Maternal newborn ati proctored exam FULL
ANSWERS
. april 15 - ANS-A nurse is caring for a client whose last menstrual period began july 8. Using
Nageles rule, the nurse should identify the client's estimated DOB as what?
"A blood glucose of 130 to 140 is considered a positive screening result."
The nurse should instruct 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?
"Ensure that the newborn has been receiving feeding for 24 hours prior to obtaining the
specimen" - ANS-A nurse is teaching a newly licensed nurse about collecting a specimen for the
universal newborn screening. Which of the following statements should the nurse include in the
teaching?
"I can administer oxytocin 4 hours after the insertion of the medication" - ANS-A nurse is
providing teaching to a client who is at 40 weeks of gestation and has a new prescription for
misoprostol. Which of the following instructions should the nurse include in the teaching?
"I should take 600 micrograms of folic acid every day" - ANS-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?
"I will continue taking my insulin if I experience nausea and vomiting."
The nurse should teach the client to continue to take her insulin as prescribed during 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 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. - 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?
,"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 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?
"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 Rho(D) immune globulin. Which of the following
statements by the client indicated an understanding of the teahing?
"Staff members who take care of your baby will be wearing a photo identification badge."
The nurse should instruct the client that all staff members that care for newborns are required to
wear a photo identification badge so that the client will be reassured of the newborn's safety.
Some units' staff members wear special badges or a specific color scrubs. - 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?
"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 bedamethasone. Which of the following statements should the nurse make
about the indication for medication administration?
"This procedure should have no effect on your sexual performance or adequacy."
The nurse is giving the client the information she is seeking. Sexual function depends on
various hormonal and psychological factors. Therefore, tubal occlusion should have no
physiological effect on sexual function. - ANS-A nurse is speaking with a client who is trying to
make a decision about tubal ligation. The client asks, "What effects will this procedure have on
my sex life?" Which of the following responses should the nurse make?
"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 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. - ANS-A nurse is teaching a new parent about newborn safety. Which of
the following instructions should the nurse include in the teaching?
"You can still become pregnant if you are breastfeeding" - ANS-A nurse is providing discharge
teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions
should the nurse include?
"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 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?
"You should take the medication within 72 hours following unprotected sexual intercourse."
Levonorgestrel is an emergency contraceptive which inhibits ovulation to prevent conception.
The 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?
"You will be offered orange juice to drink during the test."
A nonstress test is performed to measure fetal activity. Having the client drink orange juice, or
another beverage high in glucose, will stimulate fetal movements during the procedure, helping
to obtain results. - ANS-A nurse is teaching a client who is at 36 weeks of gestation and has a
prescription for a nonstress test. Which of the following statements should the nurse include in
the teaching?
, "Your provider will insert an intrauterine pressure catheter to monitor the strength of your
contractions."
Insertion of an intrauterine pressure catheter is necessary to determine uterine contraction
intensity, frequency, and duration which will identify whether the contractions are adequate for
progression of labor. - ANS-A nurse is caring for a client who is in active labor and has had no
cervical change in the last 4 hr. Which of the following statements should the nurse make?
0 station - ANS-before administering pictocin where should the fetus be?
0-3 cm, mild to moderate contractions q5-30 min lasting 30-40 seconds - ANS-latent phase of
labor
0.25 - ANS-A nurse is preparing to administer morphine oral solution 0.04 mg/kg to a newborn
who weighs 2.5kg. The amount available is 0.4 mg/ml. how many ml should the nurse
administer?
1-1.5 cm - ANS-first stage of labor
1.8 - ANS-A nurse is caring for a newborn who weighs 4lb. How many kg does the newborn
weigh?
10-12 weeks gestation - ANS-CVS can be done at
10-12 weeks gestation - ANS-FHR can be heard by a doppler at
15-20 min - ANS-how long should the newborn nurse?
15-20 weeks gestation - ANS-when can a quad screen be done
15-22 weeks gestation - ANS-MSAFP screening is done at
16-18 weeks - ANS-AFP can be measured from amniotic fluid between
16-18 weeks gestation - ANS-MSAFP can be done when
2-3 liters of water each day - ANS-pregnant women should consume how much water each
day?
