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: 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:
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 immediate postoperative period, removal of ectopic pregnancy via salpingostomy
Question 3 of 5
The nurse should prepare to administer Rho(D) immune globulin (RhoGAM or RhiG) as prescribed if the record indicates that the client
Correct Answer: D
Rationale: Rho(
D) immune globulin is given to Rh-negative mothers to prevent isoimmunization from potential Rh-positive fetal blood exposure during ectopic pregnancy, protecting future pregnancies.
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: 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 just learned she is pregnant
Question 5 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.