ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client at 38 weeks of gestation, heavy red vaginal bleeding without contractions, no distress, can feel baby moving
Question 1 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 might have a hydatidiform mole
Question 2 of 5
The nurse should monitor the client for which of the following findings?
Correct Answer: C
Rationale: A hydatidiform mole causes excessive uterine enlargement due to abnormal placental growth into cysts. Whitish discharge is normal, no viable fetus exists for heart rate monitoring, and hCG levels are typically high, not dropping.
Extract:
Postpartum client, large amount of lochia rubra with several clots on perineal pad
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Checking the fundus is the priority because uterine atony is the most common cause of postpartum bleeding. A boggy fundus can be massaged to promote contraction and reduce bleeding.
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 4 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 38 weeks of gestation, heavy red vaginal bleeding without contractions, no distress, can feel baby moving
Question 5 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.