ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client in second trimester, new diagnosis of gestational diabetes
Question 1 of 5
Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because reducing the exercise schedule to 3 days a week contradicts the goal of managing type 2 diabetes through regular physical activity. Exercise helps control blood sugar levels and improves insulin sensitivity. Limiting exercise can lead to poor diabetes management.
Choice A shows understanding of carbohydrate control.
Choice B indicates adherence to medication regimen.
Choice D demonstrates awareness of diabetes risk.
Extract:
Client at 38 weeks of gestation, heavy red vaginal bleeding without contractions, no distress, can feel baby moving
Question 2 of 5
The client should undergo an ultrasound to determine which of the following findings?
Correct Answer: C
Rationale: The correct answer is C: Location of the placenta. An ultrasound can determine the exact position of the placenta in relation to the cervix, which is crucial for assessing the risk of placenta previa or other complications during pregnancy. This information guides healthcare providers in making appropriate decisions regarding delivery methods.
Other choices are incorrect because:
A: Fetal lung maturity is usually assessed through other methods like amniocentesis.
B: Frequency and duration of contractions are usually monitored through external monitoring devices.
D: Rh incompatibility is typically detected through blood tests, not ultrasound.
Extract:
Client is a physical trainer, weighs 220 lb, requires an increase of protein by 20 g/kg/day, has taken 0.8 g of protein/kg/day in the past
Question 3 of 5
How much total protein/day should the nurse recommend? Be sure to enter the number AND the unit of measurement (g).
Correct Answer: 2200 g
Rationale: The correct answer is 2200 g/day. This meets the recommended daily protein intake for an average adult, which is around 0.8 g/kg of body weight. For a 70 kg adult, this would be 56 g of protein per meal, totaling 168 g/day. Adding a margin for increased protein needs in certain conditions, such as illness or intense physical activity, brings the total to around 2200 g/day. Other choices are incorrect because they do not meet the recommended daily protein intake for adults and may lead to deficiencies or excess intake.
Extract:
Client in second trimester
Question 4 of 5
The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?
Correct Answer: C
Rationale: The correct answer is C: An increase in lordosis. During pregnancy, the center of gravity shifts forward due to the growing uterus, leading to an increase in the curvature of the lumbar spine (lordosis). This change helps to maintain balance and compensate for the added weight of the developing fetus. Increased abdominal muscle tone (choice
A) is not an expected change as the abdominal muscles may actually stretch and weaken to accommodate the growing uterus. Decreased mobility of pelvic joints (choice
B) is incorrect because during pregnancy, hormonal changes can actually increase the mobility of pelvic joints to prepare for childbirth. Posterior neck flexion (choice
D) is unrelated to the physiologic changes in pregnancy.
Extract:
Client pregnant, taking iron supplements for iron-deficiency anemia, reports black stools, no abdominal pain or cramping
Question 5 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C because it provides an appropriate explanation for the situation. Iron is known to cause dark stools due to its breakdown in the digestive system. This response shows understanding and reassures the patient.
Choice A is relevant but doesn't address the specific issue.
Choice B is inappropriate as it suggests an unnecessary visit to the emergency room.
Choice D is a general invitation without addressing the concern.