ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A 28-year-old G2P1 at 38 weeks, SROM 8 hours ago, previous cesarean, VBAC requested, sudden pelvic pain (8/10), no contractions, BP 96/50 mmHg, HR 118/min, FHR 150 bpm.
Question 1 of 5
What condition, actions, and parameters apply?
Correct Answer: A
Rationale: Uterine rupture (
A) is suggested by sudden pain, hypotension, and tachycardia in a VBAC. Actions: C-section, IV fluids/oxygen. Parameters: maternal BP, FHR. Cord prolapse (
B), abruption (
C), and pre-eclampsia (
D) do not fit.
Extract:
Before amniotomy, FHR 145 bpm, moderate variability, no decelerations; after, FHR 100 bpm, moderate variability, recurrent variable decelerations, clear fluid.
Question 2 of 5
Which complication does the nurse suspect?
Correct Answer: B
Rationale: Sudden FHR drop and variable decelerations (
B) suggest umbilical cord prolapse. Eclampsia (
A) involves seizures, previa (
C) causes bleeding, and abruption (
D) involves pain and tenderness.
Extract:
A client in labor with hypotonic uterine dysfunction, oxytocin titration, amniotomy, IUPC, no cervical change at 7 cm, 75% effaced, -2 station, suspected cephalopelvic disproportion.
Question 3 of 5
What recommendation does the nurse anticipate?
Correct Answer: B
Rationale: Cesarean delivery (
B) is recommended for cephalopelvic disproportion as the fetus cannot pass through the pelvis. Vacuum delivery (
A) is ineffective, antibiotics (
C) address infection, and discharge (
D) is unsafe.
Extract:
Vasa previa complication.
Question 4 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 5 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.