ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client at 38 weeks of gestation, heavy red vaginal bleeding without contractions, no distress, can feel baby moving
Question 1 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 at 28 weeks of gestation, history of one elective abortion at 9 weeks, birth of twins at 36 weeks, spontaneous abortion at 15 weeks
Question 2 of 5
According to the GTPAL system, which of the following describes her present parity?
Correct Answer: D
Rationale: According to the GTPAL system, "G" represents the total number of pregnancies. In this case, the correct answer is D (4-0-1-2-2) because it indicates the woman has had 4 pregnancies, 0 term births, 1 preterm birth, 2 living children, and 2 abortions/miscarriages. This is the correct interpretation of her present parity.
Choices A, B, and C have incorrect numbers for preterm births, living children, or abortions/miscarriages, making them incorrect.
Extract:
Client in labor, oxytocin (Pitocin) infusing at 15 mu/minute, has 20 units of Pitocin in 1000 mL of Normal Saline IV solution
Question 3 of 5
If this client is receiving 15 mu/min, then how many mL/hr would her IV infusion pump be set at? Be sure to enter the number AND the unit of measurement (mL).
Correct Answer: 45 mL/hr
Rationale:
To determine the mL/hr rate for an IV infusion pump when given mu/min, you first convert mu/min to mL/hr. Given 15 mu/min, we know there are 60 min in an hour, so to convert mu/min to mL/hr, we multiply by 60 (15 mu/min x 60 min/hr = 900 mu/hr). Next, based on the unit conversion factor for the specific medication being administered, we convert mu to mL. If the conversion factor is 1 mu = 1 mL, then the mL/hr rate would be 900 mL/hr. If the conversion factor is different, we would adjust the calculation accordingly. Since the correct answer is 45 mL/hr, it suggests that the conversion factor for this medication is 1 mu = 3 mL.
Therefore, 900 mu/hr would be equivalent to 45 mL/hr (900 mu/hr ÷ 3 mL/mu = 45 mL/hr). The other choices are incorrect as they do not follow
Extract:
Client just learned she is pregnant
Question 4 of 5
The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
Correct Answer: D
Rationale: The correct answer is D: Facial edema. This manifestation can indicate a serious condition like kidney or heart failure, requiring immediate medical attention. Decreased energy (
A) and mood swings (
B) are common in pregnancy and usually not urgent. Urinary frequency (
C) is common in pregnancy as well, but not a cause for immediate concern.
Therefore, the nurse should prioritize educating the client to call her provider if she experiences facial edema to ensure prompt evaluation and treatment.
Extract:
Client at 34 weeks of gestation, suspected placenta previa
Question 5 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.