ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client is a physical trainer, weighs 220 lb, requires an increase of protein by 20 g/kg/day, has taken 0.8 g of protein/kg/day in the past
Question 1 of 5
How much total protein/day should the nurse recommend? Be sure to enter the number AND the unit of measurement (g).
Correct Answer: 2200 g
Rationale: Convert weight to kg: 220 lb ÷ 2.2 = 100 kg. Previous intake: 0.8 g/kg/day × 100 kg = 80 g/day. Increased requirement: 20 g/kg/day × 100 kg = 2000 g/day.
Total recommended: 80 g + 2000 g = 2080 g/day. However, 20 g/kg/day seems unusually high; assuming a typo for 2.0 g/kg/day, then 2.0 × 100 = 200 g/day total, which is more realistic for a trainer.
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: 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 at 34 weeks of gestation, at risk for placental abruption
Question 3 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.
Extract:
Client at 38 weeks of gestation, heavy red vaginal bleeding without contractions, no distress, can feel baby moving
Question 4 of 5
The client should undergo an ultrasound to determine which of the following findings?
Correct Answer: C
Rationale: The symptoms suggest placenta previa, where the placenta covers the cervical opening, causing painless bleeding. An ultrasound confirms the placenta’s location. Fetal lung maturity is not a concern at 38 weeks, no contractions are present, and Rh incompatibility is assessed via blood tests.
Extract:
Client in second trimester, new diagnosis of gestational diabetes
Question 5 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.