ATI RN
ATI Maternity Exam 4 Questions
Extract:
A client at 33 weeks gestation with PPROM 4 hours ago, initial exam 2 cm dilated.
Question 1 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 36 weeks gestation with suspected placenta previa.
Question 2 of 5
Which finding supports this diagnosis?
Correct Answer: B
Rationale: Painless red vaginal bleeding (
B) is characteristic of placenta previa. Painful bleeding (A,
C) or bloody mucus (
D) suggest other conditions like abruption.
Extract:
A client at 27 weeks gestation, 1-hour GTT result 160 mg/dL.
Question 3 of 5
What education should the nurse provide?
Correct Answer: D
Rationale: An elevated 1-hour GTT (
D) requires a 3-hour GTT for confirmation. Insulin (
A) is premature, increasing carbohydrates (
B) is inappropriate, and no changes (
C) ignore the result.
Extract:
A client at 34 weeks gestation, concerned about preterm labor.
Question 4 of 5
Which are signs and symptoms of preterm labor?
Correct Answer: A,B,D
Rationale: Vaginal spotting (
A), regular contractions (
B), and lower back pain or pelvic pressure (
D) indicate preterm labor. Weight gain (
C) is normal in pregnancy.
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.