Questions 32

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ATI Maternity Exam 4 Questions

Extract:

Assessment findings reviewed by a nurse.


Question 1 of 5

Which complication is consistent with the findings?

Correct Answer: B

Rationale: Abruptio placentae (
B) causes pain, bleeding, and shock, matching findings. Previa (
A) is painless, rupture (
C) is rarer, and embolism (
D) involves respiratory distress.

Extract:

A client diagnosed with hyperemesis gravidarum.


Question 2 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:

A client with preeclampsia, magnesium sulfate treatment, respiratory rate 10/min, absent deep-tendon reflexes.


Question 3 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 the end of her second trimester.


Question 4 of 5

Which statement indicates correct understanding of car safety education?

Correct Answer: B

Rationale: Positioning the lap belt under the abdomen and shoulder belt between the breasts (
B) minimizes abdominal trauma. Under the arm (
A) or avoiding seatbelts (C,
D) increases injury risk.

Extract:

A 30-year-old female, gravida 4, para 3, at 32 weeks gestation, history of preeclampsia, smokes, reports dark red vaginal bleeding, saturated two peri pads in 2 hours, abdominal pain, rigid tender abdomen, no contractions, BP 140/90 mmHg, hemoglobin 11.2 g/dL.


Question 5 of 5

Which complication is consistent with the findings?

Correct Answer: B

Rationale: Painful bleeding, rigid abdomen, and no contractions (
B) indicate abruptio placentae. Previa (
A) involves painless bleeding.

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