ATI RN
ATI Maternity Exam 4 Questions
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 1 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 33 weeks gestation with PPROM 4 hours ago, initial exam 2 cm dilated.
Question 2 of 5
Why should the nurse avoid performing another vaginal exam?
Correct Answer: D
Rationale: Frequent vaginal exams after PPROM increase infection risk (
D) by introducing bacteria. They do not directly increase labor progress (
A), pain (
B), or bleeding (
C).
Extract:
A client receiving Magnesium Sulfate IV for preterm labor, exhibits hypotension, decreased urine output, respiratory rate 10/min.
Question 3 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 4 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.
Extract:
A client diagnosed with hyperemesis gravidarum.
Question 5 of 5
Which of the following conditions are risk factors for hyperemesis gravidarum?
Correct Answer: B,D,E
Rationale: Twin gestations (
B) increase hCG levels, contributing to hyperemesis. Molar pregnancy (
D) causes significantly elevated hCG, triggering severe nausea. A history of hyperemesis (E) predicts recurrence. Oligohydramnios (
A) is unrelated to hormonal changes causing hyperemesis, and anemia (
C) may result from, but does not cause, the condition.