ATI RN
ATI Maternity Exam 4 Questions
Extract:
A client with preeclampsia, magnesium sulfate treatment, respiratory rate 10/min, absent deep-tendon reflexes.
Question 1 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 at 37 weeks gestation at risk for placental abruption.
Question 2 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 at 32 weeks gestation, requires continuous fetal monitoring and cesarean preparation.
Question 3 of 5
Which complication is consistent with the findings?
Correct Answer: B
Rationale: Abruptio placentae (
B) requires monitoring and cesarean due to fetal distress. Previa (
A) involves bleeding, hypertension (
C) lacks distress, and preeclampsia (
D) needs other symptoms.
Extract:
A 38-year-old multigravida at 36 weeks gestation, BP 149/93 mmHg, pulse 80/min, RR 16/min.
Question 4 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 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.