ATI RN
ATI Maternal Newborn Exam Maltoso Questions
Extract:
A client who delivered a 4100 gram infant via vacuum-assisted delivery.
Question 1 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.
Extract:
A client at 39 weeks for elective induction, cervical assessment 4 cm, 80% effaced, -3 station, soft, mid position, Bishop score 8.
Question 2 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 at 39 weeks, G1P0, BMI 41, completely dilated, turtle sign after head delivery.
Question 3 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.
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 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 5 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.