ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Postpartum client, large amount of lochia rubra with several clots on perineal pad
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct action the nurse should take first is to check the client's fundus. This is prioritized because assessing the fundus helps determine the status of postpartum uterine involution and can indicate any signs of hemorrhage. By checking the fundus first, the nurse can promptly identify and address any abnormalities or complications. Measuring vital signs and feeling for a full bladder are important assessments but come after checking the fundus. Requesting a provider perform a vaginal examination is not the first action to take unless there are specific concerns or indications for it.
Extract:
Client at 28 weeks of gestation, history of one elective abortion at 9 weeks, birth of twins at 36 weeks, spontaneous abortion at 15 weeks
Question 2 of 5
According to the GTPAL system, which of the following describes her present parity?
Correct Answer: D
Rationale: According to the GTPAL system, "G" represents the total number of pregnancies. In this case, the correct answer is D (4-0-1-2-2) because it indicates the woman has had 4 pregnancies, 0 term births, 1 preterm birth, 2 living children, and 2 abortions/miscarriages. This is the correct interpretation of her present parity.
Choices A, B, and C have incorrect numbers for preterm births, living children, or abortions/miscarriages, making them incorrect.
Extract:
Client at first prenatal visit
Question 3 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.
Order the Items
Source Container
Correct Answer: A,B,C,D,E,F
Rationale: The correct order is A, B, C, D, E, F. Firstly, breast tenderness (
A) typically occurs early in pregnancy due to hormonal changes. Next, nausea and vomiting (
B) often start around the 6th week. Quickening (
C), the first fetal movements felt by the mother, occurs around 16-20 weeks. Goodell's sign (
D), softening of the cervix, happens around the 6th-8th week. Striae gravidarum (E), stretch marks, appear later in pregnancy due to skin stretching. Finally, lightening (F), when the baby drops lower in the pelvis, occurs in the last few weeks before labor. Other options are incorrect as they do not follow the chronological order of gestation milestones.
Extract:
Client in second trimester
Question 4 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 5 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.