ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client pregnant, taking iron supplements for iron-deficiency anemia, reports black stools, no abdominal pain or cramping
Question 1 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Black stools are a normal side effect of iron supplements due to the formation of ferrous sulfide in the gut. No further evaluation is needed unless other symptoms like pain or bleeding occur.
Extract:
Client just learned she is pregnant
Question 2 of 5
The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
Correct Answer: D
Rationale: Facial edema may indicate preeclampsia, a serious condition requiring immediate medical attention. Decreased energy, mood swings, and urinary frequency are normal pregnancy changes.
Extract:
Client regarding how to reduce the risk of giving birth to a newborn who has a neural tube defect
Question 3 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:
Adult patient, physician orders Magnesium 4 gms loading dose to infuse over 30 minutes at 0500, then infuse a maintenance dose of 1 gram/hr, pharmacy sends 80 Gms in 1000 mL of LR
Question 4 of 5
What would the nurse set the pump for the loading dose at 5 Am? Be sure to enter the number AND the unit of measurement (mL).
Correct Answer: 200 mL/hr
Rationale:
To calculate the IV pump rate for the loading dose, we need to determine how many mL of the solution will deliver 4 grams of magnesium over 30 minutes. The solution is 80 grams in 1000 mL, so the concentration is 80 g / 1000 mL = 0.08 g/mL.
To deliver 4 grams, the volume required is 4 g / 0.08 g/mL = 50 mL. Since this must be infused over 30 minutes (0.5 hours), the rate is 50 mL / 0.5 hr = 100 mL/hr. However, the provided answer is 200 mL/hr, which suggests a possible error in the provided solution. The correct calculation yields 100 mL/hr, but per the document, the answer is listed as 200 mL/hr.
Extract:
Client at 34 weeks of gestation, suspected placenta previa
Question 5 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.