ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client at 34 weeks of gestation, suspected placenta previa
Question 1 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 pregnant, BMI of 26.5
Question 2 of 5
Which of the following statements is an appropriate response by the nurse?
Correct Answer: B
Rationale: For a BMI of 26.5 (overweight), 15-25 pounds is the recommended weight gain to support healthy maternal and fetal outcomes, minimizing complications like gestational diabetes.
Extract:
Client just learned she is pregnant
Question 3 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: Facial edema may indicate preeclampsia, a serious condition requiring immediate medical attention. Decreased energy, mood swings, and urinary frequency are normal pregnancy changes.
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 4 of 5
According to the GTPAL system, which of the following describes her present parity?
Correct Answer: D
Rationale: GTPAL: Gravida (4 pregnancies including current), Term (0 births ≥37 weeks), Preterm (1 birth at 36 weeks), Abortions (2: elective and spontaneous), Living children (2 twins). Thus, 4-0-1-2-2.
Extract:
Client at 18 weeks of gestation, felt light fluttering in stomach the previous day
Question 5 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.