2000-3000 mL - ANS-postpartum mother should consume ___ mL of water each day
24 hours - ANS-labor occurs ___ hours after ROM
ANSWERS
. april 15 - ANS-A nurse is caring for a client whose last menstrual period began july 8. Using
Nageles rule, the nurse should identify the client's estimated DOB as what?
"A blood glucose of 130 to 140 is considered a positive screening result."
The nurse should instruct 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?
"Ensure that the newborn has been receiving feeding for 24 hours prior to obtaining the
specimen" - ANS-A nurse is teaching a newly licensed nurse about collecting a specimen for the
universal newborn screening. Which of the following statements should the nurse include in the
teaching?
"I can administer oxytocin 4 hours after the insertion of the medication" - ANS-A nurse is
providing teaching to a client who is at 40 weeks of gestation and has a new prescription for
misoprostol. Which of the following instructions should the nurse include in the teaching?
"I should take 600 micrograms of folic acid every day" - ANS-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?
"I will continue taking my insulin if I experience nausea and vomiting."
The nurse should teach the client to continue to take her insulin as prescribed during 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 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. - 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?
,"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 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?
"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 Rho(D) immune globulin. Which of the following
statements by the client indicated an understanding of the teahing?
"Staff members who take care of your baby will be wearing a photo identification badge."
The nurse should instruct the client that all staff members that care for newborns are required to
wear a photo identification badge so that the client will be reassured of the newborn's safety.
Some units' staff members wear special badges or a specific color scrubs. - 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?
"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 bedamethasone. Which of the following statements should the nurse make
about the indication for medication administration?
"This procedure should have no effect on your sexual performance or adequacy."
The nurse is giving the client the information she is seeking. Sexual function depends on
various hormonal and psychological factors. Therefore, tubal occlusion should have no
physiological effect on sexual function. - ANS-A nurse is speaking with a client who is trying to
make a decision about tubal ligation. The client asks, "What effects will this procedure have on
my sex life?" Which of the following responses should the nurse make?
"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 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. - ANS-A nurse is teaching a new parent about newborn safety. Which of
the following instructions should the nurse include in the teaching?
"You can still become pregnant if you are breastfeeding" - ANS-A nurse is providing discharge
teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions
should the nurse include?
"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 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?
"You should take the medication within 72 hours following unprotected sexual intercourse."
Levonorgestrel is an emergency contraceptive which inhibits ovulation to prevent conception.
The 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?
"You will be offered orange juice to drink during the test."
A nonstress test is performed to measure fetal activity. Having the client drink orange juice, or
another beverage high in glucose, will stimulate fetal movements during the procedure, helping
to obtain results. - ANS-A nurse is teaching a client who is at 36 weeks of gestation and has a
prescription for a nonstress test. Which of the following statements should the nurse include in
the teaching?
, "Your provider will insert an intrauterine pressure catheter to monitor the strength of your
contractions."
Insertion of an intrauterine pressure catheter is necessary to determine uterine contraction
intensity, frequency, and duration which will identify whether the contractions are adequate for
progression of labor. - ANS-A nurse is caring for a client who is in active labor and has had no
cervical change in the last 4 hr. Which of the following statements should the nurse make?
0 station - ANS-before administering pictocin where should the fetus be?
0-3 cm, mild to moderate contractions q5-30 min lasting 30-40 seconds - ANS-latent phase of
labor
0.25 - ANS-A nurse is preparing to administer morphine oral solution 0.04 mg/kg to a newborn
who weighs 2.5kg. The amount available is 0.4 mg/ml. how many ml should the nurse
administer?
1-1.5 cm - ANS-first stage of labor
1.8 - ANS-A nurse is caring for a newborn who weighs 4lb. How many kg does the newborn
weigh?
10-12 weeks gestation - ANS-CVS can be done at
10-12 weeks gestation - ANS-FHR can be heard by a doppler at
15-20 min - ANS-how long should the newborn nurse?
15-20 weeks gestation - ANS-when can a quad screen be done
15-22 weeks gestation - ANS-MSAFP screening is done at
16-18 weeks - ANS-AFP can be measured from amniotic fluid between
16-18 weeks gestation - ANS-MSAFP can be done when
2-3 liters of water each day - ANS-pregnant women should consume how much water each
day?
2000-3000 mL - ANS-postpartum mother should consume ___ mL of water each day
24 hours - ANS-labor occurs ___ hours after ROM
