ATI RN
ATI Maternity Exam 2 Questions
Extract:
A woman in active labor with spontaneous rupture of membranes, variable deceleration patterns, umbilical cord protruding from the vagina.
Question 1 of 5
A woman is in active labor. On spontaneous rupture of her membranes, the nurse caring for this woman notices variable deceleration patterns during evaluation of the monitor tracing. When preparing to perform a vaginal examination, the nurse observes a small section of the umbilical cord protruding from the vagina. What should the nurse do next?
Correct Answer: B
Rationale: Relieving cord compression by holding the presenting part off the cord is critical to restore fetal oxygenation and prevent distress.
Extract:
A newborn with meconium aspiration at birth, increasing respiratory distress.
Question 2 of 5
A newborn has meconium aspiration at birth. The nurse notes increasing respiratory distress. What action takes priority?
Correct Answer: D
Rationale: Notifying the provider immediately ensures prompt intervention for meconium aspiration syndrome, addressing worsening respiratory distress.
Extract:
Nonphysiological jaundice.
Question 3 of 5
The difference between physiological and nonphysiological jaundice is that nonphysiological jaundice
Correct Answer: D
Rationale: Nonphysiological jaundice appears within the first 24 hours, indicating underlying issues like hemolysis or infection, unlike physiological jaundice.
Extract:
A woman on postpartum day 14.
Question 4 of 5
What documentation on a woman's chart on postpartum day 14 indicates a normal involution process?
Correct Answer: C
Rationale: A fundus below the symphysis and not palpable by day 14 indicates normal uterine involution, returning to pre-pregnancy size.
Extract:
Obstetric complication treated with methotrexate.
Question 5 of 5
Methotrexate is recommended as part of the treatment plan for which obstetric complication?
Correct Answer: C
Rationale: Methotrexate is used for unruptured ectopic pregnancy to dissolve pregnancy tissue, preventing complications without surgery.