Questions 32

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ATI Maternity Exam 4 Questions

Extract:

A client at 32 weeks gestation, requires continuous fetal monitoring and cesarean preparation.


Question 1 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 client at 29 weeks gestation detailed, experiencing uterine contractions every 45 minutes, received Nifedipine.


Question 2 of 5

Which assessment indicates Nifedipine was effective?

Correct Answer: C

Rationale: Nifedipine reduces uterine contractions (
C) in preterm labor. Blood pressure (
A) and heart rate (
B) are side effects, and nausea (
D) is unrelated.

Extract:

A group of clients on an antepartum unit.


Question 3 of 5

Which client is the nurse’s priority?

Correct Answer: B

Rationale: PPROM with fever (
B) suggests infection, requiring urgent attention. Preeclampsia (
A) is stable, hyperemesis (
C) is less acute, and previa (
D) is stable.

Extract:

A client at 14 weeks gestation, at risk for spontaneous abortion, two previous miscarriages, mentions sewing cervix shut.


Question 4 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 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.

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