ATI RN
ATI Maternity Exam 4 Questions
Extract:
A client upset about a placenta abnormality requiring cesarean and hysterectomy.
Question 1 of 5
What placenta abnormality requires this intervention?
Correct Answer: A
Rationale: Placenta accreta spectrum (
A) involves abnormal placental adherence, often requiring cesarean and hysterectomy. Previa (
B) causes bleeding, abruption (
C) involves detachment, and posterior location (
D) is normal.
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 client at 34 weeks gestation.
Question 3 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:
A client with preeclampsia, magnesium sulfate treatment, respiratory rate 10/min, absent deep-tendon reflexes.
Question 4 of 5
What should the nurse do first?
Correct Answer: B
Rationale: Stopping the magnesium infusion (
B) is the first step in toxicity to prevent further complications. Calcium gluconate (
A) follows, cesarean (
C) is premature, and fluids (
D) are unrelated.
Extract:
A client upset about a placenta abnormality requiring cesarean and hysterectomy.
Question 5 of 5
What placenta abnormality requires this intervention?
Correct Answer: A
Rationale: Placenta accreta spectrum (
A) involves abnormal placental adherence, often requiring cesarean and hysterectomy. Previa (
B) causes bleeding, abruption (
C) involves detachment, and posterior location (
D) is normal.