ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A client at 37 weeks gestation for a scheduled external cephalic version (ECV).
Question 1 of 5
Which actions should the nurse anticipate prior to ECV?
Correct Answer: A,B,C,E
Rationale: IV access (
A), consent (
B), ultrasound (
C), and reactive NST (E) ensure safety and readiness for ECV. Oxytocin (
D) is not used for ECV.
Extract:
A client with persistent variable decelerations despite intrauterine resuscitation, ordered amnioinfusion of 250 ml 0.9% Sodium Chloride over 30 minutes.
Question 2 of 5
How many ml/hr will the nurse program the IV pump for?
Correct Answer: 500 mL/hr
Rationale: 250 mL over 30 minutes (0.5 hours) equals 250 / 0.5 = 500 mL/hr.
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 3 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 student nurse reviewing the Five P's of labor.
Question 4 of 5
Which fetal (passenger) factors can contribute to labor dystocia?
Correct Answer: C
Rationale: Estimated fetal weight of 4600 grams (
C) indicates macrosomia, which can cause labor dystocia due to difficulty passing through the pelvis. Polydactyly (
A) and hydronephrosis (
D) do not affect labor progression, and occiput anterior (
B) is the ideal position.
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.