ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A client at 39 weeks for elective induction, cervical assessment 4 cm, 80% effaced, -3 station, soft, mid position, Bishop score 8.
Question 1 of 5
Which induction method does the nurse anticipate?
Correct Answer: B
Rationale: Oxytocin (
B) is suitable for a favorable Bishop score of 8. Amniotomy (
A) may follow, Cytotec (
C) and Cervidil (
D) are for unfavorable scores.
Extract:
A client in labor, assessment at 0900.
Question 2 of 5
Which actions should the nurse take?
Correct Answer: B,C,D
Rationale: Discontinuing oxytocin (
B), notifying the provider (
C), and repositioning (
D) address potential distress or hyperstimulation. Fluid bolus (
A) and titration (E) depend on specific findings.
Extract:
A term low-risk nulliparous client in second stage labor, epidural, pushing for over 3 hours, exhausted, fetal station +3.
Question 3 of 5
What intervention does the nurse anticipate?
Correct Answer: C
Rationale: Vacuum-assisted delivery (
C) is appropriate for exhaustion and low fetal station. Prolonged pushing (
A) is not ideal, cesarean (
B) is less likely, and fluid bolus (
D) does not aid delivery.
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 who delivered a 4100 gram infant via vacuum-assisted delivery.
Question 5 of 5
Which postpartum complication is the client most at risk for?
Correct Answer: D
Rationale: Postpartum hemorrhage (
D) is a risk due to uterine atony from a large infant and vacuum delivery. Thromboembolism (
A), depression (
B), and mastitis (
C) are less directly related.