ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
Before amniotomy, FHR 145 bpm, moderate variability, no decelerations; after, FHR 100 bpm, moderate variability, recurrent variable decelerations, clear fluid.
Question 1 of 5
Which complication does the nurse suspect?
Correct Answer: B
Rationale: Sudden FHR drop and variable decelerations (
B) suggest umbilical cord prolapse. Eclampsia (
A) involves seizures, previa (
C) causes bleeding, and abruption (
D) involves pain and tenderness.
Extract:
A newborn immediately after delivery.
Question 2 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 term client in labor with hypotonic uterine contractions.
Question 3 of 5
Which medical intervention does the nurse anticipate?
Correct Answer: C
Rationale: Amniotomy (
C) stimulates contractions in hypotonic labor. Cesarean (
A) is premature, pelvis shape (
B) is irrelevant, and bedrest (
D) is not primary.
Extract:
A client with tachysystole, oxytocin infusion turned off.
Question 4 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 G3P2 client with a previous emergency cesarean due to cord prolapse, asking about TOLAC.
Question 5 of 5
Which is a contraindication for TOLAC?
Correct Answer: B
Rationale: Classical uterine incision (
B) increases rupture risk, contraindicating TOLAC. Preeclampsia (
A), cord prolapse (
C), and one cesarean (
D) are not absolute contraindications.