ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A 28-year-old G2P1 at 39 weeks, gestational diabetes, insulin-dependent, 10 cm dilated, +1 station, pushing, FHR 130s, variable decelerations, turtle sign at crowning.
Question 1 of 5
What condition, actions, and parameters apply?
Correct Answer: A
Rationale: Shoulder dystocia (
A) is indicated by turtle sign. Actions: McRoberts maneuver, suprapubic pressure. Parameters: maternal perineum for tears, FHR for distress. Malpresentation (
B), subinvolution (
C), and perineal tear (
D) are incorrect.
Question 2 of 5
What condition, actions, and parameters apply?
Correct Answer: A
Rationale: Shoulder dystocia (
A) is indicated by turtle sign. Actions: McRoberts maneuver, suprapubic pressure. Parameters: maternal perineum for tears, FHR for distress. Malpresentation (
B), subinvolution (
C), and perineal tear (
D) are incorrect.
Extract:
A G3P2 client with a previous emergency cesarean due to cord prolapse, asking about TOLAC.
Question 3 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 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 39 weeks for elective induction, cervical assessment 4 cm, 80% effaced, -3 station, soft, mid position, Bishop score 8.
Question 5 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.