ATI RN
ATI OB Obstetrics RN 300 Exam Questions
Extract:
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 1 of 5
The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: B
Rationale: The correct answer is B: Insulin. In clients with diabetes, insulin is essential for managing blood sugar levels. Insulin is often prescribed by healthcare providers for type 1 diabetes and sometimes for type 2 diabetes when oral medications are not sufficient. Repaglinide, Glipizide, and Acarbose are oral antidiabetic medications that work differently from insulin. Repaglinide and Glipizide stimulate insulin release from the pancreas, while Acarbose delays carbohydrate absorption. However, in this case, the nurse should anticipate a prescription for insulin as it directly replaces the hormone that the client's body may not be producing enough of to regulate blood sugar effectively.
Extract:
A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension.
Question 2 of 5
Which of the following actions should the nurse expect to implement? Select all that apply.
Correct Answer: A,B,C
Rationale: The correct answers are A, B, and C. A nurse should provide a dark, quiet environment to promote rest and reduce stimulation. Administering magnesium sulfate IV is crucial for managing pre-eclampsia and preventing seizures. Ensuring that calcium gluconate is readily available is important in case of magnesium sulfate toxicity.
Choices D and E are incorrect because respiratory and neurological assessments should be done more frequently in patients at risk for complications.
Extract:
The nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational diabetes mellitus.
Question 3 of 5
Which statement made by the client indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because the statement "I would avoid exercise because of the negative effects on insulin production" is incorrect and indicates a need for further teaching. Exercise can actually improve insulin sensitivity and help regulate blood sugar levels in diabetes.
Therefore, the client needs to be educated on the benefits of exercise and how it can positively impact their condition.
Choices A, B, and D are all correct statements that reflect good self-care practices for managing diabetes.
Extract:
Question 4 of 5
What is a potential challenge for vegetarians on a gestational diabetic diet in pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Excessive carbohydrate intake. In a gestational diabetic diet, managing carbohydrate intake is crucial to control blood sugar levels. Vegetarians may rely heavily on high-carb plant-based foods, leading to potential challenges in controlling blood sugar levels. Excessive carbohydrate intake can cause spikes in blood sugar levels, which is risky for gestational diabetes. Limited protein sources (
C) can be managed by including various plant-based proteins. Lack of essential vitamins and minerals (
D) can be addressed through proper supplementation and a well-rounded vegetarian diet. Difficulty managing blood sugar levels (
B) is a general concern for gestational diabetes but not specific to vegetarians. Other choices are not directly related to the unique challenge vegetarians may face with gestational diabetes.
Extract:
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to discontinue the medication infusion (
Choice
A) because it is a priority to stop any potential harm caused by the medication. Continuing the infusion could lead to adverse effects on the client.
Choice B is incorrect as there is no indication for an emergency cesarean birth based on the information provided.
Choice C, placing the client in Trendelenburg position, is not recommended without a clear indication as it can have negative effects.
Choice D, assessing maternal blood glucose, is important but not as urgent as discontinuing the medication infusion.
Therefore, the correct course of action is to prioritize the immediate discontinuation of the medication infusion to ensure client safety.