ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A client with cervical dilation 2 cm, 60% effaced, -1 station, soft cervix, anterior position.
Question 1 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.
Extract:
A G3P2 client with a previous emergency cesarean due to cord prolapse, asking about TOLAC.
Question 2 of 5
Which is a contraindication for TOLAC?
Correct Answer: B
Rationale: Classical uterine incision (
B) increases rupture risk, contraindicating TOLAC. Preeclampsia (
A), cord prolapse (
C), and one cesarean (
D) are not absolute contraindications.
Extract:
A client for induction of labor, Bishop score 4.
Question 3 of 5
What does the nurse tell the client?
Correct Answer: B
Rationale: A Bishop score of 4 (
B) indicates an unfavorable cervix requiring ripening. Oxytocin (
A) needs a higher score, pushing (
C) is premature, and cesarean (
D) is not indicated.
Extract:
A client at 39 weeks for elective induction, cervical assessment 4 cm, 80% effaced, -3 station, soft, mid position, Bishop score 8.
Question 4 of 5
Which induction method does the nurse anticipate?
Correct Answer: B
Rationale: Oxytocin (
B) is suitable for a favorable Bishop score of 8. Amniotomy (
A) may follow, Cytotec (
C) and Cervidil (
D) are for unfavorable scores.
Extract:
A student nurse reviewing the Five P's of labor.
Question 5 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.