ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client immediate postoperative period, removal of ectopic pregnancy via salpingostomy
Question 1 of 5
The nurse should prepare to administer Rho(D) immune globulin (RhoGAM or RhiG) as prescribed if the record indicates that the client
Correct Answer: D
Rationale: The correct answer is D because Rho(
D) immune globulin is administered to Rh-negative mothers to prevent hemolytic disease of the newborn in future pregnancies with Rh-positive infants.
Choice A is incorrect because having an Rh-negative infant does not warrant the administration of RhoGAM.
Choice B is incorrect because significant blood loss does not relate to the need for RhoGAM.
Choice C is incorrect as the desire to conceive again does not indicate the necessity for RhoGAM administration.
Extract:
Client at 18 weeks of gestation, felt light fluttering in stomach the previous day
Question 2 of 5
The nurse should use which of the following terms to document this finding?
Correct Answer: D
Rationale: The correct answer is D: Quickening. Quickening refers to the first perception of fetal movements by the mother, typically around 16-20 weeks of gestation. It is an important milestone in pregnancy. Lightening (
A) is the descent of the fetus into the pelvis. Chloasma (
B) is a skin condition characterized by hyperpigmentation. Ballotement (
C) is the rebounding of the fetus when the examiner pushes against the mother's abdomen. These terms are not relevant to the finding described in the question.
Extract:
Client in second trimester, new diagnosis of gestational diabetes
Question 3 of 5
Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because reducing the exercise schedule to 3 days a week contradicts the importance of regular physical activity in managing diabetes. Regular exercise helps improve insulin sensitivity and control blood sugar levels. Limiting carbohydrates to 50% of caloric intake (choice
A) is a recommended dietary guideline for diabetes management. Taking glyburide daily with breakfast (choice
B) indicates adherence to medication therapy. Knowing about the increased risk of developing type 2 diabetes (choice
D) shows awareness of the condition.
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: The correct answer is D: Facial edema. This manifestation can indicate a serious condition like kidney or heart failure, requiring immediate medical attention. Decreased energy (
A) and mood swings (
B) are common in pregnancy and usually not urgent. Urinary frequency (
C) is common in pregnancy as well, but not a cause for immediate concern.
Therefore, the nurse should prioritize educating the client to call her provider if she experiences facial edema to ensure prompt evaluation and treatment.
Extract:
Client in second trimester, new diagnosis of gestational diabetes
Question 5 of 5
Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because reducing the exercise schedule to 3 days a week contradicts the goal of managing type 2 diabetes through regular physical activity. Exercise helps control blood sugar levels and improves insulin sensitivity. Limiting exercise can lead to poor diabetes management.
Choice A shows understanding of carbohydrate control.
Choice B indicates adherence to medication regimen.
Choice D demonstrates awareness of diabetes risk.