MN 580 final EXAM ACTUAL EXAM
ATI OBSTETRICS MN 580/MN 580 PEDIATRICS
MATERNAL Midterm/FINAL EXAM ACTUAL
EXAM NEWEST 2025/2026 COMPLETE TEST-
BANK Verified Questions and Answers with
Detailed Rationales Graded A+ Guaranteed
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A woman receiving an oxytocin infusion for labor induction develops contractions that occur
every minute and last 75 seconds. Uterine resting tone remains at 20 mm Hg. Which action
would be most appropriate?
a) Slow the oxytocin infusion to the initial rate.
b) Stop the infusion immediately.
c) Continue to monitor contractions and fetal heart rate.
d) Notify the birth attendant. - Answer ✓✓Stop the infusion immediately.
Explanation:
The woman is exhibiting signs of uterine hyperstimulation, which necessitate stopping the
oxytocin infusion immediately to prevent further complications. Once the infusion is stopped,
A+ TEST BANK 1
, MN 580 final EXAM ACTUAL EXAM
the nurse should notify the birth attendant and continue to monitor the woman's
contractions and fetal heart rate.
What terminology would the nurse use to document a newborn who weighs 4,000 (8.13 lbs)
or more at birth?
a) meconia
b) hydrocephalus
c) macrosomia
d) microsomia - Answer ✓✓macrosomia
Correct
Explanation:
Macrosomia, in which a newborn weighs 8.13 to 9.15 lb or more at birth, complicates
approximately 10% of all pregnancies. Meconium is the first stool passed by a newborn.
Hydrocephalus is a buildup of fluid inside the skull.
While in labor a woman with a prior history of cesarean birth complains of light-headedness
and dizziness. The nurse assesses the patient and notes an increase in pulse and decrease in
blood pressure from the vital signs 15 minutes prior. What might the nurse consider as a
possible cause for the symptoms?
a) Uterine rupture
b) Placentea previa
c) Umbilical cord compression
d) Hypertonic uterus - Answer ✓✓Uterine rupture
Correct
Explanation:
A+ TEST BANK 2
, MN 580 final EXAM ACTUAL EXAM
The patient with any prior history of uterus surgery is at increased risk for a uterine rupture. A
falling blood pressure and increasing pulse is a sign of hemorrhage and in this patient a
uterine rupture needs to be a first consideration. The scenario does not indicate a hypertonic
uterus, a placenta previa, nor umbilical cord compression.
A woman is to undergo labor induction. The nurse determines that the woman most likely
requires cervical ripening if her Bishop score is:
a) 6
b) 9
c) 5
d) 7 - Answer ✓✓5
Correct
Explanation:
A Bishop score less than 6 usually indicates that a cervical ripening method should be used
before labor induction.
Hypertonic labor is labor that is characterized by short, irregular contractions without
complete relaxation of the uterine wall in between contractions. Hypertonic labor can be
caused by an increased sensitivity to oxytocin. What would you do for a patient who is in
hypertonic labor because of oxytocin augmentation?
a) Increase the methotrexate
b) Increase the pitocin
c) Turn off the pitocin
d) Turn off the methotrexate - Answer ✓✓Turn off the pitocin
Correct
A+ TEST BANK 3
, MN 580 final EXAM ACTUAL EXAM
Explanation:
Hypertonic labor may result from an increased sensitivity of uterine muscle to oxytocin
induction or augmentation. Treatment for this iatrogenic cause of hypertonic labor is to
decrease or shut off the oxytocin infusion.
A client in her 42nd week of pregnancy is undergoing a scheduled induction of labor based on
consideration of which of the following factors? Select all that apply.
a) Abnormal fetal presentation
b) Gestational age
c) Fetal size
d) Cervical ripeness
e) Complete placenta previa - Answer ✓✓• Gestational age
• Fetal size
• Cervical ripeness
Correct
Explanation:
Factors that the care provider should consider when deciding if and when to induce labor
include cervical ripeness, gestational age and fetal size, fetal pulmonary maturity, fetal ability
to tolerate labor, uterine sensitivity to the proposed induced method, and maternal
condition. The health care provider does not confirm abnormal fetal presentation and
complete placenta previa when deciding to induce labor. Abnormal fetal presentation and
complete placenta previa are considered contraindications to the induction of labor and not
as positive factors.
A pregnant patient at 32 weeks' gestation calls the clinic and informs the nurse that she thinks
her membranes are leaking. She states that some clear fluid has run down her leg. What is the
best response by the nurse?
