ATI RN
ATI Maternity Exam 4 Questions
Extract:
A client at 30 weeks gestation receiving magnesium sulfate for preterm labor.
Question 1 of 5
What is the primary purpose of this medication?
Correct Answer: D
Rationale: Magnesium sulfate (
D) provides fetal neuroprotection in preterm labor. It does not increase contractions (
A), prevent seizures (
B) in this context, or improve lung maturity (
C).
Extract:
A client with vaginal bleeding, severe left-sided abdominal pain, unsure of last menstrual period (about 7 weeks ago), BP 82/55 mmHg, pulse 120 bpm.
Question 2 of 5
What complication is the nurse concerned about?
Correct Answer: D
Rationale: Severe unilateral pain, bleeding, low BP, and high pulse (
D) suggest ectopic pregnancy. Abruption (
A) involves later gestation, trophoblastic disease (
B) has high hCG, and abortion (
C) lacks severe pain.
Extract:
A 38-year-old multigravida at 36 weeks gestation, BP 149/93 mmHg, pulse 80/min, RR 16/min.
Question 3 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 diagnosed with hyperemesis gravidarum.
Question 4 of 5
Which of the following conditions are risk factors for hyperemesis gravidarum?
Correct Answer: B,D,E
Rationale: Twin gestations (
B) increase hCG levels, contributing to hyperemesis. Molar pregnancy (
D) causes significantly elevated hCG, triggering severe nausea. A history of hyperemesis (E) predicts recurrence. Oligohydramnios (
A) is unrelated to hormonal changes causing hyperemesis, and anemia (
C) may result from, but does not cause, the condition.
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.