ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client might have a hydatidiform mole
Question 1 of 5
The nurse should monitor the client for which of the following findings?
Correct Answer: C
Rationale: The correct answer is C: Excessive uterine enlargement. This finding is important to monitor in a pregnant client as it may indicate conditions such as multiple gestation, hydramnios, or molar pregnancy, which could pose risks to both the mother and baby. Monitoring uterine size helps in assessing fetal growth and development. Whitish vaginal discharge (
A) could be a normal finding or indicate a yeast infection, while fetal heart rate irregularities (
B) would be monitored using fetal monitoring, not uterine size. Rapidly dropping hCG levels (
D) could suggest a miscarriage or ectopic pregnancy, but it is not directly related to uterine enlargement.
Extract:
Client at 18 weeks of gestation, felt light fluttering in stomach the previous day
Question 2 of 5
The nurse should use which of the following terms to document this finding?
Correct Answer: D
Rationale: The correct answer is D: Quickening. Quickening refers to the first perception of fetal movements by the mother, typically around 16-20 weeks of gestation. It is an important milestone in pregnancy. Lightening (
A) is the descent of the fetus into the pelvis. Chloasma (
B) is a skin condition characterized by hyperpigmentation. Ballotement (
C) is the rebounding of the fetus when the examiner pushes against the mother's abdomen. These terms are not relevant to the finding described in the question.
Extract:
Client experiencing preterm labor, scheduled for amniocentesis
Question 3 of 5
The client needs an amniocentesis to determine which of the following findings?
Correct Answer: C
Rationale: The correct answer is C: Maturity of lungs. Amniocentesis is a prenatal test that involves taking a sample of amniotic fluid to analyze fetal cells. The test can determine the maturity of the fetal lungs by measuring the level of surfactant, a substance produced by mature lungs. This information is crucial for assessing the fetus's lung function and determining the need for medical intervention if the lungs are not mature enough for birth.
Incorrect answers:
A: Gender of the fetus - Amniocentesis can determine the gender of the fetus, but this is not the primary purpose of the test.
B: Weeks of gestation - The gestational age can be estimated through ultrasound or other methods, not specifically through amniocentesis.
D: Anatomic abnormalities - While amniocentesis can detect some genetic abnormalities, it is not primarily used to detect anatomic abnormalities.
Extract:
Client at 34 weeks of gestation, suspected placenta previa
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Apply an external fetal monitor. This action is crucial in monitoring the fetal heart rate and uterine contractions during labor, ensuring the well-being of both the mother and the baby. Performing a rectal exam (choice
A) is not indicated in this context. Completing a vaginal exam (choice
C) may be necessary but is not the immediate priority. Applying ice to the perineal area (choice
D) is not relevant for fetal monitoring. Other choices are not provided.
Extract:
Client 4 hours postpartum, vaginal birth, saturated perineal pad within 10 minutes
Question 5 of 5
Which of the following is the nurse's first action?
Correct Answer: D
Rationale: The correct answer is D: Massage the client's fundus. This is the nurse's first action after childbirth to prevent postpartum hemorrhage by promoting uterine contractions and expelling any clots. Assessing blood pressure (
B) is important but not the first action. Observing for pooling of blood under the buttocks (
A) is a sign of excessive bleeding but not the first action. Administering oxytocic preparation (
C) can help prevent postpartum hemorrhage, but it is not the first action.