ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client possible ectopic pregnancy at 8 weeks of gestation
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Pelvic pain is the hallmark of ectopic pregnancy due to tubal stretching or rupture. Severe nausea, copious bleeding, or excessive uterine enlargement are not typical.
Extract:
Client in second trimester
Question 2 of 5
The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?
Correct Answer: C
Rationale: Increased lordosis occurs as the growing uterus shifts the center of gravity, compensating for posture. Abdominal muscles stretch, pelvic joints loosen, and neck flexion is not typical.
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 find the infusion rate, convert the dose to mL/hr. The solution has 20 units (20,000 milliunits) in 1000 mL, so the concentration is 20,000 mu / 1000 mL = 20 mu/mL. The dose is 15 mu/min, so per hour: 15 mu/min × 60 min/hr = 900 mu/hr. Volume per hour: 900 mu/hr ÷ 20 mu/mL = 45 mL/hr.
Extract:
Client in second trimester, new diagnosis of gestational diabetes
Question 4 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Exercise helps manage gestational diabetes by improving insulin sensitivity. Reducing exercise to 3 days a week is inadequate; clients should aim for 30 minutes most days unless contraindicated. The other statements reflect correct understanding of diet, medication, and long-term risks.
Extract:
Client at 34 weeks of gestation, at risk for placental abruption
Question 5 of 5
Which of the following is the most common risk factor for a placental abruption?
Correct Answer: C
Rationale: Hypertension is the most common risk factor for placental abruption because it damages placental blood vessels, leading to hemorrhage and detachment. Maternal battering, smoking, and cocaine use are risk factors but are less common than hypertension.