ATI RN
ATI Custom OB Exam 1 Summer 2023 Questions
Extract:
Client in second trimester, new diagnosis of gestational diabetes
Question 1 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Exercise helps manage gestational diabetes by improving insulin sensitivity. Reducing exercise to 3 days a week is inadequate; clients should aim for 30 minutes most days unless contraindicated. The other statements reflect correct understanding of diet, medication, and long-term risks.
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 2 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 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 possible ectopic pregnancy at 8 weeks of gestation
Question 4 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 38 weeks of gestation, heavy red vaginal bleeding without contractions, no distress, can feel baby moving
Question 5 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.