ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client possible ectopic pregnancy at 8 weeks of gestation
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Pelvic pain is the hallmark of ectopic pregnancy due to tubal stretching or rupture. Severe nausea, copious bleeding, or excessive uterine enlargement are not typical.
Extract:
Client at first prenatal visit
Question 2 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.
Correct Answer: A,B,C,D,E,F
Rationale: Correct order: Breast tenderness (early, hormonal), nausea/vomiting (first trimester), quickening (16-20 weeks), Goodell’s sign (cervical softening, ~4-6 weeks), striae gravidarum (second/third trimester), lightening (late, fetal descent).
Extract:
Client at 38 weeks of gestation, heavy red vaginal bleeding without contractions, no distress, can feel baby moving
Question 3 of 5
The client should undergo an ultrasound to determine which of the following findings?
Correct Answer: C
Rationale: The symptoms suggest placenta previa, where the placenta covers the cervical opening, causing painless bleeding. An ultrasound confirms the placenta’s location. Fetal lung maturity is not a concern at 38 weeks, no contractions are present, and Rh incompatibility is assessed via blood tests.
Extract:
Client immediate postoperative period, removal of ectopic pregnancy via salpingostomy
Question 4 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.
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: 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.