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: 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 2 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 3 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.
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: The correct answer is D because Rho(
D) immune globulin is administered to Rh-negative mothers to prevent hemolytic disease of the newborn in future pregnancies with Rh-positive infants.
Choice A is incorrect because having an Rh-negative infant does not warrant the administration of RhoGAM.
Choice B is incorrect because significant blood loss does not relate to the need for RhoGAM.
Choice C is incorrect as the desire to conceive again does not indicate the necessity for RhoGAM administration.
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: The correct answer is D: Quickening. Quickening refers to the first perception of fetal movements by the mother, typically around 16-20 weeks of gestation. It is an important milestone in pregnancy. Lightening (
A) is the descent of the fetus into the pelvis. Chloasma (
B) is a skin condition characterized by hyperpigmentation. Ballotement (
C) is the rebounding of the fetus when the examiner pushes against the mother's abdomen. These terms are not relevant to the finding described in the question.