Maternal newborn ati proctored exam
"I will likely need to use alternative positions for sexual intercourse". - ANS-A nurse is providing
teaching to a client about the physiological changes that occur during pregnancy. The client is at
10 weeks of gestation and has a BMI within the expected reference range. Which of the
following client statements indicates an understanding of the teaching?
"You should press the handheld button when you feel your baby move." - ANS-A nurse is
teaching a client who is at 37 weeks of gestation and has a prescription for a non-stress test.
Which of the following instructions should the nurse include?
50 ml/hr - ANS-A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is
in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W).
The nurse should set the IV infusion pump to administer how many mL/hr?
A reduction in respiratory distress in the newborn - ANS-A nurse is caring for a client who is
anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed
bethamethasone 12 mg IM. Which of the following outcomes should the nurse expect?
A. "I should have a goal of maintaining my fasting blood glucose between 100 and 120."
B. "I should engage in moderate exercise for 30 minutes if my blood glucose is 250 or greater."
C. "I will continue taking my insulin if I experience nausea and vomiting."
D. "I will ensure that my bedtime snack is high in refined sugar."
Answer: "I will continue taking my insulin if I experience nausea and vomiting."
A. "I should have a goal of maintaining my fasting blood glucose between 100 and 120."
The nurse should teach the client to maintain her fasting blood glucose level between 60 and 99
mg/dL.
B. "I should engage in moderate exercise for 30 minutes if my blood glucose is 250 or greater."
The nurse should teach the client to avoid exercise during periods of hyperglycemia and when
positive urine ketones are present.
C. "I will continue taking my insulin if I experience nausea and vomiting."
The nurse should teach the c - 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?
A. "I will eat foods that taste good instead of balancing my meals."
B. "I will avoid having a snack before I go to bed each night."
,C. "I will have a cup of hot tea with each meal."
D. "I will eliminate products that contain dairy from my diet."
Answer: "I will eat foods that taste good instead of balancing my meals."
A. "I will eat foods that taste good instead of balancing my meals."
Clients who have hyperemesis gravidarum should eat foods they like in order to avoid nausea,
rather than trying to consume a well-balanced diet.
B. "I will avoid having a snack before I go to bed each night."
Clients who have hyperemesis gravidarum should avoid going to bed with an empty stomach.
The nurse should instruct the client to eat a healthy snack before going to bed.
C. "I will have a cup of hot tea with each meal."
Clients who have hyperemesis gravidarum should alternate liquids and solids every 2 to 3 hr to
avoid an emp - ANS-A nurse is providing dietary teaching to a client who has hyperemesis
gravidarum. Which of the following statements by the client indicated an understanding of the
teaching?
A. "I will get injections of the medication once daily until my labor stops."
B. "My blood sugar may be low while I'm on this medication."
C. "I will have blood tests because my potassium might decrease."
D. "My blood pressure may increase while I'm on this medication."
Answer: "I will have blood tests because my potassium might decrease."
A. "I will get injections of the medication once daily until my labor stops."
Terbutaline is administered subcutaneously every 4 hr for no longer than 24 hr.
B. "My blood sugar may be low while I'm on this medication."
An adverse effect of terbutaline is hyperglycemia.
C. "I will have blood tests because my potassium might decrease."
An adverse effect of terbutaline is hypokalemia.
D. "My blood pressure may increase while I'm on this medication."
An adverse effect of terbutaline is hypotension. - 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?
A. "The nurse will carry your newborn to the nursery for procedures."
B. "We will document the relationship of visitors in your medical record."
C. "Your baby will stay in the nursery while you are asleep."
D. "Staff members who take care of your baby will be wearing a photo identification badge."
, Answer: "Staff members who take care of your baby will be wearing a photo identification
badge."
A. "The nurse will carry your newborn to the nursery for procedures."
The nurse should instruct the client that newborns will be transported in their bassinets and
never carried outside the client's room to reduce the risk for falls.
B. "We will document the relationship of visitors in your medical record."
The nurse should instruct the client that they can have anyone visit them on the unit. There is no
documentation of a visitor's relationship to the client entered into the medical record.
C. "Your baby will stay in the nu - ANS-A nurse is teaching a postpartum client about steps the
nurses will take to promote the security and safety of the client's newborn. Which of the
following statements should the nurse make?
A. "You can share your room with your baby for the next few weeks."
B. "Cover your baby with a light blanket while sleeping."
C. "Check the temperature of your baby's bath water with your hand."
D. "Your baby can nap in the car seat during the daytime."
Answer: "You can share your room with your baby for the next few weeks."
A. "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 cues. However, the nurse should
instruct the parent to avoid placing the newborn in their bed as it increases the risk for sudden
infant death syndrome.
B. "Cover your baby with a light blanket while sleeping."
The nurse should instruct the parents to place the newborn in a sleep sack or a one-piece
sleeper. Covering the newborn with a blanket or quilt increases the risk for - ANS-A nurse is
teaching a new parent about newborn safety. Which of the following instructions should the
nurse include in the teaching?
A. "You should take the medication within 72 hours following unprotected sexual intercourse."
B. "You should avoid taking this medication if you are on an oral contraceptive."
C. "If you don't start your period within 5 days of taking this medication, you will need a
pregnancy test."
D. "One dose of this medication will prevent you from becoming pregnant for 14 days after
taking it."
Answer: "You should take the medication within 72 hours following unprotected sexual
intercourse."
