ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client regarding how to reduce the risk of giving birth to a newborn who has a neural tube defect
Question 1 of 5
Which of the following instructions by the nurse is appropriate?
Correct Answer: B
Rationale: Folic acid is critical for neural tube development, and adequate intake (at least 400 mcg daily) before and during early pregnancy reduces the risk of neural tube defects like spina bifida. Iron is unrelated to neural tube defects, aspirin doesn’t cause them, and while alcohol avoidance is important, it’s not linked to neural tube defects.
Extract:
Client at 34 weeks of gestation, suspected placenta previa
Question 2 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 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: 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 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: Exercise is crucial for managing gestational diabetes, and reducing it to 3 days a week is insufficient. Clients should aim for moderate exercise most days to control blood glucose.
Extract:
Postpartum client, large amount of lochia rubra with several clots on perineal pad
Question 5 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.