ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A client in the second stage of labor with umbilical cord protruding from the vagina.
Question 1 of 5
Which action should the nurse perform first?
Correct Answer: B
Rationale: Umbilical cord prolapse (
B) is an emergency requiring immediate elevation of the presenting part to relieve cord pressure and prevent fetal hypoxia. It is not expected (
A), pushing (
C) worsens the situation, and lateral positioning (
D) is insufficient.
Extract:
A 28-year-old G2P1 at 39 weeks, gestational diabetes, insulin-dependent, 10 cm dilated, +1 station, pushing, FHR 130s, variable decelerations, turtle sign at crowning.
Question 2 of 5
What condition, actions, and parameters apply?
Correct Answer: A
Rationale: Shoulder dystocia (
A) is indicated by turtle sign. Actions: McRoberts maneuver, suprapubic pressure. Parameters: maternal perineum for tears, FHR for distress. Malpresentation (
B), subinvolution (
C), and perineal tear (
D) are incorrect.
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 client during amniotomy by the Certified Nurse Midwife.
Question 4 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 at 39 weeks with gestational diabetes, insulin-dependent, EFW 4195 grams, inconsistent glucose checks.
Question 5 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.