ATI RN
ATI Maternal Newborn Exam Maltoso Questions
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 1 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 with tachysystole, oxytocin infusion turned off.
Question 2 of 5
Which outcome indicates the action was effective?
Correct Answer: B
Rationale: Contraction frequency every 3-4 minutes (
B) indicates normal pattern, showing effective resolution of tachysystole. Prolonged duration (
A), strong intensity (
C), and fetal attitude (
D) do not confirm resolution.
Extract:
A client at 39 weeks gestation, fetal heart rate baseline 105 bpm, absent variability, no accelerations, no decelerations.
Question 3 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 nurse observing new admissions on the obstetrical unit.
Question 4 of 5
Which condition makes a client a candidate for induction of labor?
Correct Answer: A
Rationale: Preeclampsia (
A) may require induction to prevent complications. Transverse lie (
B) and vasa previa (
C) require cesarean, and herpes (
D) avoids vaginal 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.