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 at 39 weeks, G1P0, BMI 41, completely dilated, turtle sign after head delivery.
Question 2 of 5
What is the priority action?
Correct Answer: C
Rationale: McRoberts maneuver (
C) is the priority for shoulder dystocia to free the impacted shoulder. Pushing (
A) and fundal pressure (
D) worsen the situation, and cesarean (
B) is not immediate.
Extract:
A client with tachysystole, oxytocin infusion turned off.
Question 3 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 student nurse reviewing the Five P's of labor.
Question 4 of 5
Which fetal (passenger) factors can contribute to labor dystocia?
Correct Answer: C
Rationale: Estimated fetal weight of 4600 grams (
C) indicates macrosomia, which can cause labor dystocia due to difficulty passing through the pelvis. Polydactyly (
A) and hydronephrosis (
D) do not affect labor progression, and occiput anterior (
B) is the ideal position.
Extract:
A client at 37 weeks gestation for a scheduled external cephalic version (ECV).
Question 5 of 5
Which actions should the nurse anticipate prior to ECV?
Correct Answer: A,B,C,E
Rationale: IV access (
A), consent (
B), ultrasound (
C), and reactive NST (E) ensure safety and readiness for ECV. Oxytocin (
D) is not used for ECV.