ATI 0B-PEDS NURSING LATEST EXAM
2024/2025 GUIDE,PRACTICE EXAM
QUESTIONS ON KEY TOPICS. WELL
EXPLAINED!
Which maternal condition should be considered a contraindication
for the application of internal monitoring devices?
a. Unruptured membranes
b. Cervix dilated to 4 cm
c. Fetus has known heart defect
d. External monitors currently being used - Ans>A. Unruptured
membranes
To apply internal monitoring devices, the membranes must be
ruptured. Cervical dilation of 4 cm would permit the insertion of fetal
scalp electrodes and an intrauterine catheter. A compromised fetus
should be monitored with the most accurate monitoring devices. The
external monitor can be discontinued after the internal ones are
applied.
When the mother's membranes rupture during active labor, the fetal
heart rate should be observed for the occurrence of which periodic
pattern?
,a. Early decelerations
b. Variable decelerations
c. Nonperiodic accelerations
d. Increase in baseline variability - Ans>B. Variable decelerations
When the membranes rupture, amniotic fluid may carry the umbilical
cord to a position where it will be compressed between the maternal
pelvis and the fetal presenting part, resulting in a variable
deceleration pattern. Early declarations are considered reassuring;
they are not a concern after rupture of membranes. Accelerations are
considered reassuring; they are not a concern after rupture of
membranes. Increase in baseline variability is not an expected
occurrence after the rupture of membranes.
The nurse prepares to admit to the nursery a newborn whose mother
had meconium-stained amniotic fluid. The nurse knows this newborn
might require which of the following?
1. Initial resuscitation
2. Vigorous stimulation at birth
3. Phototherapy immediately
4. An initial feeding of iron-enriched formula - Ans>1. Initial
resuscitation
The presence of meconium in the amniotic fluid indicates that the
fetus may be suffering from asphyxia. Meconium-stained newborns
,or newborns who have aspirated particulate meconium often have
respiratory depression at birth and require resuscitation to establish
adequate respiratory effort.
A client in labor is found to have meconium-stained amniotic fluid
upon rupture of membranes. At delivery, the nurse finds the infant to
have depressed respirations and a heart rate of 80. What does the
nurse anticipate?
1. Delivery of the neonate on its side with head up, to facilitate
drainage of secretions.
2. Direct tracheal suctioning by specially trained personnel.
3. Preparation for the immediate use of positive pressure to expand
the lungs.
4. Suctioning of the oropharynx when the newborn's head is
delivered. - Ans>2. Direct tracheal suctioning by specially trained
personnel.
If the infant has absent or depressed respirations, heart rate less than
100 beats/min, or poor muscle tone, direct tracheal suctioning by
specially trained personnel is recommended.
Which of the following is the main concern with meconium stained
fluid?
1. Infection
, 2. The baby might not fit through the cervical cavity because of the
term baby
3. Neonatal respiratory distress
4. Maternal cervical progression
5. Bleeding - Ans>3. Neonatal respiratory distress
Normal newborn temp (in Celsius) - Ans>36.5°C and 37.5°C
occiput anterior (OA) position - Ans>The head is down and facing the
mother's spine.
occiput posterior (OP) position - Ans>The head is down and facing
the mother's abdomen. AKA sunny side up
occiput posterior (OP) position is better than occiput anterior (OA)
position?
a. true
b. false - Ans>b. false
occiput anterior (OA) position is better! Baby facing the back vs being
sunny side up
What are the immediate interventions to take with a category 2 FHR
tracing?
2024/2025 GUIDE,PRACTICE EXAM
QUESTIONS ON KEY TOPICS. WELL
EXPLAINED!
Which maternal condition should be considered a contraindication
for the application of internal monitoring devices?
a. Unruptured membranes
b. Cervix dilated to 4 cm
c. Fetus has known heart defect
d. External monitors currently being used - Ans>A. Unruptured
membranes
To apply internal monitoring devices, the membranes must be
ruptured. Cervical dilation of 4 cm would permit the insertion of fetal
scalp electrodes and an intrauterine catheter. A compromised fetus
should be monitored with the most accurate monitoring devices. The
external monitor can be discontinued after the internal ones are
applied.
When the mother's membranes rupture during active labor, the fetal
heart rate should be observed for the occurrence of which periodic
pattern?
,a. Early decelerations
b. Variable decelerations
c. Nonperiodic accelerations
d. Increase in baseline variability - Ans>B. Variable decelerations
When the membranes rupture, amniotic fluid may carry the umbilical
cord to a position where it will be compressed between the maternal
pelvis and the fetal presenting part, resulting in a variable
deceleration pattern. Early declarations are considered reassuring;
they are not a concern after rupture of membranes. Accelerations are
considered reassuring; they are not a concern after rupture of
membranes. Increase in baseline variability is not an expected
occurrence after the rupture of membranes.
The nurse prepares to admit to the nursery a newborn whose mother
had meconium-stained amniotic fluid. The nurse knows this newborn
might require which of the following?
1. Initial resuscitation
2. Vigorous stimulation at birth
3. Phototherapy immediately
4. An initial feeding of iron-enriched formula - Ans>1. Initial
resuscitation
The presence of meconium in the amniotic fluid indicates that the
fetus may be suffering from asphyxia. Meconium-stained newborns
,or newborns who have aspirated particulate meconium often have
respiratory depression at birth and require resuscitation to establish
adequate respiratory effort.
A client in labor is found to have meconium-stained amniotic fluid
upon rupture of membranes. At delivery, the nurse finds the infant to
have depressed respirations and a heart rate of 80. What does the
nurse anticipate?
1. Delivery of the neonate on its side with head up, to facilitate
drainage of secretions.
2. Direct tracheal suctioning by specially trained personnel.
3. Preparation for the immediate use of positive pressure to expand
the lungs.
4. Suctioning of the oropharynx when the newborn's head is
delivered. - Ans>2. Direct tracheal suctioning by specially trained
personnel.
If the infant has absent or depressed respirations, heart rate less than
100 beats/min, or poor muscle tone, direct tracheal suctioning by
specially trained personnel is recommended.
Which of the following is the main concern with meconium stained
fluid?
1. Infection
, 2. The baby might not fit through the cervical cavity because of the
term baby
3. Neonatal respiratory distress
4. Maternal cervical progression
5. Bleeding - Ans>3. Neonatal respiratory distress
Normal newborn temp (in Celsius) - Ans>36.5°C and 37.5°C
occiput anterior (OA) position - Ans>The head is down and facing the
mother's spine.
occiput posterior (OP) position - Ans>The head is down and facing
the mother's abdomen. AKA sunny side up
occiput posterior (OP) position is better than occiput anterior (OA)
position?
a. true
b. false - Ans>b. false
occiput anterior (OA) position is better! Baby facing the back vs being
sunny side up
What are the immediate interventions to take with a category 2 FHR
tracing?
