ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A client at 39 weeks, G1P0, BMI 41, completely dilated, turtle sign after head delivery.
Question 1 of 5
What is the priority action?
Correct Answer: C
Rationale: McRoberts maneuver (
C) is the priority for shoulder dystocia to free the impacted shoulder. Pushing (
A) and fundal pressure (
D) worsen the situation, and cesarean (
B) is not immediate.
Extract:
A client at 39 weeks with gestational diabetes, insulin-dependent, EFW 4195 grams, inconsistent glucose checks.
Question 2 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 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 term low-risk nulliparous client in second stage labor, epidural, pushing for over 3 hours, exhausted, fetal station +3.
Question 4 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:
A client in active labor at 0900, FHR 125 bpm, moderate variability, no decelerations, contractions every 6-8 minutes, oxytocin at 6 mu/min, mild discomfort.
Question 5 of 5
Which actions should the nurse take at 0900?
Correct Answer: C,D,E
Rationale: Notifying the provider (
C), repositioning to lateral (
D), and titrating oxytocin to 8 mu/min (E) support labor progression. Fluid bolus (
A) is unnecessary with stable vitals, and discontinuing oxytocin (
B) is not indicated with mild contractions.