ATI RN MATERNAL NEWBORN OB
(OBSTETRICS) VERIFIED
QUESTIONS AND DETAILED
ANSWERS WITH RATIONELS |
LATEST 2025/2026 100%
GUARANTEED PASS!!!
Exhibit 1: Medical hx
Newborn delivered by repeat cesarean birth at 40 weeks of gestation.
Birth weight 3,515 g (7 lb 12 oz) Apgar scores 8 at 1 min and 9 at 5
min. Maternal history of methadone use during pregnancy.
Exhibit 2: VS
@0700: Heart rate 156/min. Respiratory rate 58/min. Temperature
37.2° C (98.9° F) Oxygen saturation 98% on room air
@1100: Heart rate 160/min. Respiratory rate 60/min. Temperature
37.3° C (99.2° F) Oxygen saturation 96% on room air
Exhibit 3: Phys Exam
,Newborn is inconsolable with a high-pitched cry. Newborn sucks
vigorously on pacifier but breastfeeds poorly. Respirations unlabored.
Lungs sound clear on auscultation. Increased muscle tone with
moderate to severe tremors when disturbed. Hyperactive Moro reflex
noted. Several loose stools today.
Exhibit 4: Diagnostic Results
Maternal urine toxicology screen positive for opiates (-). Newborn
urine toxicology screen positive for opiates (- - CORRECT ANSWER-
Respiratory findings is incorrect. The newborn's respiratory rate is
within the expected reference range of 30 to 60/min. There is no
indication the newborn has an alteration in respiratory status;
therefore, this finding does not need to be reported to the provider.
Temperature is incorrect. The newborn's temperature is within the
expected reference range of 36.5° to 37.5° C (97.7° to 99.5° F).
Therefore, this finding does not need to be reported to the provider.
Oxygen saturation is incorrect. The newborn's oxygen saturation is
within the expected reference range of greater than 94%; therefore,
this finding does not need to be reported to the provider.
Central nervous system findings is correct. The newborn is displaying
inconsolability, high-pitched cry, increased muscle tone, tremors,
hyperactive Moro reflex, and excessive sucking. These findings are
manifestations of NAS and should be reported to the provider.
Gastrointestinal findings is correct. The newborn is displaying poor
feeding and loose stools. These findings are manifestations of NAS and
should be reported to the provider.
,Exhibit 1: RN note
@ 0900: Client reports a small amount of bright red blood in their
underwear upon awakening. Client denies contractions or abdominal
pain. External fetal monitor applied.
@0930: Client passed large amount of bright red blood from vagina.
Denies pain. Uterine tone soft and nontender to palpation. Contraction
pattern: no contractions noted. Fetal heart rate pattern: Fetal heart
rate baseline 135/min. Moderate variability. No decelerations noted.
Exhibit 2: VS
@0900: Temperature 36.2°C (97.2° F)Pulse rate 78/min. Respiratory
rate 20/min. Blood pressure 112/64 mmHg. Fetal heart rate 132/min
@0930: Pulse rate 82/min. Blood pressure 116/60 mmHg. Fetal heart
rate 160/min
Exhibit 3: Medical hx
G4P3. 30 weeks gestation. Previous pregnancies delivered via cesarean
section - CORRECT ANSWER-When generating solutions, inserting a
large bore intravenous catheter is indicated. Clients who have third
trimester vaginal bleeding may experience a sudden hemorrhage and
require fluid resuscitation or the administration of blood products. The
nurse should weigh perineal pads. Weighing perineal pads after use will
provide a more accurate assessment of the volume of blood loss that
the client is experiencing.
, When generating solutions, the nurse should not administer
methotrexate or assess for cervical dilation because it is
contraindicated for this client. Methotrexate is an antimetabolite and
folic acid antagonist which destroys rapidly dividing cells. It can be
administered during pregnancy to medically resolve an ectopic
pregnancy during the first trimester. Assessing cervical dilation is
contraindicated for any pregnant client who is experiencing vaginal
bleeding. Manipulation of the cervix during the examination may result
in further damage to the placenta and compromise the well-being of
the client and fetus.
A nurse is assessing the newborn of a client who took selective
serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the
following manifestations should the nurse identify as an indication of
withdrawal from an SSRI?
a. Large for gestational age
b. Hyperglycemia
c. Bradypnea
d. Vomiting - CORRECT ANSWER-d. Vomiting
Expected manifestations associated with fetal exposure to SSRIs
include irritability, agitation, tremors, diarrhea, and vomiting. These
manifestations typically last 2 days.
