ATI RN
ATI Maternity Exam 4 Questions
Extract:
A client diagnosed with hyperemesis gravidarum.
Question 1 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.
Question 2 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 38-year-old multigravida at 36 weeks gestation, BP 149/93 mmHg, pulse 80/min, RR 16/min.
Question 3 of 5
What additional finding should the nurse assess for preeclampsia?
Correct Answer: D
Rationale: Proteinuria (
D) is a key preeclampsia indicator. Contractions (
A) relate to labor, reflexes (
B) are hyperactive, and glucose (
C) is unrelated.
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 laboring client with preeclampsia is prescribed magnesium sulfate 2g/h IVPB. The pharmacy sent the IV labeled magnesium sulfate 20g/500mL normal saline.
Question 5 of 5
To administer the correct dose, the nurse should set the pump to deliver how many milliliters per hour?
Correct Answer: 50 mL/h
Rationale: The concentration is 20g/500mL = 0.04g/mL. The required dose is 2g/h. Dividing 2g by 0.04g/mL gives 50mL/h.