ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A 32-year-old G5P4 at 39 weeks, frequent painful contractions, rectal pressure, no pregnancy complications, BP 137/77 mmHg, HR 99 bpm, RR 24/min, temp 37°C, SpO2 98%.
Question 1 of 5
What condition, actions, and parameters apply?
Correct Answer: D
Rationale: Imminent delivery (
D) is indicated by rectal pressure and strong contractions at term. Actions: notify provider, encourage bearing down. Parameters: cervical dilation, FHR. Preterm labor (
A) is incorrect at 39 weeks, abruption (
B) lacks bleeding, and cord prolapse (
C) lacks FHR changes.
Extract:
A nulliparous client at 39 weeks with frequent, painful contractions for 12 hours, category 1 FHR, cervix closed, 50% effaced, -3 station, exhausted.
Question 2 of 5
What nursing action should the nurse plan?
Correct Answer: A
Rationale: Rest and pain medication (
A) address exhaustion and discomfort. Cesarean (
B) is premature, NPO (
C) is unnecessary, and ambulation (
D) may worsen exhaustion.
Extract:
A client during amniotomy by the Certified Nurse Midwife.
Question 3 of 5
What is the nurse's priority immediately after?
Correct Answer: A
Rationale: Monitoring fetal heart rate (
A) detects distress post-amniotomy. Bathroom assistance (
B), pericare (
C), and documentation (
D) follow.
Extract:
A client who delivered a 4100 gram infant via vacuum-assisted delivery.
Question 4 of 5
Which postpartum complication is the client most at risk for?
Correct Answer: D
Rationale: Postpartum hemorrhage (
D) is a risk due to uterine atony from a large infant and vacuum delivery. Thromboembolism (
A), depression (
B), and mastitis (
C) are less directly related.
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 5 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.