ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A term pregnant client in labor with six contractions in 10 minutes, category II tracing with late decelerations, repositioned, oxygen initiated, IV fluid bolus.
Question 1 of 5
Which medication does the nurse anticipate?
Correct Answer: A
Rationale: Terbutaline (
A) relaxes the uterus to reduce hyperstimulation and improve fetal oxygenation. Hemabate (
B) and Methergine (
D) treat postpartum hemorrhage, and magnesium sulfate (
C) is for preeclampsia or preterm labor.
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 2 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.
Extract:
A client in the second stage of labor with umbilical cord protruding from the vagina.
Question 3 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.
Extract:
Before amniotomy, FHR 145 bpm, moderate variability, no decelerations; after, FHR 100 bpm, moderate variability, recurrent variable decelerations, clear fluid.
Question 4 of 5
Which complication does the nurse suspect?
Correct Answer: B
Rationale: Sudden FHR drop and variable decelerations (
B) suggest umbilical cord prolapse. Eclampsia (
A) involves seizures, previa (
C) causes bleeding, and abruption (
D) involves pain and tenderness.
Extract:
A client at 39 weeks, G1P0, BMI 41, completely dilated, turtle sign after head delivery.
Question 5 of 5
What is the priority action?
Correct Answer: C
Rationale: McRoberts maneuver (
C) is the priority for shoulder dystocia to free the impacted shoulder. Pushing (
A) and fundal pressure (
D) worsen the situation, and cesarean (
B) is not immediate.