ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A newborn immediately after delivery.
Question 1 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:
Vasa previa complication.
Question 2 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.
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 3 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 client at 39 weeks gestation, fetal heart rate baseline 105 bpm, absent variability, no accelerations, no decelerations.
Question 4 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.
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.