Questions 31

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ATI Maternal Newborn Exam Maltoso Questions

Extract:

A client in labor, assessment at 0900.


Question 1 of 5

Which actions should the nurse take?

Correct Answer: B,C,D

Rationale: Discontinuing oxytocin (
B), notifying the provider (
C), and repositioning (
D) address potential distress or hyperstimulation. Fluid bolus (
A) and titration (E) depend on specific findings.

Extract:

A newborn immediately after delivery.


Question 2 of 5

Which indicates respiratory distress?

Correct Answer: B

Rationale: Grunting (
B) indicates respiratory distress as the newborn exerts effort to keep airways open. Loud cry (
A) and rooting (
C) are normal, and acrocyanosis (
D) is a common finding.

Extract:

A G3P2 client with a previous emergency cesarean due to cord prolapse, asking about TOLAC.


Question 3 of 5

Which is a contraindication for TOLAC?

Correct Answer: B

Rationale: Classical uterine incision (
B) increases rupture risk, contraindicating TOLAC. Preeclampsia (
A), cord prolapse (
C), and one cesarean (
D) are not absolute contraindications.

Extract:

A client at 39 weeks for elective induction, cervical assessment 4 cm, 80% effaced, -3 station, soft, mid position, Bishop score 8.


Question 4 of 5

Which induction method does the nurse anticipate?

Correct Answer: B

Rationale: Oxytocin (
B) is suitable for a favorable Bishop score of 8. Amniotomy (
A) may follow, Cytotec (
C) and Cervidil (
D) are for unfavorable scores.

Extract:

A client with tachysystole, oxytocin infusion turned off.


Question 5 of 5

Which outcome indicates the action was effective?

Correct Answer: B

Rationale: Contraction frequency every 3-4 minutes (
B) indicates normal pattern, showing effective resolution of tachysystole. Prolonged duration (
A), strong intensity (
C), and fetal attitude (
D) do not confirm resolution.

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