FINAL EXAMINATION PAPER ma ma
ma ATI MATERNAL NEWBORN
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STUDENT NAME: ________________________________
ma ma DATE: _____________ ma
COURSE: ATI Maternal Newborn Test A and Bma ma ma ma ma ma ma TIME: _____________ ma
EXAM CODE: ATI MATERNAL NEWBORN-101
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EXAM INSTRUCTIONS: ma
1. Print your full name and date clearly in the header above.
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2. This exam booklet contains both Test Questions (Part I) and Verified Solutions (Part II).
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3. Answer all multiple-choice questions clearly. Double-check your work.
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4. Do not break the seal or open this booklet until instructed to do so by the proctor.
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Q1. Newborn delivered by repeat cesarean birth at 40 weeks of gestation. Birth weight 3,51
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5 g (7 lb 12 oz) Apgar scores 8 at 1 min and 9 at 5 min Maternal history of methadone use
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during pregnancy. Which should the Nurse report? Respiratory findings Temperature Oxyge
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n saturation Central nervous system findings Gastrointestinal findings
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[Verified Solution]: Gastrointestinal findings Central nervous system findings
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Q2. Client reports a small amount of bright red blood in their underwear upon awakening.
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Client denies contractions or abdominal pain. External fetal monitor applied. Potential Nursi
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ng Action Indicated or Contraindicated Assess cervical dilation Weigh perineal pads. Admini
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ster methotrexate. Insert a large bore intravenous catheter.
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[Verified Solution]: Contraindicated Assess Cervical Dilation -
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She's currently bleeding and not in the middle of labor, unnecessary. Administer Methotrexate -
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She isn't having an ectopic pregnancy -
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this is used to resolve ectopic pregnancies in the first trimester. Indicated Weigh Perineal Pads -
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We need to know how much blood she's losing. Insert a large bore IV -
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Third Trimester Bleeding may lead to larger hemorrhage -
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having IV access is critical if we need to administer fluids.
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Q3. A nurse is assessing the newborn of a client who took selective serotonin reuptake inhib
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itor during pregnancy. Which of the following manifestations should the nurse identify as an
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indication of withdrawal from an SSRI?
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[Verified Solution]: Vomiting - ma mama ma
Also could be irritability, agitation, tremors, or diarrhea. These manifestations typically last 2 days.
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, Q4. A nurse in a family planning clinic is caring for a client who request an oral contracep
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tive. Which of the following findings in the clients history show the nurse recognized as a co
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ntraindication to oral contraceptives. select all that apply Cholecystitis Hypertension Human
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papillomavirus Migraine headaches Anxiety disorder ma ma ma ma
[Verified Solution]: Cholecystitis Hypertension Anxiety disorder
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Q5. A nurse is caring for a newborn.Medical History 1600:Apgar Score 9 at 1 min and 9 at
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5 min Birth weight 10 lb 6 oz (4706 gm) Gestational age 40 weeks Difficult vaginal birth wi
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th shoulder dystocia.
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[Verified Solution]: Indicated: Educate the parents to begin ROM exercises on the affected arm afte
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r 1 week. -
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maROM help restore functionality. Delay 1 week to prevent additional injury to brachial plexus. Assess
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mafor grasp reflex in the affected extremity. - With Erb's Palsy (Erb-
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Duchenne) only the upper arm is affected. Wrist and finger function should NOT be affected. Immob
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ilize the arm across the abdomen by pinning the newborn's sleeve to their shirt. -
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maThis will assist int he healing process.
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Q6. A nurse is admitting a client to the labor and delivery unit when the client states, "my
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water just broke", which of the following is the priority intervention for the nurse to take?
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[Verified Solution]: Begin FHR Monitoring -
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The greatest risk to the client and their fetus following a rupture of membranes is an umbilical cord
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prolapse. FHR is the PRIORITY action.
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Q7. A Nurse is assessing a late preterm newborn. Which of the following mainfestations is
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an indication of hypoglycemia? Hypertonia - NO - HYPOtonia. Increased Feedings - NO -
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Low blood sugar newborns will exhibit POOR feeding behaviors. Hyperthermia - NO -
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They will have HYPOthermia. Respiratory Distress - YES -
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Alongside jitteriness, lethargy, poor feeding, apnea, seizures, and an abnormal cry.
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[Verified Solution]: Respiratory distress.
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Q8. A nurse is teaching a postpartum client about the steps the nurses will take to promote
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the security and safety of the clients newborn which of the following statement should the n
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urse make? ma
[Verified Solution]: Staff members who take care of your baby will be wearing a photo identificati
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on badge. ma
Q9. A nurse in a clinic is caring for a 16-year-
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old adolescent.History and PhysicalAdolescent is sexually active with two current partners. I
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ma ATI MATERNAL NEWBORN
ma ma
STUDENT NAME: ________________________________
ma ma DATE: _____________ ma
COURSE: ATI Maternal Newborn Test A and Bma ma ma ma ma ma ma TIME: _____________ ma
EXAM CODE: ATI MATERNAL NEWBORN-101
ma ma ma ma
EXAM INSTRUCTIONS: ma
1. Print your full name and date clearly in the header above.
ma ma ma ma ma ma ma ma ma ma ma
2. This exam booklet contains both Test Questions (Part I) and Verified Solutions (Part II).
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
3. Answer all multiple-choice questions clearly. Double-check your work.
ma ma ma ma ma ma ma ma
4. Do not break the seal or open this booklet until instructed to do so by the proctor.
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
Q1. Newborn delivered by repeat cesarean birth at 40 weeks of gestation. Birth weight 3,51
mama ma ma ma ma ma ma ma ma ma ma ma ma ma
5 g (7 lb 12 oz) Apgar scores 8 at 1 min and 9 at 5 min Maternal history of methadone use
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
during pregnancy. Which should the Nurse report? Respiratory findings Temperature Oxyge
ma ma ma ma ma ma ma ma ma ma
n saturation Central nervous system findings Gastrointestinal findings
ma ma ma ma ma ma ma
[Verified Solution]: Gastrointestinal findings Central nervous system findings
ma mama ma ma ma ma ma
Q2. Client reports a small amount of bright red blood in their underwear upon awakening.
