ATI RN Maternal Newborn Online Practice 2019 B
with NGN
"A blood glucose of 130 to 140 is considered a positive screening result."
The nurse should teach the client that a blood glucose level of 130 to 140 mg/dL is considered a
positive screening. If the client receives a positive result, she will need to undergo a 3-hr
glucose tolerance test to confirm if she has gestational diabetes mellitus. - ANS-A nurse is
teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test. Which
of the following statements should the nurse include in the teaching ?
"I will continue taking my insulin if I experience nausea and vomiting"
The nurse is teaching a client to continue to take her insulin as prescribed her illness to prevent
hypoglycemic and hyperglycemic episodes - ANS-A nurse is teaching a client who has
pregestational type 1 diabetes mellitus about management during pregnancy. Which of the
following statements by the client indicates an understanding of the teaching?
"I will have blood tests because my potassium might decrease."
An adverse effect of terbutaline is hypokalemia. - ANS-A nurse is teaching a client who is in
preterm labor about terbutaline. Which of the following statements by the client indicates an
understanding of the teaching?
"I will need this medication if I have an amniocentesis."
Rho(D) immune globulin is given to clients who are Rh negative following an amniocentesis
because of the potential of fetal RBCs entering the maternal circulation. - ANS-A nurse is
teaching a client who is Rh negative about Rh0(D) immune globulin. Which of the following
statements by the client indicates an understanding of the teaching
"This medication stimulates fetal lung maturity."
The nurse should inform the client that betamethasone is a glucocorticoid that enhances fetal
lung maturity by promoting the release of enzymes that release lung surfactant. - ANS-A nurse
is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a
prescription for betamethasone. Which of the following statements should the nurse make about
the indication for medication administration?
"You can miss your period for several other reasons. Describe your typical menstrual cycle."
, Amenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore, the nurse should
explore the client's menstrual cycle to determine other necessary interventions. - ANS-A nurse
in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late.
The client appears anxious and asks the nurse if she is pregnant. Which of the following
responses should the nurse make?
"you can share your room with your baby for the next few weeks"
The nurse should recommend room-sharing during the first few weeks. This allows the parent to
be readily available to the newborn and learn the newborn's cuesHowever, the nurse should
instruct the parent to avoid placing the newborn in their bed as it increases the risk for sudden
infant death syndrome . - ANS-A nurse is teaching a new parent of a newborn safety. Which of
the following instructions should the nurse include in the teaching?
"You should leave the diaphragm in place for at least 6 hours after intercourse."
The client should keep the diaphragm in place for at least 6 hr after intercourse to provide
protection against pregnancy. - ANS-A nurse is providing teaching about family planning to a
client who has a new prescription for a diaphragm. Which of the following statements should the
nurse include in the teaching?
"You should take the medication within 72 hours following unprotected sexual intercourse."
Levonorgestrel is an emergency contraceptive which inhibits ovulation to prevent conceptionThe
nurse should instruct the adolescent to take this medication as soon as possible within 72 hr
after unprotected sexual intercourse - ANS-A school nurse is providing teaching to an
adolescent about levonorgestrel contraception. Which of the following information should the
nurse include in the teaching ?
4 tablets - ANS-A nurse is preparing to administer azithromycin to a client who is at 16 weeks of
gestation and has a positive chlamydia culture. The prescription states "Administer azithromycin
1 g orally now.Available is 250 mg tablets. How many tablets should the nurse administer?
(Round the answer to the nearest whole number . Use a leading zero if it applies . Do not use a
trailing zero.)
Abdomen assessment is correct. The client reports dull abdominal pain and rates it as 2 on 0 to
10 pain scale. The nurse noted right lower quadrant abdominal tenderness during their
assessmentwhich is an unexpected finding that requires immediate follow up.
Vaginal spotting is correct. Spotting is defined as a scant amount of vaginal bleeding. The client
reports spotting along with a late menstrual period, which are unexpected findings that require
immediate follow up .
Menstrual period is correct. The client reports a usual regular menstrual period: however it is
currently late by 2 weeks. This is an unexpected finding that requires immediate follow up. -
with NGN
"A blood glucose of 130 to 140 is considered a positive screening result."
