ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A client during amniotomy by the Certified Nurse Midwife.
Question 1 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 with cervical dilation 2 cm, 60% effaced, -1 station, soft cervix, anterior position.
Question 2 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:
Vasa previa complication.
Question 3 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 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 4 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 client with persistent variable decelerations despite intrauterine resuscitation, ordered amnioinfusion of 250 ml 0.9% Sodium Chloride over 30 minutes.
Question 5 of 5
How many ml/hr will the nurse program the IV pump for?
Correct Answer: 500 mL/hr
Rationale: 250 mL over 30 minutes (0.5 hours) equals 250 / 0.5 = 500 mL/hr.