ATI Maternal newborn proctored exam
"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 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 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 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?
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
25-30 pounds, 3-4 pounds first trimester and 1 pound per week last two trimesters -
ANS-recommended weight gain during pregnancy
2500-4000g - ANS-normal newborn weight
30-60 breaths per minute - ANS-normal newborn respiratory rate
35-37 weeks gestation - ANS-GBS can be tested when?
4-7 cm, moderate to strong contractions q3-5 min lasting 40-70 seconds - ANS-active phase of
labor
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?
500 calories - ANS-postpartum lactating women should consume additional ___ calories per
day
500 mcg - ANS-recommended folic acid intake for lactating pregnant women
6-25 contractions per min, normal - ANS-moderate variability
,6-8 wet diapers and 3-4 stools per day - ANS-newborns should have how many wet diapers per
day?
60-80/40-50 - ANS-normal newborn BP
600 mcg - ANS-recommended amount of folic acid intake during pregnancy
8-10 - ANS-BPP normal score
8-10 cm, strong contractions q2-3 min lasting 45-90 seconds - ANS-transition phase of labor
97.7-98;9 - ANS-normal newborn temp
A client who is at 11 weeks of gestation and reports abdominal cramping - ANS-A nurse in a
prenatal clinic is assessing a group of clients. Which of the following clients should the nurse
see first?
A newborn who is 18 hr old and has an axillary temperature of 99.9° F - ANS-A nurse is
assessing four newborns. Which of the following findings should the nurse report to the
provider?
A newborn who is large for gestational age
Large for gestational age (LGA) newborns are those newborns whose weight is at or above the
90th percentile. One of the most common etiologies of LGA newborns is a mother who is
diabetic. LGA newborns, especially those born to mothers who have diabetes, are at increased
risk for hypoglycemia. Other newborns at risk for hypoglycemia are small for gestational age
(SGA) newborns (those below the 10th percentile), premature newborns, and newborns who
have perinatal hypoxia. - ANS-A nurse is caring for four newborns. Which of the following
newborns is at greatest risk for hypoglycemia?
A newborn who is large for gestational age
A newborn who has an Rh incompatibility
A newborn who has pathologic jaundice
A newborn who has fetal alcohol syndrome
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 weight gain of about 25-35 pounds is good
A weight gain of 25 to 35 lb is associated with good fetal outcome. A gain of 4 lb in the first
trimester and 12 lb each for the second and third trimester is recommended. - ANS-A nurse in a
prenatal clinic is caring for a client who is within the recommended guidelines for weight. The
, client asks the nurse how much weight is safe for her to gain during her pregnancy. Which of the
following responses should the nurse make?
"Your provider can discuss an appropriate amount of weight gain with you."
"A weight gain of about 14 pounds each trimester is suggested."
"If you eat nutritious foods when you feel hungry, the amount of weight gain is insignificant."
"A weight gain of about 25 to 35 pounds is good."
A. ?????
B. "This procedure should have no effect on your sexual performance or adequacy."
C. "You'll be fine. I can't imagine you and your partner will have any problems with sexual
function."
D. "If this concerns you, perhaps you should reconsider and use another form of contraception."
Answer: "This procedure should have no effect on your sexual performance or adequacy."
A. ??????
The nurse is dismissing the client's question, providing no information to help the client make an
informed decision.
B. "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.
C. "You'll be fine. I can't imagine you and your partner will have any problems with sexual
function."
The nurse is giving - 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?
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.
"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 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 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 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?
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
25-30 pounds, 3-4 pounds first trimester and 1 pound per week last two trimesters -
ANS-recommended weight gain during pregnancy
2500-4000g - ANS-normal newborn weight
30-60 breaths per minute - ANS-normal newborn respiratory rate
35-37 weeks gestation - ANS-GBS can be tested when?
4-7 cm, moderate to strong contractions q3-5 min lasting 40-70 seconds - ANS-active phase of
labor
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?
500 calories - ANS-postpartum lactating women should consume additional ___ calories per
day
500 mcg - ANS-recommended folic acid intake for lactating pregnant women
6-25 contractions per min, normal - ANS-moderate variability
,6-8 wet diapers and 3-4 stools per day - ANS-newborns should have how many wet diapers per
day?
60-80/40-50 - ANS-normal newborn BP
600 mcg - ANS-recommended amount of folic acid intake during pregnancy
8-10 - ANS-BPP normal score
8-10 cm, strong contractions q2-3 min lasting 45-90 seconds - ANS-transition phase of labor
97.7-98;9 - ANS-normal newborn temp
A client who is at 11 weeks of gestation and reports abdominal cramping - ANS-A nurse in a
prenatal clinic is assessing a group of clients. Which of the following clients should the nurse
see first?
A newborn who is 18 hr old and has an axillary temperature of 99.9° F - ANS-A nurse is
assessing four newborns. Which of the following findings should the nurse report to the
provider?
A newborn who is large for gestational age
Large for gestational age (LGA) newborns are those newborns whose weight is at or above the
90th percentile. One of the most common etiologies of LGA newborns is a mother who is
diabetic. LGA newborns, especially those born to mothers who have diabetes, are at increased
risk for hypoglycemia. Other newborns at risk for hypoglycemia are small for gestational age
(SGA) newborns (those below the 10th percentile), premature newborns, and newborns who
have perinatal hypoxia. - ANS-A nurse is caring for four newborns. Which of the following
newborns is at greatest risk for hypoglycemia?
A newborn who is large for gestational age
A newborn who has an Rh incompatibility
A newborn who has pathologic jaundice
A newborn who has fetal alcohol syndrome
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 weight gain of about 25-35 pounds is good
A weight gain of 25 to 35 lb is associated with good fetal outcome. A gain of 4 lb in the first
trimester and 12 lb each for the second and third trimester is recommended. - ANS-A nurse in a
prenatal clinic is caring for a client who is within the recommended guidelines for weight. The
, client asks the nurse how much weight is safe for her to gain during her pregnancy. Which of the
following responses should the nurse make?
"Your provider can discuss an appropriate amount of weight gain with you."
"A weight gain of about 14 pounds each trimester is suggested."
"If you eat nutritious foods when you feel hungry, the amount of weight gain is insignificant."
"A weight gain of about 25 to 35 pounds is good."
A. ?????
B. "This procedure should have no effect on your sexual performance or adequacy."
C. "You'll be fine. I can't imagine you and your partner will have any problems with sexual
function."
D. "If this concerns you, perhaps you should reconsider and use another form of contraception."
Answer: "This procedure should have no effect on your sexual performance or adequacy."
A. ??????
The nurse is dismissing the client's question, providing no information to help the client make an
informed decision.
B. "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.
C. "You'll be fine. I can't imagine you and your partner will have any problems with sexual
function."
The nurse is giving - 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?
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.
