ATI RN
ATI Maternity Exam 4 Questions
Extract:
A laboring client with preeclampsia is prescribed magnesium sulfate 2g/h IVPB. The pharmacy sent the IV labeled magnesium sulfate 20g/500mL normal saline.
Question 1 of 5
To administer the correct dose, the nurse should set the pump to deliver how many milliliters per hour?
Correct Answer: 50 mL/h
Rationale: The concentration is 20g/500mL = 0.04g/mL. The required dose is 2g/h. Dividing 2g by 0.04g/mL gives 50mL/h.
Extract:
A client at 14 weeks gestation, at risk for spontaneous abortion, two previous miscarriages, mentions sewing cervix shut.
Question 2 of 5
What is the surgical treatment for an incompetent cervix?
Correct Answer: C
Rationale: Cerclage (
C) stitches the cervix closed to prevent miscarriage. Amnioinfusion (
A) treats labor complications, hysterectomy (
B) removes the uterus, and beta-adrenergic agonists (
D) relax the uterus.
Extract:
A client at 32 weeks gestation, requires continuous fetal monitoring and cesarean preparation.
Question 3 of 5
Which complication is consistent with the findings?
Correct Answer: B
Rationale: Abruptio placentae (
B) requires monitoring and cesarean due to fetal distress. Previa (
A) involves bleeding, hypertension (
C) lacks distress, and preeclampsia (
D) needs other symptoms.
Extract:
A laboring client, 39 weeks gestation, cervical exam 9cm/100%/0, epidural in place, ROM 25 hours ago with clear fluid, EFM baseline 175bpm, minimal variability, no accelerations, no decelerations, BP 118/84 mmHg, RR 16/min, O2 sat 99%, maternal fever 39.2°C.
Question 4 of 5
Which condition is suspected based on these findings?
Correct Answer: A
Rationale: Prolonged rupture of membranes (25 hours), maternal fever (39.2°
C), and fetal tachycardia (175 bpm) indicate intraamniotic infection (
A). Pyelonephritis (
B) lacks urinary symptoms, cholestasis (
C) involves itching, and placental abruption (
D) typically includes bleeding and pain.
Extract:
A client at 27 weeks gestation, 1-hour GTT result 160 mg/dL.
Question 5 of 5
What education should the nurse provide?
Correct Answer: D
Rationale: An elevated 1-hour GTT (
D) requires a 3-hour GTT for confirmation. Insulin (
A) is premature, increasing carbohydrates (
B) is inappropriate, and no changes (
C) ignore the result.