Practice Question
A nurse is caring for a client with irregular uterine contractions that are mild to palpation. FHR is 130/min with moderate variability and accelerations noted. The client has been ambulating in the hallway, took a warm shower, and is now resting in bed. The client rates pain of contractions at 3 on a O to IO scale. What potential condition does the nurse suspect?
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Correct Answer:
Dysfunctional labor.
Rationale:
🟢 Mild contractions with minimal pain, a normal FHR pattern, and activity that does not alter contraction pattern suggest prodromal labor or dysfunctional labor.
🟢 Dysfunctional labor involves uncoordinated or weak uterine activity, often seen early in labor or in latent phases.
🟢 The nurse should continue supportive measures, hydration, and allow time to progress naturally unless complications arise.
🟢 There are no signs of infection, anemia, or cord issues—ruling out more serious diagnoses.
🟢 Monitoring labor progression is key to determining if interventions are eventually needed.
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This question is from RN ATI Maternal Newborn Final Exam~mso which contains 46 questions.
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The nurse in an 0B clinic is completing an intake assessment of a client at the first prenatal appointment. The client is currently 9 weeks pregnant. She had a miscarriage at 7 weeks and an ectopic pregnancy at 6 weeks that was treated with methotrexate. Her five-year-old son was born vaginally at 39 weeks and her three-year-old daughter was born vaginally at 35 weeks. What is her GTPAL?
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4