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Practice Question

A major responsibility of the nurse caring for a patient receiving oxytocin for labor induction is to

Answer Choices:

Correct Answer:

Monitor for tachysystole.

Rationale:

🔶 Tachysystole refers to excessive uterine contractions (more than 5 contractions in 10 minutes), which can compromise fetal oxygenation.

🔶 A major responsibility when administering oxytocin is to monitor uterine activity and prevent hyperstimulation.

🔶 Tachysystole can cause fetal heart rate decelerations, and the nurse should reduce or stop the oxytocin infusion if it occurs.

🔶 Other important assessments include vital signs and fetal heart rate.

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This question is from ATI PN Maternal Newborn OB Cohort 65 (I) which contains 40 questions.

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The nurse is preparing to assist the nurse midwife with an amnioinfusion. The patient asks, "Why do I need this?" The best response by the nurse is:

Answer Choices:

A. "We need to decrease the fluid in your uterus."
B. “The decreased fluid in the uterus is causing the baby to lie on the umbilical cord."
C. "You need extra amniotic fluid to prevent a dry birth."
D. This will replace fluid in your uterus to prevent an infection."
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A nurse is discussing intermittent fetal heart monitoring with a newly licensed nurse. Which of the following statements should the nurse include?

Answer Choices:

A. "Count the fetal heart rate for 15 seconds to determine the baseline."
B. "Auscultate the fetal heart rate every 5 minutes during the active phase of the first stage of labor."
C. "Auscultate the fetal heart rate every 30 minutes during the second stage of labor."
D. "Count the fetal heart rate after a contraction to determine baseline changes."
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A nurse is assisting with monitoring a client who is admitted for preterm labor and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?

Answer Choices:

A. Flumazenil
B. Calcium gluconate
C. Naloxone
D. Protamine sulfate
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The 5 factors that affect and define the labor and birth process are:

Answer Choices:

A. Presentation, latent phase, powers, position and attitude
B. Passenger, passageway, powers, position and psychological response
C. Passenger, presentation, lie, attitude and station
D. Passageway, presentation. powers, contractions and position
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A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?

Answer Choices:

A. "This is a cephalhematoma, which will resolve on its own in 3 to 5 days."
B. "This is a caput succedaneum, which is a collection of fluid from pressure of the vacuum extractor."
C. "This is erythema toxicum, which is a transient allergic reaction that causes edema in the skin."
D. "This is a Mongolian spot, which is found on many newborns."
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From Exam
ATI PN Maternal Newborn OB Cohort 65 (I)

40 Questions

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Question Details
  • Category: LPN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: MATERNAL & NEWBORN PN
  • Answer Choices: 4
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