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 statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Reducing exercise to 3 days a week is inadequate for gestational diabetes management, as regular activity (most days) improves insulin sensitivity and glucose control.
Extract:
Client at 34 weeks of gestation, at risk for placental abruption
Question 2 of 5
Which of the following is the most common risk factor for a placental abruption?
Correct Answer: C
Rationale: Hypertension is the most common risk factor for placental abruption because it damages placental blood vessels, leading to hemorrhage and detachment. Maternal battering, smoking, and cocaine use are risk factors but are less common than hypertension.
Extract:
Client might have a hydatidiform mole
Question 3 of 5
The nurse should monitor the client for which of the following findings?
Correct Answer: C
Rationale: A hydatidiform mole causes excessive uterine enlargement due to abnormal placental growth into cysts. Whitish discharge is normal, no viable fetus exists for heart rate monitoring, and hCG levels are typically high, not dropping.
Extract:
Client at 28 weeks of gestation, history of one elective abortion at 9 weeks, birth of twins at 36 weeks, spontaneous abortion at 15 weeks
Question 4 of 5
According to the GTPAL system, which of the following describes her present parity?
Correct Answer: D
Rationale: GTPAL: Gravida (4 pregnancies including current), Term (0 births ≥37 weeks), Preterm (1 birth at 36 weeks), Abortions (2: elective and spontaneous), Living children (2 twins). Thus, 4-0-1-2-2.
Extract:
Client in second trimester
Question 5 of 5
The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?
Correct Answer: C
Rationale: Increased lordosis occurs as the growing uterus shifts the center of gravity, compensating for posture. Abdominal muscles stretch, pelvic joints loosen, and neck flexion is not typical.