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: Checking the fundus is the priority because uterine atony is the most common cause of postpartum bleeding. A boggy fundus can be massaged to promote contraction and reduce bleeding.
Extract:
Client experiencing preterm labor, scheduled for amniocentesis
Question 2 of 5
The client needs an amniocentesis to determine which of the following findings?
Correct Answer: C
Rationale: In preterm labor, amniocentesis assesses lung maturity (e.g., lecithin/sphingomyelin ratio) to guide delivery planning. Gender, gestation weeks, and anomalies are not primary indications.
Extract:
Client at 34 weeks of gestation, suspected placenta previa
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: An external fetal monitor assesses fetal well-being and contractions without risking placental disruption. Rectal/vaginal exams or ice could exacerbate bleeding in placenta previa.
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: Reducing exercise to 3 days a week is inadequate for gestational diabetes management, as regular activity (most days) improves insulin sensitivity and glucose control.
Extract:
Client immediate postoperative period, removal of ectopic pregnancy via salpingostomy
Question 5 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: Rho(
D) immune globulin is given to Rh-negative mothers to prevent isoimmunization from potential Rh-positive fetal blood exposure during ectopic pregnancy, protecting future pregnancies.