ATI RN
ATI Maternity Exam 4 Questions
Extract:
A pregnant client and her partner.
Question 1 of 5
Which infections is the client at risk for (TORCH)?
Correct Answer: A,B,D,E
Rationale: TORCH infections include Cytomegalovirus (
A), Herpes Simplex Virus (
B), Rubella (
D), and
Toxoplasmosis (E), which pose fetal risks. Hepatitis B (
C) is not a TORCH infection.
Extract:
A client at 14 weeks gestation, at risk for spontaneous abortion, two previous miscarriages, mentions sewing cervix shut.
Question 2 of 5
What is the surgical treatment for an incompetent cervix?
Correct Answer: C
Rationale: Cerclage (
C) stitches the cervix closed to prevent miscarriage. Amnioinfusion (
A) treats labor complications, hysterectomy (
B) removes the uterus, and beta-adrenergic agonists (
D) relax the uterus.
Extract:
An 18-week pregnant client with monochorionic-monoamniotic twins.
Question 3 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 diagnosed with hyperemesis gravidarum.
Question 4 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.
Extract:
A client at 33 weeks gestation in preterm labor, ordered betamethasone 12 mg IM every 24 hours x doses.
Question 5 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).