ATI OB PROCTORED EXAM REVIEW –LATEST CORRECT AND VERIFIED GUIDE

1. A nurse in an infertility clinic is providing care to a couple who has been unable to conceive for 18 months. Which of the following data should be included in the assessment? (select all that apply) A. Occupation B. Menstrual history C. Childhood infectious diseases D. History of falls E. Recent blood transfusions A. CORRECT: Occupational hazards include exposure to teratogenic substances in the workplace, such as radiation, chemicals, herbicides, and pesticides. B. CORRECT: Menstrual history can identify hormone-related patterns, such as anovulation, pituitary disorders, and endometriosis. C. CORRECT: Childhood infectious diseases can identify the mail partner having the mumps. D. A history of falls is not a consideration in the assessment. E. A recent blood transfusion is not a consideration in the assessments. 2. A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1st. Which of the following is the client's estimated date of delivery? A. January 8 B. January 15 C. February 8 D. February 15 A.CORRECT: April 1st minus 3 months plus 7days and 1 year equals an estimated date of delivery of January 8. B. This is incorrect using Nagele's Rule. C. This is incorrect using Nagele's Rule. D. This is incorrect using Nagele's Rule. 3.A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record incudes this data: G3 T1 PO A1 L1. How should the nurse interpret this information? (select all that apply) A. Client has delivered one newborn term B. Client has experienced no preterm labor C. Client has been through active labor twice D. Client has had two prior pregnancies E. Client has one living child A. CORRECT: T1 indicates the client has delivered one newborn at term. B. CORRECT: PO indicates the client has had no preterm deliveries. C. A1 indicates the client has had one miscarriage. D. CORRECT: G3 indicates the client has had two prior pregnancies and the client is currently pregnant. E. CORRECT: L1 indicates the client has one living child. 4.A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? (select all that apply) A. Montgomery's glands B. Goodell's sign C. Ballottement D.Chadwick's Sign E. Quickening A. Montgomery's glands are a presumptive sign of pregnancy. B. CORRECT: Goodell's sign is a probable sign of pregnancy. C. CORRECT: Ballottement is a probable sign of pregnancy. D. CORRECT: Chadwick's' sign is a probable sign of pregnancy. E. Quickening is a presumptive sign of pregnancy. 5.A nurse is teaching a client who is at 8 weeks of gestation about nutrition during pregnancy. Which of the following statements should the nurse include in the teaching? A. "You should consume 2 cups of milk daily." B. "You should consume 4 ounces of grains each day." C. "You should consume 2 cups of vegetables each day." D. "You should consume 6 ounces of protein foods daily." A. The nurse should instruct the client to consume 3 cups of dairy daily. It is best to select fat free or low fat dairy products. B. The nurse should instruct the client to consume 6 to 8 ounces of grains daily. The client should consume at least half of the servings as whole grains. C. The nurse should instruct the client to consume 2.5 to 3 cups of vegetables daily. The client should vary the type of vegetables to obtain various amounts of different nutrients. D. CORRECT: The nurse should instruct the client to consume 5.5 to 6.5 ounces of protein foods each day. The client should select high- protein foods, such as legumes, nuts, eggs and lean meat or poultry. 6.A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? A. "I should increase my protein intake to 60 grams each day." B. "I should drink 2 liters of water each day." C. "I should increase my overall daily caloric intake by 300 calories." D. "I should take 600 micrograms of folic acid each day." A. A client who is pregnant should increase protein intake to 71 grams each day during the second and third trimesters. B. A client who is pregnant should consume 3 liters of water each day. C. A client who is pregnant should increase caloric intake by 340 calories during the second trimester and 452 calories during the third trimester. D. CORRECT: A client who is pregnant should increase folic acid intake to 600mcg daily. Folic acid assists with preventing neural tube birth defects. ..................................................................................CONTINUED