A+ TEST BANK 4
ATI OBSTETRICS MN 580/MN 580 PEDIATRICS
MATERNAL Midterm/FINAL EXAM ACTUAL
EXAM NEWEST 2025/2026 COMPLETE TEST-
BANK Verified Questions and Answers with
Detailed Rationales Graded A+ Guaranteed
Pass -Ace your Exam
Pdf Download
A woman receiving an oxytocin infusion for labor induction develops contractions that occur
every minute and last 75 seconds. Uterine resting tone remains at 20 mm Hg. Which action
would be most appropriate?
a) Slow the oxytocin infusion to the initial rate.
b) Stop the infusion immediately.
c) Continue to monitor contractions and fetal heart rate.
d) Notify the birth attendant. - Answer ✓✓Stop the infusion immediately.
Explanation:
The woman is exhibiting signs of uterine hyperstimulation, which necessitate stopping the
oxytocin infusion immediately to prevent further complications. Once the infusion is stopped,
A+ TEST BANK 1
, MN 580 final EXAM ACTUAL EXAM
the nurse should notify the birth attendant and continue to monitor the woman's
contractions and fetal heart rate.
What terminology would the nurse use to document a newborn who weighs 4,000 (8.13 lbs)
or more at birth?
a) meconia
b) hydrocephalus
c) macrosomia
d) microsomia - Answer ✓✓macrosomia
Correct
Explanation:
Macrosomia, in which a newborn weighs 8.13 to 9.15 lb or more at birth, complicates
approximately 10% of all pregnancies. Meconium is the first stool passed by a newborn.
Hydrocephalus is a buildup of fluid inside the skull.
While in labor a woman with a prior history of cesarean birth complains of light-headedness
and dizziness. The nurse assesses the patient and notes an increase in pulse and decrease in
blood pressure from the vital signs 15 minutes prior. What might the nurse consider as a
possible cause for the symptoms?
a) Uterine rupture
b) Placentea previa
c) Umbilical cord compression
d) Hypertonic uterus - Answer ✓✓Uterine rupture
Correct
Explanation:
A+ TEST BANK 2
, MN 580 final EXAM ACTUAL EXAM
The patient with any prior history of uterus surgery is at increased risk for a uterine rupture. A
falling blood pressure and increasing pulse is a sign of hemorrhage and in this patient a
uterine rupture needs to be a first consideration. The scenario does not indicate a hypertonic
uterus, a placenta previa, nor umbilical cord compression.
A woman is to undergo labor induction. The nurse determines that the woman most likely
requires cervical ripening if her Bishop score is:
a) 6
b) 9
c) 5
d) 7 - Answer ✓✓5
Correct
Explanation:
A Bishop score less than 6 usually indicates that a cervical ripening method should be used
before labor induction.
Hypertonic labor is labor that is characterized by short, irregular contractions without
complete relaxation of the uterine wall in between contractions. Hypertonic labor can be
caused by an increased sensitivity to oxytocin. What would you do for a patient who is in
hypertonic labor because of oxytocin augmentation?
a) Increase the methotrexate
b) Increase the pitocin
c) Turn off the pitocin
d) Turn off the methotrexate - Answer ✓✓Turn off the pitocin
Correct
A+ TEST BANK 3
, MN 580 final EXAM ACTUAL EXAM
Explanation:
Hypertonic labor may result from an increased sensitivity of uterine muscle to oxytocin
induction or augmentation. Treatment for this iatrogenic cause of hypertonic labor is to
decrease or shut off the oxytocin infusion.
A client in her 42nd week of pregnancy is undergoing a scheduled induction of labor based on
consideration of which of the following factors? Select all that apply.
a) Abnormal fetal presentation
b) Gestational age
c) Fetal size
d) Cervical ripeness
e) Complete placenta previa - Answer ✓✓• Gestational age
• Fetal size
• Cervical ripeness
Correct
Explanation:
Factors that the care provider should consider when deciding if and when to induce labor
include cervical ripeness, gestational age and fetal size, fetal pulmonary maturity, fetal ability
to tolerate labor, uterine sensitivity to the proposed induced method, and maternal
condition. The health care provider does not confirm abnormal fetal presentation and
complete placenta previa when deciding to induce labor. Abnormal fetal presentation and
complete placenta previa are considered contraindications to the induction of labor and not
as positive factors.
A pregnant patient at 32 weeks' gestation calls the clinic and informs the nurse that she thinks
her membranes are leaking. She states that some clear fluid has run down her leg. What is the
best response by the nurse?
A+ TEST BANK 4
