Questions 31

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ATI Maternal Newborn Exam Maltoso Questions

Extract:

A student nurse reviewing the Five P's of labor.


Question 1 of 5

Which fetal (passenger) factors can contribute to labor dystocia?

Correct Answer: C

Rationale: Estimated fetal weight of 4600 grams (
C) indicates macrosomia, which can cause labor dystocia due to difficulty passing through the pelvis. Polydactyly (
A) and hydronephrosis (
D) do not affect labor progression, and occiput anterior (
B) is the ideal position.

Extract:

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


Question 2 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:

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


Question 3 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 in the second stage of labor with umbilical cord protruding from the vagina.


Question 4 of 5

Which action should the nurse perform first?

Correct Answer: B

Rationale: Umbilical cord prolapse (
B) is an emergency requiring immediate elevation of the presenting part to relieve cord pressure and prevent fetal hypoxia. It is not expected (
A), pushing (
C) worsens the situation, and lateral positioning (
D) is insufficient.

Extract:

A client at 39 weeks gestation, fetal heart rate baseline 105 bpm, absent variability, no accelerations, no decelerations.


Question 5 of 5

What fetal heart rate category would the nurse communicate?

Correct Answer: C

Rationale: Category 3 (
C) includes absent variability with bradycardia (105 bpm), indicating abnormality requiring intervention. Category 1 (
A) is normal, Category 2 (
B) is indeterminate, and reactive (
D) indicates accelerations.

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