ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A client at 39 weeks gestation, fetal heart rate baseline 105 bpm, absent variability, no accelerations, no decelerations.
Question 1 of 5
What fetal heart rate category would the nurse communicate?
Correct Answer: C
Rationale: Category 3 (
C) includes absent variability with bradycardia (105 bpm), indicating abnormality requiring intervention. Category 1 (
A) is normal, Category 2 (
B) is indeterminate, and reactive (
D) indicates accelerations.
Extract:
A term pregnant client in labor with six contractions in 10 minutes, category II tracing with late decelerations, repositioned, oxygen initiated, IV fluid bolus.
Question 2 of 5
Which medication does the nurse anticipate?
Correct Answer: A
Rationale: Terbutaline (
A) relaxes the uterus to reduce hyperstimulation and improve fetal oxygenation. Hemabate (
B) and Methergine (
D) treat postpartum hemorrhage, and magnesium sulfate (
C) is for preeclampsia or preterm labor.
Extract:
A client with cervical dilation 2 cm, 60% effaced, -1 station, soft cervix, anterior position.
Question 3 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 client at 37 weeks gestation for a scheduled external cephalic version (ECV).
Question 4 of 5
Which actions should the nurse anticipate prior to ECV?
Correct Answer: A,B,C,E
Rationale: IV access (
A), consent (
B), ultrasound (
C), and reactive NST (E) ensure safety and readiness for ECV. Oxytocin (
D) is not used for ECV.
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.