ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client might have a hydatidiform mole
Question 1 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:
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 in second trimester
Question 3 of 5
The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?
Correct Answer: C
Rationale: Increased lordosis occurs as the growing uterus shifts the center of gravity, compensating for posture. Abdominal muscles stretch, pelvic joints loosen, and neck flexion is not typical.
Extract:
Client in second trimester, new diagnosis of gestational diabetes
Question 4 of 5
Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Exercise is crucial for managing gestational diabetes, and reducing it to 3 days a week is insufficient. Clients should aim for moderate exercise most days to control blood glucose.
Extract:
Client at 18 weeks of gestation, felt light fluttering in stomach the previous day
Question 5 of 5
The nurse should use which of the following terms to document this finding?
Correct Answer: D
Rationale: Quickening describes the first maternal perception of fetal movement, typically felt at 16-20 weeks, matching the client’s description of light fluttering.