ATI RN
ATI Maternity Exam 2 Questions
Extract:
A pregnant woman at 30 weeks of gestation in preterm labor, physician orders betamethasone 12 mg IM for two doses.
Question 1 of 5
A nurse is caring for a pregnant woman at 30 weeks of gestation in preterm labor. The woman's physician orders betamethasone 12 mg IM for two doses, with the first dose to begin at 11 am. In implementing this order, the nurse should:
Correct Answer: B
Rationale: Scheduling the second dose of betamethasone 24 hours after the first (11 am next day) ensures optimal fetal lung maturation.
Extract:
A woman with severe preeclampsia being treated with bed rest and intravenous magnesium sulfate.
Question 2 of 5
A woman with severe preeclampsia is being treated with bed rest and intravenous magnesium sulfate. The drug classification of this medication is
Correct Answer: B
Rationale: Magnesium sulfate is classified as an anticonvulsant, used to prevent seizures in preeclampsia by stabilizing neuronal activity.
Extract:
A client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding, fetal heart rate of 138/min, no uterine contractions, blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, temperature 36.4°C (97.6°F).
Question 3 of 5
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4°C (97.6°F). Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Initiating IV access is critical to manage hypovolemia and prepare for potential emergency interventions in suspected placenta previa.
Extract:
A client who experienced abruptio placentae, petechiae and bleeding around the IV access site.
Question 4 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: C
Rationale: Petechiae and bleeding suggest disseminated intravascular coagulation, a complication of abruptio placentae due to abnormal clotting activation.
Extract:
Maternal condition.
Question 5 of 5
Which maternal condition always necessitates delivery by cesarean section?
Correct Answer: D
Rationale:
Total placenta previa, where the placenta fully covers the cervix, requires cesarean delivery due to the risk of severe hemorrhage with vaginal delivery.