, and abruption (
D) involves pain and tenderness.

Extract:

A client at 39 weeks with gestational diabetes, insulin-dependent, EFW 4195 grams, inconsistent glucose checks.


Question 3 of 5

What labor complication is the client at risk for?

Correct Answer: C

Rationale: Shoulder dystocia (
C) is a risk due to macrosomia from gestational diabetes. Cord prolapse (
A), cervical insufficiency (
B), and vasa previa (
D) are unrelated.

Extract:

A client with cervical dilation 2 cm, 60% effaced, -1 station, soft cervix, anterior position.


Question 4 of 5

What Bishop score would the nurse assign?

Correct Answer: 7

Rationale: Bishop score: dilation 2 cm (1), effacement 60% (1), station -1 (1), soft cervix (2), anterior position (2) = 7.

Extract:

A 32-year-old G5P4 at 39 weeks, frequent painful contractions, rectal pressure, no pregnancy complications, BP 137/77 mmHg, HR 99 bpm, RR 24/min, temp 37°C, SpO2 98%.


Question 5 of 5

What condition, actions, and parameters apply?

Correct Answer: D

Rationale: Imminent delivery (
D) is indicated by rectal pressure and strong contractions at term. Actions: notify provider, encourage bearing down. Parameters: cervical dilation, FHR. Preterm labor (
A) is incorrect at 39 weeks, abruption (
B) lacks bleeding, and cord prolapse (
C) lacks FHR changes.

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