ATI RN Maternal Newborn Written Exam Questions &
Answers.
1. Exhibit 1: Medical hx
Respiratory findings is incorrect. The
Newborn delivered by repeat
new- born's respiratory rate is within the
cesarean
expect-
birth at 40 weeks of gestation. Birth weight ed reference range of 30 to
60/min. There
3,515 g (7 lb 12 oz) Apgar scores 8 is no indication the newborn has an al-
at 1 min and 9 at 5 min. Maternal teration in respiratory status; therefore,
history of methadone use during this finding does not need to be
pregnancy. reported to the provider.
Exhibit 2: VS Temperature is incorrect. The
@0700: Heart rate 156/min. newborn's temperature is within the
Respiratory rate 58/min. expected reference range of 36.5° to
Temperature 37.2° C (98.9° F) 37.5° C (97.7° to 99.5° F). Therefore, this
Oxygen saturation 98% on room air finding does not need to be reported to
@1100: Heart rate 160/min. the provider.
Respiratory rate 60/min. Oxygen saturation is incorrect. The
Temperature 37.3° C (99.2° F) new- born's oxygen saturation is within
Oxygen saturation 96% on room air the ex- pected reference range of
Exhibit 3: Phys Exam greater than 94%;
Newborn is inconsolable with a
high-pitched cry. Newborn sucks vigorous- therefore, this finding does not
need to be
ly on pacifier but breastfeeds poorly. positive for opiates (-).
Res- pirations unlabored. Lungs Newborn urine
sound clear on auscultation. toxicology screen
Increased muscle tone with positive for opiates (-
moderate to severe tremors when
disturbed. Hyperactive Moro reflex
noted. Several loose stools today.
Exhibit 4: Diagnostic Results 2. Exhibit 1: RN note
Maternal urine toxicology screen @ 0900: Client reports
a small amount of
, ATI RN Maternal Newborn Written Exam Questions &
Answers.
bright red blood in their underwear reported to the provider.
upon Central nervous system findings is
correct. The newborn is displaying
inconsolability, high-pitched cry,
increased muscle tone, tremors,
hyperactive Moro reflex, and exces- sive
sucking. These findings are manifesta-
tions of NAS and should be reported to
the provider.
Gastrointestinal findings is correct. The
new- born is displaying poor feeding
and loose stools. These findings are
manifestations of NAS and should be
reported to the provider.
When generating solutions, inserting
a large bore intravenous catheter is
indicat- ed. Clients who have third
trimester vaginal
, ATI RN Maternal Newborn Written Exam Questions &
Answers.
awakening. Client denies contractions or bleeding may experience a
sudden hemor-
abdominal pain. External fetal monitor ap- rhage and require fluid
resuscitation or the
plied. administration of blood products. The
@0930: Client passed large nurse should weigh perineal pads.
amount of Weighing per-
bright red blood from vagina. Denies pain. ineal pads after use will provide
a more accu-
Uterine tone soft and nontender to of a client who took
palpa- tion. Contraction pattern: no selective serotonin
contractions noted. Fetal heart rate re- uptake inhibitor
pattern: Fetal heart rate baseline (SSRI) during
135/min. Moderate variabili- ty. No pregnan- cy. Which of
decelerations noted. the following
Exhibit 2: VS manifestations should
@0900: Temperature 36.2°C (97.2° the nurse identify as
F)Pulse rate 78/min. Respiratory rate an indication of
20/min. withdrawal from an
Blood pressure 112/64 mmHg. Fetal SSRI?
heart rate 132/min a. Large for gestational
@0930: Pulse rate 82/min. Blood age
pressure 116/60 mmHg. Fetal heart b. Hyperglycemia
rate 160/min Exhibit 3: Medical hx
G4P3. 30 weeks gestation. Previous
preg- nancies delivered via cesarean
section
3. A nurse is assessing the newborn
, ATI RN Maternal Newborn Written Exam Questions &
Answers.
rate assessment of the volume of blood loss that the client
is experiencing.
When generating solutions, the nurse should not
administer methotrexate or as- sess for cervical dilation
because it is con- traindicated for this client. Methotrexate is
an antimetabolite and folic acid antagonist which destroys
rapidly dividing cells. It can be administered during
pregnancy to med- ically resolve an ectopic pregnancy
during the first trimester. Assessing cervical dilation is
contraindicated for any pregnant client who is experiencing
vaginal bleeding. Ma- nipulation of the cervix during the
exami- nation may result in further damage to the placenta
and compromise the well-being of the client and fetus.
d. Vomiting
Expected manifestations associated with fe- tal exposure to
SSRIs include irritability, agitation, tremors, diarrhea, and
vomiting. These manifestations typically last 2 days.
