ATI RN
ATI Maternity Exam 4 Questions
Extract:
A client at 32 weeks gestation, hemoglobin 8 g/dL, platelet count 100,000/mm³.
Question 1 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.
Extract:
A client at 33 weeks gestation in preterm labor, ordered betamethasone 12 mg IM every 24 hours x doses.
Question 2 of 5
What should the nurse include in client teaching?
Correct Answer: A
Rationale: Betamethasone (
A) enhances fetal lung surfactant production. It does not affect heart rate (
B), amniotic fluid (
C), or stop contractions (
D).
Extract:
A 28-year-old female at 36 weeks gestation, reports mild headache, right upper quadrant pain, unable to remove rings, BP 156/90 mmHg, facial and +3 lower extremity edema, 3+ patellar reflex, FHR 155 bpm, headache worsened to 5/10, dizziness.
Question 3 of 5
Which findings should the nurse report?
Correct Answer: A,D,F
Rationale: Cerebral manifestations (
A), right upper quadrant pain (
D), and hypertension (F) suggest preeclampsia/HELLP. FHR (
B) is normal, reflexes (
C) are less urgent, and respiratory rate (E) is normal.
Extract:
A client at 30 weeks gestation receiving magnesium sulfate for preterm labor.
Question 4 of 5
What is the primary purpose of this medication?
Correct Answer: D
Rationale: Magnesium sulfate (
D) provides fetal neuroprotection in preterm labor. It does not increase contractions (
A), prevent seizures (
B) in this context, or improve lung maturity (
C).
Extract:
A client at the end of her second trimester.
Question 5 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.