Questions 61

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ATI Maternal Newborn Midterm Exam 1 Questions

Extract:

A mother who smokes cigarettes while pregnant.


Question 1 of 5

What is the most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant?

Correct Answer: B

Rationale: Smoking causes IUGR by reducing fetal oxygen, posing the greatest risk, compared to rare genetic changes, treatable addiction, or less severe CNS effects.

Extract:

None specified.


Question 2 of 5

What is the result of a nonstress test (NST) in which two or more fetal heart rate (FHR) accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period?

Correct Answer: B

Rationale: Two or more accelerations define a reactive NST, indicating fetal health, unlike nonreactive, positive, or negative, which apply to other tests.

Extract:

A pregnant woman with a maternal condition.


Question 3 of 5

What maternal condition always requires delivery by cesarean section?

Correct Answer: D

Rationale:
Total placenta previa blocks the cervix, necessitating cesarean, unlike partial abruptio, ectopic pregnancy, or eclampsia, which may allow vaginal delivery.

Extract:

A laboring woman.


Question 4 of 5

What is the cause of early decelerations in the fetal heart rate (FHR) of a laboring woman?

Correct Answer: A

Rationale: Early decelerations result from fetal head compression during contractions, unlike cord compression, insufficiency, or membrane rupture, which cause other patterns.

Extract:

None specified.


Question 5 of 5

Why is glucose metabolism profoundly affected during pregnancy?

Correct Answer: B

Rationale: Placental hormones like human placental lactogen cause insulin resistance, ensuring fetal glucose supply, unlike rapid use, pancreatic issues, or diet changes.

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