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: 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 2 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 3 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 4 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.
Extract:
Client experiencing preterm labor, scheduled for amniocentesis
Question 5 of 5
The client needs an amniocentesis to determine which of the following findings?
Correct Answer: C
Rationale: The correct answer is C: Maturity of lungs. Amniocentesis is a prenatal test that involves taking a sample of amniotic fluid to analyze fetal cells. The test can determine the maturity of the fetal lungs by measuring the level of surfactant, a substance produced by mature lungs. This information is crucial for assessing the fetus's lung function and determining the need for medical intervention if the lungs are not mature enough for birth.
Incorrect answers:
A: Gender of the fetus - Amniocentesis can determine the gender of the fetus, but this is not the primary purpose of the test.
B: Weeks of gestation - The gestational age can be estimated through ultrasound or other methods, not specifically through amniocentesis.
D: Anatomic abnormalities - While amniocentesis can detect some genetic abnormalities, it is not primarily used to detect anatomic abnormalities.