ATI RN
ATI Maternity Exam 4 Questions
Extract:
A client at 37 weeks gestation at risk for placental abruption.
Question 1 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.
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 at 37 weeks gestation with headache, facial edema, right upper quadrant pain.
Question 3 of 5
Which diagnostic tests would the nurse anticipate?
Correct Answer: A
Rationale: CBC, CMP, Urinalysis, and Clotting studies (
A) assess preeclampsia/HELLP. HgA1C (
B) is for diabetes, ultrasound (
C) is supportive, and amylase/lipase (
D) are less relevant.
Extract:
A client at 37 weeks gestation at risk for placental abruption.
Question 4 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.
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 5 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.