The nurse should teach the client that a blood glucose level of 130 to 140 mg/dL is considered a
positive screening. If the client receives a positive result, she will need to undergo a 3-hr
glucose tolerance test to confirm if she has gestational diabetes mellitus. - ANS-A nurse is
teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test. Which
of the following statements should the nurse include in the teaching ?
"I will continue taking my insulin if I experience nausea and vomiting"
The nurse is teaching a client to continue to take her insulin as prescribed her illness to prevent
hypoglycemic and hyperglycemic episodes - ANS-A nurse is teaching a client who has
pregestational type 1 diabetes mellitus about management during pregnancy. Which of the
following statements by the client indicates an understanding of the teaching?
"I will have blood tests because my potassium might decrease."
An adverse effect of terbutaline is hypokalemia. - ANS-A nurse is teaching a client who is in
preterm labor about terbutaline. Which of the following statements by the client indicates an
understanding of the teaching?
"I will need this medication if I have an amniocentesis."
Rho(D) immune globulin is given to clients who are Rh negative following an amniocentesis
because of the potential of fetal RBCs entering the maternal circulation. - ANS-A nurse is
teaching a client who is Rh negative about Rh0(D) immune globulin. Which of the following
statements by the client indicates an understanding of the teaching
"This medication stimulates fetal lung maturity."
The nurse should inform the client that betamethasone is a glucocorticoid that enhances fetal
lung maturity by promoting the release of enzymes that release lung surfactant. - ANS-A nurse
is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a
prescription for betamethasone. Which of the following statements should the nurse make about
the indication for medication administration?
"You can miss your period for several other reasons. Describe your typical menstrual cycle."
, Amenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore, the nurse should
explore the client's menstrual cycle to determine other necessary interventions. - ANS-A nurse
in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late.
The client appears anxious and asks the nurse if she is pregnant. Which of the following
responses should the nurse make?
"you can share your room with your baby for the next few weeks"
The nurse should recommend room-sharing during the first few weeks. This allows the parent to
be readily available to the newborn and learn the newborn's cuesHowever, the nurse should
instruct the parent to avoid placing the newborn in their bed as it increases the risk for sudden
infant death syndrome . - ANS-A nurse is teaching a new parent of a newborn safety. Which of
the following instructions should the nurse include in the teaching?
"You should leave the diaphragm in place for at least 6 hours after intercourse."
The client should keep the diaphragm in place for at least 6 hr after intercourse to provide
protection against pregnancy. - ANS-A nurse is providing teaching about family planning to a
client who has a new prescription for a diaphragm. Which of the following statements should the
nurse include in the teaching?
"You should take the medication within 72 hours following unprotected sexual intercourse."
Levonorgestrel is an emergency contraceptive which inhibits ovulation to prevent conceptionThe
nurse should instruct the adolescent to take this medication as soon as possible within 72 hr
after unprotected sexual intercourse - ANS-A school nurse is providing teaching to an
adolescent about levonorgestrel contraception. Which of the following information should the
nurse include in the teaching ?
4 tablets - ANS-A nurse is preparing to administer azithromycin to a client who is at 16 weeks of
gestation and has a positive chlamydia culture. The prescription states "Administer azithromycin
1 g orally now.Available is 250 mg tablets. How many tablets should the nurse administer?
(Round the answer to the nearest whole number . Use a leading zero if it applies . Do not use a
trailing zero.)
Abdomen assessment is correct. The client reports dull abdominal pain and rates it as 2 on 0 to
10 pain scale. The nurse noted right lower quadrant abdominal tenderness during their
assessmentwhich is an unexpected finding that requires immediate follow up.
Vaginal spotting is correct. Spotting is defined as a scant amount of vaginal bleeding. The client
reports spotting along with a late menstrual period, which are unexpected findings that require
immediate follow up .
Menstrual period is correct. The client reports a usual regular menstrual period: however it is
currently late by 2 weeks. This is an unexpected finding that requires immediate follow up. -