Answers.
1. Exhibit 1: Medical hx
Respiratory findings is incorrect. The
Newborn delivered by repeat
new- born's respiratory rate is within the
cesarean
expect-
birth at 40 weeks of gestation. Birth weight ed reference range of 30 to
60/min. There
3,515 g (7 lb 12 oz) Apgar scores 8 is no indication the newborn has an al-
at 1 min and 9 at 5 min. Maternal teration in respiratory status; therefore,
history of methadone use during this finding does not need to be
pregnancy. reported to the provider.
Exhibit 2: VS Temperature is incorrect. The
@0700: Heart rate 156/min. newborn's temperature is within the
Respiratory rate 58/min. expected reference range of 36.5° to
Temperature 37.2° C (98.9° F) 37.5° C (97.7° to 99.5° F). Therefore, this
Oxygen saturation 98% on room air finding does not need to be reported to
@1100: Heart rate 160/min. the provider.
Respiratory rate 60/min. Oxygen saturation is incorrect. The
Temperature 37.3° C (99.2° F) new- born's oxygen saturation is within
Oxygen saturation 96% on room air the ex- pected reference range of
Exhibit 3: Phys Exam greater than 94%;
Newborn is inconsolable with a
high-pitched cry. Newborn sucks vigorous- therefore, this finding does not
need to be
ly on pacifier but breastfeeds poorly. positive for opiates (-).
Res- pirations unlabored. Lungs Newborn urine
sound clear on auscultation. toxicology screen
Increased muscle tone with positive for opiates (-
moderate to severe tremors when
disturbed. Hyperactive Moro reflex
noted. Several loose stools today.
Exhibit 4: Diagnostic Results 2. Exhibit 1: RN note
Maternal urine toxicology screen @ 0900: Client reports
a small amount of
, ATI RN Maternal Newborn Written Exam Questions &
Answers.
bright red blood in their underwear reported to the provider.
upon Central nervous system findings is
correct. The newborn is displaying
inconsolability, high-pitched cry,
increased muscle tone, tremors,
hyperactive Moro reflex, and exces- sive
sucking. These findings are manifesta-
tions of NAS and should be reported to
the provider.
Gastrointestinal findings is correct. The
new- born is displaying poor feeding
and loose stools. These findings are
manifestations of NAS and should be
reported to the provider.
When generating solutions, inserting
a large bore intravenous catheter is
indicat- ed. Clients who have third
trimester vaginal
, ATI RN Maternal Newborn Written Exam Questions &
Answers.
awakening. Client denies contractions or bleeding may experience a
sudden hemor-
abdominal pain. External fetal monitor ap- rhage and require fluid
resuscitation or the
plied. administration of blood products. The
@0930: Client passed large nurse should weigh perineal pads.
amount of Weighing per-
bright red blood from vagina. Denies pain. ineal pads after use will provide
a more accu-
Uterine tone soft and nontender to of a client who took
palpa- tion. Contraction pattern: no selective serotonin
contractions noted. Fetal heart rate re- uptake inhibitor
pattern: Fetal heart rate baseline (SSRI) during
135/min. Moderate variabili- ty. No pregnan- cy. Which of
decelerations noted. the following
Exhibit 2: VS manifestations should
@0900: Temperature 36.2°C (97.2° the nurse identify as
F)Pulse rate 78/min. Respiratory rate an indication of
20/min. withdrawal from an
Blood pressure 112/64 mmHg. Fetal SSRI?
heart rate 132/min a. Large for gestational
@0930: Pulse rate 82/min. Blood age
pressure 116/60 mmHg. Fetal heart b. Hyperglycemia
rate 160/min Exhibit 3: Medical hx
G4P3. 30 weeks gestation. Previous
preg- nancies delivered via cesarean
section
3. A nurse is assessing the newborn
, ATI RN Maternal Newborn Written Exam Questions &
Answers.
rate assessment of the volume of blood loss that the client
is experiencing.
When generating solutions, the nurse should not
administer methotrexate or as- sess for cervical dilation
because it is con- traindicated for this client. Methotrexate is
an antimetabolite and folic acid antagonist which destroys
rapidly dividing cells. It can be administered during
pregnancy to med- ically resolve an ectopic pregnancy
during the first trimester. Assessing cervical dilation is
contraindicated for any pregnant client who is experiencing
vaginal bleeding. Ma- nipulation of the cervix during the
exami- nation may result in further damage to the placenta
and compromise the well-being of the client and fetus.
d. Vomiting
Expected manifestations associated with fe- tal exposure to
SSRIs include irritability, agitation, tremors, diarrhea, and
vomiting. These manifestations typically last 2 days.
