ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A client for induction of labor, Bishop score 4.
Question 1 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:
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 at 39 weeks with gestational diabetes, insulin-dependent, EFW 4195 grams, inconsistent glucose checks.
Question 3 of 5
What labor complication is the client at risk for?
Correct Answer: C
Rationale: Shoulder dystocia (
C) is a risk due to macrosomia from gestational diabetes. Cord prolapse (
A), cervical insufficiency (
B), and vasa previa (
D) are unrelated.
Extract:
A client with cervical dilation 2 cm, 60% effaced, -1 station, soft cervix, anterior position.
Question 4 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 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 5 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.