ATI RN
ATI Maternal Newborn Exam Maltoso Questions
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 1 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 28-year-old G2P1 at 38 weeks, SROM 8 hours ago, previous cesarean, VBAC requested, sudden pelvic pain (8/10), no contractions, BP 96/50 mmHg, HR 118/min, FHR 150 bpm.
Question 2 of 5
What condition, actions, and parameters apply?
Correct Answer: A
Rationale: Uterine rupture (
A) is suggested by sudden pain, hypotension, and tachycardia in a VBAC. Actions: C-section, IV fluids/oxygen. Parameters: maternal BP, FHR. Cord prolapse (
B), abruption (
C), and pre-eclampsia (
D) do not fit.
Extract:
A client at 39 weeks for elective induction, cervical assessment 4 cm, 80% effaced, -3 station, soft, mid position, Bishop score 8.
Question 3 of 5
Which induction method does the nurse anticipate?
Correct Answer: B
Rationale: Oxytocin (
B) is suitable for a favorable Bishop score of 8. Amniotomy (
A) may follow, Cytotec (
C) and Cervidil (
D) are for unfavorable scores.
Extract:
A client with a new order for Laminaria for cervical ripening.
Question 4 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).
Extract:
A term pregnant client in labor with six contractions in 10 minutes, category II tracing with late decelerations, repositioned, oxygen initiated, IV fluid bolus.
Question 5 of 5
Which medication does the nurse anticipate?
Correct Answer: A
Rationale: Terbutaline (
A) relaxes the uterus to reduce hyperstimulation and improve fetal oxygenation. Hemabate (
B) and Methergine (
D) treat postpartum hemorrhage, and magnesium sulfate (
C) is for preeclampsia or preterm labor.