ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A client at 39 weeks with gestational diabetes, insulin-dependent, EFW 4195 grams, inconsistent glucose checks.
Question 1 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 2 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 newborn immediately after delivery.
Question 3 of 5
Which indicates respiratory distress?
Correct Answer: B
Rationale: Grunting (
B) indicates respiratory distress as the newborn exerts effort to keep airways open. Loud cry (
A) and rooting (
C) are normal, and acrocyanosis (
D) is a common finding.
Extract:
A nulliparous client at 39 weeks with frequent, painful contractions for 12 hours, category 1 FHR, cervix closed, 50% effaced, -3 station, exhausted.
Question 4 of 5
What nursing action should the nurse plan?
Correct Answer: A
Rationale: Rest and pain medication (
A) address exhaustion and discomfort. Cesarean (
B) is premature, NPO (
C) is unnecessary, and ambulation (
D) may worsen exhaustion.
Extract:
A client at 39 weeks gestation, fetal heart rate baseline 105 bpm, absent variability, no accelerations, no decelerations.
Question 5 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.