ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client at first prenatal visit
Question 1 of 5
Arrange the steps in order, placing them in the selected order of occurrence from earliest to latest in gestation. Use all the steps.
Correct Answer: A,B,C,D,E,F
Rationale: Correct order: Breast tenderness (early, hormonal), nausea/vomiting (first trimester), quickening (16-20 weeks), Goodell’s sign (cervical softening, ~4-6 weeks), striae gravidarum (second/third trimester), lightening (late, fetal descent).
Extract:
Client in second trimester, new diagnosis of gestational diabetes
Question 2 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 pregnant, taking iron supplements for iron-deficiency anemia, reports black stools, no abdominal pain or cramping
Question 3 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Black stools are a normal side effect of iron supplements due to the formation of ferrous sulfide in the gut. No further evaluation is needed unless other symptoms like pain or bleeding occur.
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: 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 experiencing preterm labor, scheduled for amniocentesis
Question 5 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.