ATI RN
ATI Maternity Exam 4 Questions
Extract:
A client at 27 weeks gestation, 1-hour GTT result 160 mg/dL.
Question 1 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.
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 recently diagnosed with Hyperemesis Gravidarum.
Question 3 of 5
Which medication should the nurse anticipate administering?
Correct Answer: D
Rationale: Pyridoxine (
D) reduces nausea in hyperemesis. Ibuprofen (
A) is unsafe in pregnancy, sodium chloride (
B) aids hydration but not nausea, and magnesium sulfate (
C) is for preeclampsia or preterm labor.
Extract:
A client at 37 weeks gestation with headache, facial edema, right upper quadrant pain.
Question 4 of 5
Which diagnostic tests would the nurse anticipate?
Correct Answer: A
Rationale: CBC, CMP, Urinalysis, and Clotting studies (
A) assess preeclampsia/HELLP. HgA1C (
B) is for diabetes, ultrasound (
C) is supportive, and amylase/lipase (
D) are less relevant.
Extract:
A client at 34 weeks gestation.
Question 5 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.