FINAL EXAMINATION PAPER dn dn
dn ATI MATERNAL NEWBORN dn dn
STUDENT NAME: ________________________________
dn dn DATE: _____________ dn
COURSE: ATI Maternal Newborn Test A and B
dn dn dn dn dn dn dn TIME: _____________ dn
EXAM CODE: ATI MATERNAL NEWBORN-101
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EXAM INSTRUCTIONS:dn
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 3,515
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g (7 lb 12 oz) Apgar scores 8 at 1 min and 9 at 5 min Maternal history of methadone use duri
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ng pregnancy. Which should the Nurse report? Respiratory findings Temperature Oxygen sat
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uration 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. C
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lient denies contractions or abdominal pain. External fetal monitor applied. Potential Nursing
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Action Indicated or Contraindicated Assess cervical dilation Weigh perineal pads. Administer
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methotrexate. Insert a large bore intravenous catheter.dn dn dn dn dn dn
[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 inhibit
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or during pregnancy. Which of the following manifestations should the nurse identify as an in
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dication of withdrawal from an SSRI?
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[Verified Solution]: Vomiting - dn dndn dn
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 contraceptiv
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e. Which of the following findings in the clients history show the nurse recognized as a contrai
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ndication to oral contraceptives. select all that apply Cholecystitis Hypertension Human papill
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omavirus Migraine headaches Anxiety disorder
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[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 5
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min Birth weight 10 lb 6 oz (4706 gm) Gestational age 40 weeks Difficult vaginal birth with sh
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oulder dystocia. dn
[Verified Solution]: Indicated: Educate the parents to begin ROM exercises on the affected arm after
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1 week. -
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ROM help restore functionality. Delay 1 week to prevent additional injury to brachial plexus. Assess f
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or 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. Immobili
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ze the arm across the abdomen by pinning the newborn's sleeve to their shirt. -
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This 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 w
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ater 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 pr
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olapse. FHR is the PRIORITY action.
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Q7. A Nurse is assessing a late preterm newborn. Which of the following mainfestations is an
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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 th
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e security and safety of the clients newborn which of the following statement should the nurse
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
make?
[Verified Solution]: Staff members who take care of your baby will be wearing a photo identification
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badge.
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. IU
dn dn dn dn dn dn dn dn dn dn dn
dn ATI MATERNAL NEWBORN dn dn
STUDENT NAME: ________________________________
dn dn DATE: _____________ dn
COURSE: ATI Maternal Newborn Test A and B
dn dn dn dn dn dn dn TIME: _____________ dn
EXAM CODE: ATI MATERNAL NEWBORN-101
dn dn dn dn
EXAM INSTRUCTIONS:dn
1. Print your full name and date clearly in the header above.
dn dn dn dn dn dn dn dn dn dn dn
2. This exam booklet contains both Test Questions (Part I) and Verified Solutions (Part II).
dn dn dn dn dn dn dn dn dn dn dn dn dn dn
3. Answer all multiple-choice questions clearly. Double-check your work.
dn dn dn dn dn dn dn dn
4. Do not break the seal or open this booklet until instructed to do so by the proctor.
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
Q1. Newborn delivered by repeat cesarean birth at 40 weeks of gestation. Birth weight 3,515
dndn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
g (7 lb 12 oz) Apgar scores 8 at 1 min and 9 at 5 min Maternal history of methadone use duri
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ng pregnancy. Which should the Nurse report? Respiratory findings Temperature Oxygen sat
dn dn dn dn dn dn dn dn dn dn dn
uration Central nervous system findings Gastrointestinal findings
dn dn dn dn dn dn
[Verified Solution]: Gastrointestinal findings Central nervous system findings
dn dndn dn dn dn dn dn
Q2. Client reports a small amount of bright red blood in their underwear upon awakening. C
dndn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
lient denies contractions or abdominal pain. External fetal monitor applied. Potential Nursing
dn dn dn dn dn dn dn dn dn dn dn dn
Action Indicated or Contraindicated Assess cervical dilation Weigh perineal pads. Administer
dn dn dn dn dn dn dn dn dn dn dn
methotrexate. Insert a large bore intravenous catheter.dn dn dn dn dn dn
[Verified Solution]: Contraindicated Assess Cervical Dilation -
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She's currently bleeding and not in the middle of labor, unnecessary. Administer Methotrexate -
dn dn dn dn dn dn dn dn dn dn dn dn dn dn
She isn't having an ectopic pregnancy -
dn dn dn dn dn dn dn
this is used to resolve ectopic pregnancies in the first trimester. Indicated Weigh Perineal Pads -
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
We need to know how much blood she's losing. Insert a large bore IV -
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
Third Trimester Bleeding may lead to larger hemorrhage -
dn dn dn dn dn dn dn dn dn
having IV access is critical if we need to administer fluids.
