ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
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 1 of 5
According to the GTPAL system, which of the following describes her present parity?
Correct Answer: D
Rationale: GTPAL: Gravida (4 pregnancies including current), Term (0 births ≥37 weeks), Preterm (1 birth at 36 weeks), Abortions (2: elective and spontaneous), Living children (2 twins). Thus, 4-0-1-2-2.
Extract:
Client just learned she is pregnant
Question 2 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: Facial edema may indicate preeclampsia, a serious condition requiring immediate medical attention. Decreased energy, mood swings, and urinary frequency are normal pregnancy changes.
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 3 of 5
According to the GTPAL system, which of the following describes her present parity?
Correct Answer: D
Rationale: GTPAL: Gravida (4 pregnancies including current), Term (0 births ≥37 weeks), Preterm (1 birth at 36 weeks), Abortions (2: elective and spontaneous), Living children (2 twins). Thus, 4-0-1-2-2.
Extract:
Client experiencing preterm labor, scheduled for amniocentesis
Question 4 of 5
The client needs an amniocentesis to determine which of the following findings?
Correct Answer: C
Rationale: In preterm labor, amniocentesis assesses lung maturity (e.g., lecithin/sphingomyelin ratio) to guide delivery planning. Gender, gestation weeks, and anomalies are not primary indications.
Extract:
Client regarding how to reduce the risk of giving birth to a newborn who has a neural tube defect
Question 5 of 5
Which of the following instructions by the nurse is appropriate?
Correct Answer: B
Rationale: Folic acid is critical for neural tube development, and adequate intake (at least 400 mcg daily) before and during early pregnancy reduces the risk of neural tube defects like spina bifida. Iron is unrelated to neural tube defects, aspirin doesn’t cause them, and while alcohol avoidance is important, it’s not linked to neural tube defects.