ATI RN
ATI Maternity Exam 4 Questions
Extract:
An 18-week pregnant client with monochorionic-monoamniotic twins.
Question 1 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 30 weeks gestation receiving magnesium sulfate for preterm labor.
Question 2 of 5
What is the primary purpose of this medication?
Correct Answer: D
Rationale: Magnesium sulfate (
D) provides fetal neuroprotection in preterm labor. It does not increase contractions (
A), prevent seizures (
B) in this context, or improve lung maturity (
C).
Extract:
A client at 29 weeks gestation detailed, experiencing uterine contractions every 45 minutes, received Nifedipine.
Question 3 of 5
Which assessment indicates Nifedipine was effective?
Correct Answer: C
Rationale: Nifedipine reduces uterine contractions (
C) in preterm labor. Blood pressure (
A) and heart rate (
B) are side effects, and nausea (
D) is unrelated.
Extract:
Discussion about preeclampsia complications at a staff meeting.
Question 4 of 5
Which statement about HELLP syndrome is correct?
Correct Answer: C
Rationale: Elevated liver enzymes (
C) define HELLP syndrome. LDH is elevated (
A), red cells decrease (
B), and platelets are low (
D).
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).