Questions 32

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ATI Maternity Exam 4 Questions

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 1 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.

Extract:

An OB nurse educating a new graduate about hydatidiform mole.


Question 2 of 5

Which signs and symptoms indicate a hydatidiform mole?

Correct Answer: D

Rationale: An enlarged uterus (
D) is a hallmark of hydatidiform mole due to trophoblastic growth. Nausea (
A) is common, Category II FHR (
B) is unrelated, and hCG levels (
C) are elevated.

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 3 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.

Extract:

A client at 34 weeks gestation.


Question 4 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:

Discussion about preeclampsia complications at a staff meeting.


Question 5 of 5

Which statement about HELLP syndrome is correct?

Correct Answer: C

Rationale: Elevated liver enzymes (
C) define HELLP syndrome. LDH is elevated (
A), red cells decrease (
B), and platelets are low (
D).

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