Questions 32

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ATI Maternity Exam 4 Questions

Extract:

A client at 36 weeks gestation with suspected placenta previa.


Question 1 of 5

Which finding supports this diagnosis?

Correct Answer: B

Rationale: Painless red vaginal bleeding (
B) is characteristic of placenta previa. Painful bleeding (A,
C) or bloody mucus (
D) suggest other conditions like abruption.

Extract:

An 18-week pregnant client with monochorionic-monoamniotic twins.


Question 2 of 5

Which statement shows understanding of twin-to-twin transfusion syndrome?

Correct Answer: A

Rationale: A shared placenta (
A) increases TTTS risk. Overperfusion affects one twin (
B), it’s not common in all multiples (
C), and risk is higher, not lower (
D).

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 receiving Magnesium Sulfate IV for preterm labor, exhibits hypotension, decreased urine output, respiratory rate 10/min.


Question 4 of 5

Which medication should the nurse anticipate administering?

Correct Answer: D

Rationale: Calcium gluconate (
D) reverses magnesium sulfate toxicity. Methotrexate (
A) treats ectopic pregnancy, labetalol (
B) manages hypertension, and nifedipine (
C) stops preterm labor.

Extract:

Assessment findings reviewed by a nurse.


Question 5 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.

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