(OBSTETRICS) VERIFIED
QUESTIONS AND DETAILED
ANSWERS WITH RATIONELS |
LATEST 2025/2026 100%
GUARANTEED PASS!!!
Exhibit 1: Medical hx
Newborn delivered by repeat cesarean birth at 40 weeks of gestation.
Birth weight 3,515 g (7 lb 12 oz) Apgar scores 8 at 1 min and 9 at 5
min. Maternal history of methadone use during pregnancy.
Exhibit 2: VS
@0700: Heart rate 156/min. Respiratory rate 58/min. Temperature
37.2° C (98.9° F) Oxygen saturation 98% on room air
@1100: Heart rate 160/min. Respiratory rate 60/min. Temperature
37.3° C (99.2° F) Oxygen saturation 96% on room air
Exhibit 3: Phys Exam
,Newborn is inconsolable with a high-pitched cry. Newborn sucks
vigorously on pacifier but breastfeeds poorly. Respirations unlabored.
Lungs sound clear on auscultation. Increased muscle tone with
moderate to severe tremors when disturbed. Hyperactive Moro reflex
noted. Several loose stools today.
Exhibit 4: Diagnostic Results
Maternal urine toxicology screen positive for opiates (-). Newborn
urine toxicology screen positive for opiates (- - CORRECT ANSWER-
Respiratory findings is incorrect. The newborn's respiratory rate is
within the expected reference range of 30 to 60/min. There is no
indication the newborn has an alteration in respiratory status;
therefore, this finding does not need to be reported to the provider.
Temperature is incorrect. The newborn's temperature is within the
expected reference range of 36.5° to 37.5° C (97.7° to 99.5° F).
Therefore, this finding does not need to be reported to the provider.
Oxygen saturation is incorrect. The newborn's oxygen saturation is
within the expected reference range of greater than 94%; therefore,
this finding does not need to be reported to the provider.
Central nervous system findings is correct. The newborn is displaying
inconsolability, high-pitched cry, increased muscle tone, tremors,
hyperactive Moro reflex, and excessive sucking. These findings are
manifestations of NAS and should be reported to the provider.
Gastrointestinal findings is correct. The newborn is displaying poor
feeding and loose stools. These findings are manifestations of NAS and
should be reported to the provider.
,Exhibit 1: RN note
@ 0900: Client reports a small amount of bright red blood in their
underwear upon awakening. Client denies contractions or abdominal
pain. External fetal monitor applied.
@0930: Client passed large amount of bright red blood from vagina.
Denies pain. Uterine tone soft and nontender to palpation. Contraction
pattern: no contractions noted. Fetal heart rate pattern: Fetal heart
rate baseline 135/min. Moderate variability. No decelerations noted.
Exhibit 2: VS
@0900: Temperature 36.2°C (97.2° F)Pulse rate 78/min. Respiratory
rate 20/min. Blood pressure 112/64 mmHg. Fetal heart rate 132/min
@0930: Pulse rate 82/min. Blood pressure 116/60 mmHg. Fetal heart
rate 160/min
Exhibit 3: Medical hx
G4P3. 30 weeks gestation. Previous pregnancies delivered via cesarean
section - CORRECT ANSWER-When generating solutions, inserting a
large bore intravenous catheter is indicated. Clients who have third
trimester vaginal bleeding may experience a sudden hemorrhage and
require fluid resuscitation or the administration of blood products. The
nurse should weigh perineal pads. Weighing perineal pads after use will
provide a more accurate assessment of the volume of blood loss that
the client is experiencing.
, When generating solutions, the nurse should not administer
methotrexate or assess for cervical dilation because it is
contraindicated for this client. Methotrexate is an antimetabolite and
folic acid antagonist which destroys rapidly dividing cells. It can be
administered during pregnancy to medically resolve an ectopic
pregnancy during the first trimester. Assessing cervical dilation is
contraindicated for any pregnant client who is experiencing vaginal
bleeding. Manipulation of the cervix during the examination may result
in further damage to the placenta and compromise the well-being of
the client and fetus.
A nurse is assessing the newborn of a client who took selective
serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the
following manifestations should the nurse identify as an indication of
withdrawal from an SSRI?
a. Large for gestational age
b. Hyperglycemia
c. Bradypnea
d. Vomiting - CORRECT ANSWER-d. Vomiting
Expected manifestations associated with fetal exposure to SSRIs
include irritability, agitation, tremors, diarrhea, and vomiting. These
manifestations typically last 2 days.
