ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client experiencing preterm labor, scheduled for amniocentesis
Question 1 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 at first prenatal visit
Question 2 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 experiencing preterm labor, scheduled for amniocentesis
Question 3 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 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 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.