ATI RN
ATI Maternity Exam 4 Questions
Extract:
A 38-year-old multigravida at 36 weeks gestation, BP 149/93 mmHg, pulse 80/min, RR 16/min.
Question 1 of 5
What additional finding should the nurse assess for preeclampsia?
Correct Answer: D
Rationale: Proteinuria (
D) is a key preeclampsia indicator. Contractions (
A) relate to labor, reflexes (
B) are hyperactive, and glucose (
C) is unrelated.
Extract:
A client at 32 weeks gestation, hemoglobin 8 g/dL, platelet count 100,000/mm³.
Question 2 of 5
Which complication is the nurse most likely dealing with?
Correct Answer: D
Rationale: Low hemoglobin and platelets (
D) suggest preeclampsia with HELLP syndrome. Previa (
A) and abruption (
B) cause bleeding, hypertension (
C) lacks these findings.
Extract:
A client at 14 weeks gestation, at risk for spontaneous abortion, two previous miscarriages, mentions sewing cervix shut.
Question 3 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 34 weeks gestation.
Question 4 of 5
Which symptom indicates cholestasis of pregnancy?
Correct Answer: A
Rationale: Pruritus of palms (
A) is a hallmark of cholestasis. Back pain (
B) is labor-related, nausea (
C) is nonspecific, and headaches (
D) suggest preeclampsia.
Extract:
An OB nurse educating a new graduate about hydatidiform mole.
Question 5 of 5
Which signs and symptoms indicate a hydatidiform mole?
Correct Answer: D
Rationale: An enlarged uterus (
D) is a hallmark of hydatidiform mole due to trophoblastic growth. Nausea (
A) is common, Category II FHR (
B) is unrelated, and hCG levels (
C) are elevated.