ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A student nurse reviewing the Five P's of labor.
Question 1 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 nurse observing new admissions on the obstetrical unit.
Question 2 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 at 39 weeks with gestational diabetes, insulin-dependent, EFW 4195 grams, inconsistent glucose checks.
Question 3 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.
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:
Vasa previa complication.
Question 5 of 5
What abnormality must occur first?
Correct Answer: C
Rationale: Vasa previa requires abnormal umbilical cord insertion (
C), where fetal vessels cross the cervical os. Membrane bands (
A), fluid amount (
B), and placenta accreta (
D) are unrelated.