ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A term client in labor with hypotonic uterine contractions.
Question 1 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 32-year-old G5P4 at 39 weeks, frequent painful contractions, rectal pressure, no pregnancy complications, BP 137/77 mmHg, HR 99 bpm, RR 24/min, temp 37°C, SpO2 98%.
Question 2 of 5
What condition, actions, and parameters apply?
Correct Answer: D
Rationale: Imminent delivery (
D) is indicated by rectal pressure and strong contractions at term. Actions: notify provider, encourage bearing down. Parameters: cervical dilation, FHR. Preterm labor (
A) is incorrect at 39 weeks, abruption (
B) lacks bleeding, and cord prolapse (
C) lacks FHR changes.
Extract:
A 28-year-old G2P1 at 38 weeks, SROM 8 hours ago, previous cesarean, VBAC requested, sudden pelvic pain (8/10), no contractions, BP 96/50 mmHg, HR 118/min, FHR 150 bpm.
Question 3 of 5
What condition, actions, and parameters apply?
Correct Answer: A
Rationale: Uterine rupture (
A) is suggested by sudden pain, hypotension, and tachycardia in a VBAC. Actions: C-section, IV fluids/oxygen. Parameters: maternal BP, FHR. Cord prolapse (
B), abruption (
C), and pre-eclampsia (
D) do not fit.
Extract:
A client in labor, assessment at 0900.
Question 4 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 client in active labor at 0900, FHR 125 bpm, moderate variability, no decelerations, contractions every 6-8 minutes, oxytocin at 6 mu/min, mild discomfort.
Question 5 of 5
Which actions should the nurse take at 0900?
Correct Answer: C,D,E
Rationale: Notifying the provider (
C), repositioning to lateral (
D), and titrating oxytocin to 8 mu/min (E) support labor progression. Fluid bolus (
A) is unnecessary with stable vitals, and discontinuing oxytocin (
B) is not indicated with mild contractions.