ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A G3P2 client with a previous emergency cesarean due to cord prolapse, asking about TOLAC.
Question 1 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.
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 2 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 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 for induction of labor, Bishop score 4.
Question 4 of 5
What does the nurse tell the client?
Correct Answer: B
Rationale: A Bishop score of 4 (
B) indicates an unfavorable cervix requiring ripening. Oxytocin (
A) needs a higher score, pushing (
C) is premature, and cesarean (
D) is not indicated.
Extract:
A client in the second stage of labor with umbilical cord protruding from the vagina.
Question 5 of 5
Which action should the nurse perform first?
Correct Answer: B
Rationale: Umbilical cord prolapse (
B) is an emergency requiring immediate elevation of the presenting part to relieve cord pressure and prevent fetal hypoxia. It is not expected (
A), pushing (
C) worsens the situation, and lateral positioning (
D) is insufficient.