mama ma ma ma ma ma ma ma ma ma ma ma ma ma m
Client denies contractions or abdominal pain. External fetal monitor applied. Potential Nursi
a ma ma ma ma ma ma ma ma ma ma ma
ng Action Indicated or Contraindicated Assess cervical dilation Weigh perineal pads. Admini
ma ma ma ma ma ma ma ma ma ma ma
ster methotrexate. Insert a large bore intravenous catheter.
ma ma ma ma ma ma ma
[Verified Solution]: Contraindicated Assess Cervical Dilation -
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She's currently bleeding and not in the middle of labor, unnecessary. Administer Methotrexate -
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She isn't having an ectopic pregnancy -
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this is used to resolve ectopic pregnancies in the first trimester. Indicated Weigh Perineal Pads -
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
We need to know how much blood she's losing. Insert a large bore IV -
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
Third Trimester Bleeding may lead to larger hemorrhage -
ma ma ma ma ma ma ma ma ma
having IV access is critical if we need to administer fluids.
ma ma ma ma ma ma ma ma ma ma ma
Q3. A nurse is assessing the newborn of a client who took selective serotonin reuptake inhib
mama ma ma ma ma ma ma ma ma ma ma ma ma ma ma
itor during pregnancy. Which of the following manifestations should the nurse identify as an
ma ma ma ma ma ma ma ma ma ma ma ma ma
indication of withdrawal from an SSRI?
ma ma ma ma ma ma
[Verified Solution]: Vomiting - ma mama ma
Also could be irritability, agitation, tremors, or diarrhea. These manifestations typically last 2 days.
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
, Q4. A nurse in a family planning clinic is caring for a client who request an oral contracep
mama ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
tive. Which of the following findings in the clients history show the nurse recognized as a co
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ntraindication to oral contraceptives. select all that apply Cholecystitis Hypertension Human
ma ma ma ma ma ma ma ma ma ma ma
papillomavirus Migraine headaches Anxiety disorder ma ma ma ma
[Verified Solution]: Cholecystitis Hypertension Anxiety disorder
ma mama ma ma ma
Q5. A nurse is caring for a newborn.Medical History 1600:Apgar Score 9 at 1 min and 9 at
mama ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
5 min Birth weight 10 lb 6 oz (4706 gm) Gestational age 40 weeks Difficult vaginal birth wi
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
th shoulder dystocia.
ma ma
[Verified Solution]: Indicated: Educate the parents to begin ROM exercises on the affected arm afte
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r 1 week. -
ma ma ma
maROM help restore functionality. Delay 1 week to prevent additional injury to brachial plexus. Assess
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
mafor grasp reflex in the affected extremity. - With Erb's Palsy (Erb-
ma ma ma ma ma ma ma ma ma ma ma
Duchenne) only the upper arm is affected. Wrist and finger function should NOT be affected. Immob
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
ilize the arm across the abdomen by pinning the newborn's sleeve to their shirt. -
ma ma ma ma ma ma ma ma ma ma ma ma ma ma
maThis will assist int he healing process.
ma ma ma ma ma ma
Q6. A nurse is admitting a client to the labor and delivery unit when the client states, "my
mama ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
water just broke", which of the following is the priority intervention for the nurse to take?
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
[Verified Solution]: Begin FHR Monitoring -
ma mama ma ma ma
The greatest risk to the client and their fetus following a rupture of membranes is an umbilical cord
ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma m
prolapse. FHR is the PRIORITY action.
a ma ma ma ma ma
Q7. A Nurse is assessing a late preterm newborn. Which of the following mainfestations is
mama ma ma ma ma ma ma ma ma ma ma ma ma ma ma
an indication of hypoglycemia? Hypertonia - NO - HYPOtonia. Increased Feedings - NO -
ma ma ma ma ma ma ma ma ma ma ma ma ma
Low blood sugar newborns will exhibit POOR feeding behaviors. Hyperthermia - NO -
ma ma ma ma ma ma ma ma ma ma ma ma ma
They will have HYPOthermia. Respiratory Distress - YES -
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Alongside jitteriness, lethargy, poor feeding, apnea, seizures, and an abnormal cry.
ma ma ma ma ma ma ma ma ma ma ma
[Verified Solution]: Respiratory distress.
ma mama ma
Q8. A nurse is teaching a postpartum client about the steps the nurses will take to promote
mama ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma m
the security and safety of the clients newborn which of the following statement should the n
a ma ma ma ma ma ma ma ma ma ma ma ma ma ma ma
urse make? ma
[Verified Solution]: Staff members who take care of your baby will be wearing a photo identificati
ma mama ma ma ma ma ma ma ma ma ma ma ma ma ma
on badge. ma
Q9. A nurse in a clinic is caring for a 16-year-
mama ma ma ma ma ma ma ma ma ma
old adolescent.History and PhysicalAdolescent is sexually active with two current partners. I
ma ma ma ma ma ma ma ma ma ma ma