ATI RN
ATI Maternity Exam 4 Questions
Extract:
A laboring client, 39 weeks gestation, cervical exam 9cm/100%/0, epidural in place, ROM 25 hours ago with clear fluid, EFM baseline 175bpm, minimal variability, no accelerations, no decelerations, BP 118/84 mmHg, RR 16/min, O2 sat 99%, maternal fever 39.2°C.
Question 1 of 5
Which condition is suspected based on these findings?
Correct Answer: A
Rationale: Prolonged rupture of membranes (25 hours), maternal fever (39.2°
C), and fetal tachycardia (175 bpm) indicate intraamniotic infection (
A). Pyelonephritis (
B) lacks urinary symptoms, cholestasis (
C) involves itching, and placental abruption (
D) typically includes bleeding and pain.
Extract:
A client at 34 weeks gestation, concerned about preterm labor.
Question 2 of 5
Which are signs and symptoms of preterm labor?
Correct Answer: A,B,D
Rationale: Vaginal spotting (
A), regular contractions (
B), and lower back pain or pelvic pressure (
D) indicate preterm labor. Weight gain (
C) is normal in pregnancy.
Extract:
A client at 37 weeks gestation with complete placenta previa, reports inconsistent contractions.
Question 3 of 5
Why did the provider avoid a vaginal exam?
Correct Answer: B
Rationale: In placenta previa, vaginal exams risk severe bleeding (
B) by disturbing the placenta. Rupturing membranes (
A), infection (
C), or preterm labor (
D) are less primary concerns.
Extract:
A client at 32 weeks gestation, hemoglobin 8 g/dL, platelet count 100,000/mm³.
Question 4 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 37 weeks gestation at risk for placental abruption.
Question 5 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.