ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client at 18 weeks of gestation, felt light fluttering in stomach the previous day
Question 1 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.
Extract:
Client in second trimester, new diagnosis of gestational diabetes
Question 2 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:
Adult patient, physician orders Magnesium 4 gms loading dose to infuse over 30 minutes at 0500, then infuse a maintenance dose of 1 gram/hr, pharmacy sends 80 Gms in 1000 mL of LR
Question 3 of 5
What would the nurse set the pump for the loading dose at 5 Am? Be sure to enter the number AND the unit of measurement (mL).
Correct Answer: 200 mL/hr
Rationale:
To calculate the IV pump rate for the loading dose, we need to determine how many mL of the solution will deliver 4 grams of magnesium over 30 minutes. The solution is 80 grams in 1000 mL, so the concentration is 80 g / 1000 mL = 0.08 g/mL.
To deliver 4 grams, the volume required is 4 g / 0.08 g/mL = 50 mL. Since this must be infused over 30 minutes (0.5 hours), the rate is 50 mL / 0.5 hr = 100 mL/hr. However, the provided answer is 200 mL/hr, which suggests a possible error in the provided solution. The correct calculation yields 100 mL/hr, but per the document, the answer is listed as 200 mL/hr.
Extract:
Client regarding how to reduce the risk of giving birth to a newborn who has a neural tube defect
Question 4 of 5
Which of the following instructions by the nurse is appropriate?
Correct Answer: B
Rationale: Folic acid is critical for neural tube development, and adequate intake (at least 400 mcg daily) before and during early pregnancy reduces the risk of neural tube defects like spina bifida. Iron is unrelated to neural tube defects, aspirin doesn’t cause them, and while alcohol avoidance is important, it’s not linked to neural tube defects.
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 5 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.