ATI RN
ATI Maternity Exam 4 Questions
Extract:
A client at 14 weeks gestation, at risk for spontaneous abortion, two previous miscarriages, mentions sewing cervix shut.
Question 1 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 33 weeks gestation in preterm labor, ordered betamethasone 12 mg IM every 24 hours x doses.
Question 2 of 5
What should the nurse include in client teaching?
Correct Answer: A
Rationale: Betamethasone (
A) enhances fetal lung surfactant production. It does not affect heart rate (
B), amniotic fluid (
C), or stop contractions (
D).
Extract:
A client at 37 weeks gestation at risk for placental abruption.
Question 3 of 5
Which is a risk factor for abruption?
Correct Answer: D
Rationale: Hypertension (
D) damages placental vessels, increasing abruption risk. Asthma (
A), hyperthyroidism (
B), and cesarean delivery (
C) are not direct risk factors.
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 4 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 client at 32 weeks gestation, hemoglobin 8 g/dL, platelet count 100,000/mm³.
Question 5 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.