ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A term low-risk nulliparous client in second stage labor, epidural, pushing for over 3 hours, exhausted, fetal station +3.
Question 1 of 5
What intervention does the nurse anticipate?
Correct Answer: C
Rationale: Vacuum-assisted delivery (
C) is appropriate for exhaustion and low fetal station. Prolonged pushing (
A) is not ideal, cesarean (
B) is less likely, and fluid bolus (
D) does not aid delivery.
Extract:
Vasa previa complication.
Question 2 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 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:
A client with hypotonic uterine dysfunction, 3 contractions in 10 minutes, peaks at 70, 60, 50 mmHg, resting tone 20 mmHg.
Question 4 of 5
What is the total Montevideo units?
Correct Answer: 54
Rationale: Montevideo units = (70 + 60 + 50 - 20) X 3 /10 = 54.
Extract:
A client with a new order for Laminaria for cervical ripening.
Question 5 of 5
Which statement should the nurse include in education?
Correct Answer: A
Rationale: Laminaria (
A) mechanically dilates the cervix by absorbing fluid and expanding. It is not for amniotomy (
B), not a prostaglandin (
C), and not swallowed (
D).