ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
Vasa previa complication.
Question 1 of 5
What abnormality must occur first?
Correct Answer: C
Rationale: Vasa previa requires abnormal umbilical cord insertion (
C), where fetal vessels cross the cervical os. Membrane bands (
A), fluid amount (
B), and placenta accreta (
D) are unrelated.
Extract:
A client with tachysystole, oxytocin infusion turned off.
Question 2 of 5
Which outcome indicates the action was effective?
Correct Answer: B
Rationale: Contraction frequency every 3-4 minutes (
B) indicates normal pattern, showing effective resolution of tachysystole. Prolonged duration (
A), strong intensity (
C), and fetal attitude (
D) do not confirm resolution.
Extract:
A client with persistent variable decelerations despite intrauterine resuscitation, ordered amnioinfusion of 250 ml 0.9% Sodium Chloride over 30 minutes.
Question 3 of 5
How many ml/hr will the nurse program the IV pump for?
Correct Answer: 500 mL/hr
Rationale: 250 mL over 30 minutes (0.5 hours) equals 250 / 0.5 = 500 mL/hr.
Extract:
A client in labor, assessment at 0900.
Question 4 of 5
Which actions should the nurse take?
Correct Answer: B,C,D
Rationale: Discontinuing oxytocin (
B), notifying the provider (
C), and repositioning (
D) address potential distress or hyperstimulation. Fluid bolus (
A) and titration (E) depend on specific findings.
Extract:
A client with cervical dilation 2 cm, 60% effaced, -1 station, soft cervix, anterior position.
Question 5 of 5
What Bishop score would the nurse assign?
Correct Answer: 7
Rationale: Bishop score: dilation 2 cm (1), effacement 60% (1), station -1 (1), soft cervix (2), anterior position (2) = 7.