dn dn dn dn dn dn dn dn dn dn dn
Q3. A nurse is assessing the newborn of a client who took selective serotonin reuptake inhibit
dndn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
or during pregnancy. Which of the following manifestations should the nurse identify as an in
dn dn dn dn dn dn dn dn dn dn dn dn dn dn
dication of withdrawal from an SSRI?
dn dn dn dn dn
[Verified Solution]: Vomiting - dn dndn dn
Also could be irritability, agitation, tremors, or diarrhea. These manifestations typically last 2 days.
dn dn dn dn dn dn dn dn dn dn dn dn dn dn
, Q4. A nurse in a family planning clinic is caring for a client who request an oral contraceptiv
dndn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
e. Which of the following findings in the clients history show the nurse recognized as a contrai
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ndication to oral contraceptives. select all that apply Cholecystitis Hypertension Human papill
dn dn dn dn dn dn dn dn dn dn dn
omavirus Migraine headaches Anxiety disorder
dn dn dn dn
[Verified Solution]: Cholecystitis Hypertension Anxiety disorder
dn dndn dn dn dn
Q5. A nurse is caring for a newborn.Medical History 1600:Apgar Score 9 at 1 min and 9 at 5
dndn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
min Birth weight 10 lb 6 oz (4706 gm) Gestational age 40 weeks Difficult vaginal birth with sh
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
oulder dystocia. dn
[Verified Solution]: Indicated: Educate the parents to begin ROM exercises on the affected arm after
dn dndn dn dn dn dn dn dn dn dn dn dn dn dn dn
1 week. -
dn dn
ROM help restore functionality. Delay 1 week to prevent additional injury to brachial plexus. Assess f
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
or grasp reflex in the affected extremity. - With Erb's Palsy (Erb-
dn dn dn dn dn dn dn dn dn dn dn
Duchenne) only the upper arm is affected. Wrist and finger function should NOT be affected. Immobili
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ze the arm across the abdomen by pinning the newborn's sleeve to their shirt. -
dn dn dn dn dn dn dn dn dn dn dn dn dn dn
This will assist int he healing process.
dn dn dn dn dn dn dn
Q6. A nurse is admitting a client to the labor and delivery unit when the client states, "my w
dndn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
ater just broke", which of the following is the priority intervention for the nurse to take?
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
[Verified Solution]: Begin FHR Monitoring -
dn dndn dn dn dn
The greatest risk to the client and their fetus following a rupture of membranes is an umbilical cord pr
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
olapse. FHR is the PRIORITY action.
dn dn dn dn dn
Q7. A Nurse is assessing a late preterm newborn. Which of the following mainfestations is an
dndn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
indication of hypoglycemia? Hypertonia - NO - HYPOtonia. Increased Feedings - NO -
dn dn dn dn dn dn dn dn dn dn dn dn
Low blood sugar newborns will exhibit POOR feeding behaviors. Hyperthermia - NO -
dn dn dn dn dn dn dn dn dn dn dn dn dn
They will have HYPOthermia. Respiratory Distress - YES -
dn dn dn dn dn dn dn dn dn
Alongside jitteriness, lethargy, poor feeding, apnea, seizures, and an abnormal cry.
dn dn dn dn dn dn dn dn dn dn dn
[Verified Solution]: Respiratory distress.
dn dndn dn
Q8. A nurse is teaching a postpartum client about the steps the nurses will take to promote th
dndn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
e security and safety of the clients newborn which of the following statement should the nurse
dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
make?
[Verified Solution]: Staff members who take care of your baby will be wearing a photo identification
dn dndn dn dn dn dn dn dn dn dn dn dn dn dn dn dn
badge.
Q9. A nurse in a clinic is caring for a 16-year-
dndn dn dn dn dn dn dn dn dn dn
old adolescent.History and PhysicalAdolescent is sexually active with two current partners. IU
dn dn dn dn dn dn dn dn dn dn dn