"I will likely need to use alternative positions for sexual intercourse". - ANS-A nurse is providing
teaching to a client about the physiological changes that occur during pregnancy. The client is at
10 weeks of gestation and has a BMI within the expected reference range. Which of the
following client statements indicates an understanding of the teaching?
"You should press the handheld button when you feel your baby move." - ANS-A nurse is
teaching a client who is at 37 weeks of gestation and has a prescription for a non-stress test.
Which of the following instructions should the nurse include?
50 ml/hr - ANS-A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is
in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W).
The nurse should set the IV infusion pump to administer how many mL/hr?
A reduction in respiratory distress in the newborn - ANS-A nurse is caring for a client who is
anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed
bethamethasone 12 mg IM. Which of the following outcomes should the nurse expect?
A. "I should have a goal of maintaining my fasting blood glucose between 100 and 120."
B. "I should engage in moderate exercise for 30 minutes if my blood glucose is 250 or greater."
C. "I will continue taking my insulin if I experience nausea and vomiting."
D. "I will ensure that my bedtime snack is high in refined sugar."
Answer: "I will continue taking my insulin if I experience nausea and vomiting."
A. "I should have a goal of maintaining my fasting blood glucose between 100 and 120."
The nurse should teach the client to maintain her fasting blood glucose level between 60 and 99
mg/dL.
B. "I should engage in moderate exercise for 30 minutes if my blood glucose is 250 or greater."
The nurse should teach the client to avoid exercise during periods of hyperglycemia and when
positive urine ketones are present.
C. "I will continue taking my insulin if I experience nausea and vomiting."
The nurse should teach the c - 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?
A. "I will eat foods that taste good instead of balancing my meals."
B. "I will avoid having a snack before I go to bed each night."
,C. "I will have a cup of hot tea with each meal."
D. "I will eliminate products that contain dairy from my diet."
Answer: "I will eat foods that taste good instead of balancing my meals."
A. "I will eat foods that taste good instead of balancing my meals."
Clients who have hyperemesis gravidarum should eat foods they like in order to avoid nausea,
rather than trying to consume a well-balanced diet.
B. "I will avoid having a snack before I go to bed each night."
Clients who have hyperemesis gravidarum should avoid going to bed with an empty stomach.
The nurse should instruct the client to eat a healthy snack before going to bed.
C. "I will have a cup of hot tea with each meal."
Clients who have hyperemesis gravidarum should alternate liquids and solids every 2 to 3 hr to
avoid an emp - ANS-A nurse is providing dietary teaching to a client who has hyperemesis
gravidarum. Which of the following statements by the client indicated an understanding of the
teaching?
A. "I will get injections of the medication once daily until my labor stops."
B. "My blood sugar may be low while I'm on this medication."
C. "I will have blood tests because my potassium might decrease."
D. "My blood pressure may increase while I'm on this medication."
Answer: "I will have blood tests because my potassium might decrease."
A. "I will get injections of the medication once daily until my labor stops."
Terbutaline is administered subcutaneously every 4 hr for no longer than 24 hr.
B. "My blood sugar may be low while I'm on this medication."
An adverse effect of terbutaline is hyperglycemia.
C. "I will have blood tests because my potassium might decrease."
An adverse effect of terbutaline is hypokalemia.
D. "My blood pressure may increase while I'm on this medication."
An adverse effect of terbutaline is hypotension. - 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?
A. "The nurse will carry your newborn to the nursery for procedures."
B. "We will document the relationship of visitors in your medical record."
C. "Your baby will stay in the nursery while you are asleep."
D. "Staff members who take care of your baby will be wearing a photo identification badge."
, Answer: "Staff members who take care of your baby will be wearing a photo identification
badge."
A. "The nurse will carry your newborn to the nursery for procedures."
The nurse should instruct the client that newborns will be transported in their bassinets and
never carried outside the client's room to reduce the risk for falls.
B. "We will document the relationship of visitors in your medical record."
The nurse should instruct the client that they can have anyone visit them on the unit. There is no
documentation of a visitor's relationship to the client entered into the medical record.
C. "Your baby will stay in the nu - ANS-A nurse is teaching a postpartum client about steps the
nurses will take to promote the security and safety of the client's newborn. Which of the
following statements should the nurse make?
A. "You can share your room with your baby for the next few weeks."
B. "Cover your baby with a light blanket while sleeping."
C. "Check the temperature of your baby's bath water with your hand."
D. "Your baby can nap in the car seat during the daytime."
Answer: "You can share your room with your baby for the next few weeks."
A. "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 cues. However, the nurse should
instruct the parent to avoid placing the newborn in their bed as it increases the risk for sudden
infant death syndrome.
B. "Cover your baby with a light blanket while sleeping."
The nurse should instruct the parents to place the newborn in a sleep sack or a one-piece
sleeper. Covering the newborn with a blanket or quilt increases the risk for - ANS-A nurse is
teaching a new parent about newborn safety. Which of the following instructions should the
nurse include in the teaching?
A. "You should take the medication within 72 hours following unprotected sexual intercourse."
B. "You should avoid taking this medication if you are on an oral contraceptive."
C. "If you don't start your period within 5 days of taking this medication, you will need a
pregnancy test."
D. "One dose of this medication will prevent you from becoming pregnant for 14 days after
taking it."
Answer: "You should take the medication within 72 hours following unprotected sexual
intercourse."
