Questions 31

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ATI Maternal Newborn Exam Maltoso Questions

Extract:

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


Question 1 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 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 term client in labor with hypotonic uterine contractions.


Question 3 of 5

Which medical intervention does the nurse anticipate?

Correct Answer: C

Rationale: Amniotomy (
C) stimulates contractions in hypotonic labor. Cesarean (
A) is premature, pelvis shape (
B) is irrelevant, and bedrest (
D) is not primary.

Extract:

A client with tachysystole, oxytocin infusion turned off.


Question 4 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.

Extract:

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


Question 5 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.

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