ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client 4 hours postpartum, vaginal birth, saturated perineal pad within 10 minutes
Question 1 of 5
Which of the following is the nurse's first action?
Correct Answer: D
Rationale: Massaging the fundus is the first action to address uterine atony, the most likely cause of rapid postpartum bleeding, by promoting uterine contraction to control hemorrhage.
Extract:
Client is a physical trainer, weighs 220 lb, requires an increase of protein by 20 g/kg/day, has taken 0.8 g of protein/kg/day in the past
Question 2 of 5
How much total protein/day should the nurse recommend? Be sure to enter the number AND the unit of measurement (g).
Correct Answer: 2200 g
Rationale: Convert weight to kg: 220 lb ÷ 2.2 = 100 kg. Previous intake: 0.8 g/kg/day × 100 kg = 80 g/day. Increased requirement: 20 g/kg/day × 100 kg = 2000 g/day.
Total recommended: 80 g + 2000 g = 2080 g/day. However, 20 g/kg/day seems unusually high; assuming a typo for 2.0 g/kg/day, then 2.0 × 100 = 200 g/day total, which is more realistic for a trainer.
Extract:
Client at 18 weeks of gestation, felt light fluttering in stomach the previous day
Question 3 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.
Extract:
Client at 38 weeks of gestation, heavy red vaginal bleeding without contractions, no distress, can feel baby moving
Question 4 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 4 hours postpartum, vaginal birth, saturated perineal pad within 10 minutes
Question 5 of 5
Which of the following is the nurse's first action?
Correct Answer: D
Rationale: Massaging the fundus is the first action to address uterine atony, the most likely cause of rapid postpartum bleeding, by promoting uterine contraction to control hemorrhage.