ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client in second trimester
Question 1 of 5
The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?
Correct Answer: C
Rationale: The correct answer is C: An increase in lordosis. During pregnancy, the center of gravity shifts forward due to the growing uterus, leading to an increase in the curvature of the lumbar spine (lordosis). This change helps to maintain balance and compensate for the added weight of the developing fetus. Increased abdominal muscle tone (choice
A) is not an expected change as the abdominal muscles may actually stretch and weaken to accommodate the growing uterus. Decreased mobility of pelvic joints (choice
B) is incorrect because during pregnancy, hormonal changes can actually increase the mobility of pelvic joints to prepare for childbirth. Posterior neck flexion (choice
D) is unrelated to the physiologic changes in pregnancy.
Extract:
Client at 34 weeks of gestation, suspected placenta previa
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Apply an external fetal monitor. This action is crucial in monitoring the fetal heart rate and uterine contractions during labor, ensuring the well-being of both the mother and the baby. Performing a rectal exam (choice
A) is not indicated in this context. Completing a vaginal exam (choice
C) may be necessary but is not the immediate priority. Applying ice to the perineal area (choice
D) is not relevant for fetal monitoring. Other choices are not provided.
Extract:
Client pregnant, BMI of 26.5
Question 3 of 5
Which of the following statements is an appropriate response by the nurse?
Correct Answer: B
Rationale: The correct answer is B because the recommended weight gain during pregnancy varies based on pre-pregnancy weight. For a normal weight woman, gaining 25 to 35 pounds is ideal. However, for an underweight woman, it's recommended to gain 28 to 40 pounds, and for an overweight woman, 15 to 25 pounds is advised.
Choice A is incorrect as it does not consider individual differences.
Choice C is too narrow and may not be applicable to all women.
Choice D is incorrect because weight gain does matter for both the mother and baby's health outcomes.
Extract:
Client possible ectopic pregnancy at 8 weeks of gestation
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Pelvic pain. This finding is indicative of ectopic pregnancy, where the fertilized egg implants outside the uterus, often causing pelvic pain due to fallopian tube stretching or rupture. Severe nausea and vomiting (
B) can occur in normal pregnancy but are not specific to ectopic pregnancy. Copious vaginal bleeding (
C) is more commonly seen in miscarriage. Uterine enlargement greater than expected for gestational age (
D) would be expected in a normal intrauterine pregnancy, not in ectopic pregnancy.
Extract:
Client 4 hours postpartum, vaginal birth, saturated perineal pad within 10 minutes
Question 5 of 5
Which of the following is the nurse's first action?
Correct Answer: D
Rationale: The correct answer is D: Massage the client's fundus. This is the nurse's first action after childbirth to prevent postpartum hemorrhage by promoting uterine contractions and expelling any clots. Assessing blood pressure (
B) is important but not the first action. Observing for pooling of blood under the buttocks (
A) is a sign of excessive bleeding but not the first action. Administering oxytocic preparation (
C) can help prevent postpartum hemorrhage, but it is not the first action.