ATI RN
ATI OB Obstetrics RN 300 Exam Questions
Extract:
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Question 1 of 5
The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: B
Rationale: Insulin is the preferred treatment for uncontrolled gestational diabetes, as it is safe and does not cross the placenta.
Extract:
A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant.
Question 2 of 5
The nurse should anticipate the provider will order a maternal serum alpha-fetoprotein (MSAFP) screening for which of the following clients?
Correct Answer: D
Rationale: MSAFP is a standard second-trimester screening for all pregnant clients to detect neural tube defects and chromosomal abnormalities.
Extract:
The home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia.
Question 3 of 5
Which assessment finding indicates a worsening of the preeclampsia and the need to notify the primary health care provider (PHCP)?
Correct Answer: D
Rationale: Headache and blurred vision indicate severe preeclampsia, possibly due to cerebral edema, requiring immediate medical attention.
Extract:
When interpreting fetal heart rate patterns.
Question 4 of 5
What other information is considered in addition to baseline and variability?
Correct Answer: C
Rationale: Uterine contractions affect placental perfusion, influencing fetal heart rate patterns, and are critical for interpreting decelerations and assessing fetal well-being.
Extract:
Question 5 of 5
What is a potential challenge for vegetarians on a gestational diabetic diet in pregnancy?
Correct Answer: A
Rationale: Vegetarian diets often include high-carb foods like legumes and grains, which can complicate blood sugar control in gestational diabetes.