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ATI PN Maternal Newborn Exam | ATI RN Maternal Newborn Final Exam|Questions and Answers |2026 Latest Update with complete solutions

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ATI PN Maternal Newborn Exam | ATI RN Maternal Newborn Final Exam|Questions and Answers |2026 Latest Update with complete solutions

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FINAL EXAMINATION PAPER dn dn




dn ATI PN MATERNAL NEWBORN
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STUDENT NAME: ________________________________
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COURSE: ATI RN Maternal Newborn dn dn dn dn TIME: _____________ dn




EXAM CODE: ATI PN MATERNAL NEWBORN-101
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EXAM INSTRUCTIONS:
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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 Septic Shock:
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[Verified Solution]: The nurse should monitor the blood pressure of a newborn who is at risk for septi
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c shock and should identify decreased blood pressure as an indication of this complication. Other manif
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estations include tachypnea, tachycardia, mottled or gray-
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colored skin, cool extremities, and a rapid pulse.
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Q2. Early PostPartum Period:
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[Verified Solution]: Dark Red Lochia will pool in the vagina when the client is lying in bed and will
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flow out of the vagina when the client stands up. After initial gush, the bleeding will slow to a trickle o
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f bright red lochia.
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Q3. retained placental fragments
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[Verified Solution]: -excessive vaginal bleeding that does not stop. -
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Can cause early PPH, but most common cause of late PPH -Inspect placenta -
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Treatment: uterine exploration (Sterile, Pain management, Antibiotics post, Sonography, Curettage (D&
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C)




Q4. Damaged Blood Vessel
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[Verified Solution]: Blood will spurt out of the vagina, and the flow will not slow.
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Q5. Lochia Flow:
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[Verified Solution]: will steadily decrease during postpartum period.
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,Q6. Gomco Clamp Circumcision
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[Verified Solution]: -Pressure of clamp for 3-5 minutes, then slit/cut away excess skin -
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Petroleum gauze strips to site after to prevent sticking to diaper -
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Apply petroleum jelly to the penis with each diaper change to protect incision from contact with urine a
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nd feces. - No towelettes - Do not remove and yellow exudate (can cause pain and bleeding -
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part of healing process) -
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Do not wrap penis with dry gauze (can adhere and cause pain and bleeding at removal).
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Q7. Psychological Task:
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[Verified Solution]: Accepting the Pregnancy - First Trimester Accepting the baby -
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Second Trimester Preparing for Parenthood & Preparing for End of Pregnancy -Third Trimester
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Q8. Terbutaline (Brethine)
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[Verified Solution]: Uses to relax uterine smooth muscle to inhibit uterine activity. -
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Involves bronchodilation Adverse Reaction: Tachycardia (if pulse is greater than 130/min, the medicati
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on needs to be held until HCP is notified.) Terbutaline is a tocolytic medication that causes uterine rela
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xation and is used to treat preterm labor. It is not an appropriate medication to treat uterine atony.
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Q9. Postpartum Care Client w/Cardiac Disease:
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[Verified Solution]: Weight the Client Daily for Fluid Overload Monitor I/O (blood flow to and from
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heart increases for atleast the first 24 hours after delivery) this places the client at high risk of cardiac d
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ecompensation and fluid overload. Follow a high- dn dn dn dn dn dn



fiber diet to prevent straining with bowl movements because the pushing effort (valsalva maneuver) can
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nresult in cardiac stress. Initiate bedrest with the hob elevated to promote rest and decrease the clients o
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xygen consumption. dn




Q10. Preventing Mastitis:
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[Verified Solution]: Use finger to release suction on nipple after feeding. Galactagogue Medications a
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nd Herbs can increase the clients milk supply. This INCREASES the risk of mastitis, if the infant does
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not empty the breast. Waiting too long between feedings can result in clogging or plugging of nipples, t
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his can INCREASE the risk of mastitis. Wearing underwire bra is associated with increased risk for ma
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stitis due to blocking the breast from emptying completely.
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Q11. Development of Hyperbilirubinemia in Newborns:
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[Verified Solution]: Blood Group Incompatibilities Maternal Infection Maternal Diabetes Administratio
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n of Oxytocin during Labor
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,Q12. Delivery of a Stillborn Child:
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[Verified Solution]: - dn dndn



Unrestricted Access to Childs Body. (process traumatic event) If the parents express a desire to see an a
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nomaly, the nurse should allow it and explain what they are viewing. Allow Privacy and Holding of Ch
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ild.




Q13. Morning Sickness
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[Verified Solution]: Caused by the buildup of human chorionic gonadotropin (hCG) in the mothers sy
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stem. Dry foods eaten before rising in the morning tend to reduce the risk of nausea. (crackers) Eat foo
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ds served at cool temps. Decrease Fluid Intake during meals to prevent overdistention of the stomach. t
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his reduces nausea and vomiting. Teach to Avoid brush teeth immediately after meals to decrease nause
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a and vomiting.
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Q14. Gonorrhea
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[Verified Solution]: A sexually transmitted bacterial disease caused by a gonococcus bacterium that ca
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uses inflammation of the genital mucous membrane, burning pain when urinating, and a discharge. Ofte
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n asymptomatic Nationally Notifiable Disease
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Q15. bacterial vaginosis
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[Verified Solution]: An overgrowth of bacteria in the vagina; characterized by itching, burning, or pai
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n, and possibly a "fishy" smelling discharge that appears thin, watery, gray, white, or milky. Might also
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nreport pruritus. Treated with Metronidazole or Clindamycin Cream.
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Q16. Trichomoniasis
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[Verified Solution]: an STD caused by a microscopic protozoan that results in infections of the vagina
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, urethra, and bladder. can be asymptomatic. Manifestations: Greenish Yellow Mucopurulent, frothy mal
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odorus discharge. Treatment of male partner is done WITHOUT a culture if female partner has it. Easil
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y treated with Metronidazole. Avoid intercourse while being treated or use a condom. Unless both partn
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ers are treated the male can reinfect the female.
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Q17. Candidiasis
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[Verified Solution]: infection of the skin, mouth, or vagina caused by the yeast-
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type fungus. second most common vaginal infection. Manifestations: thick cottage cheese discharge and
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nvaginal itching. dn

, Q18. Routine Medication Administration Following Birth:
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[Verified Solution]: Administer Vitamin K in the Vastus Lateralis Muscle in Newborns Thigh. Admini
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ster Vitamin K (1mg) intramuscularly. Administer Erythromycin Eye Ointment Bilaterally within 1 -
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2 hours after birth. Can administer the medication after the initial breastfeeding. Administer a thin ribb
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on starting at the inner canthus toward the outer.
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Q19. Newborn Delivered at 32 Weeks Anticipated Findings:
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[Verified Solution]: Poorly Developed Muscle Tone and Unable to Maintain the Flexed Position Seen
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in Infants at Full Term. (extended extremities) - will have few creases present on sole of the foot -
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testes only partially descended into the sac and only a few rugae (folds in the stomach lining) present.
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(completes process of descending by week 40)
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Q20. Leathery Cracked Skin:
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[Verified Solution]: Characteristic of newborn born after 42 weeks of gestation. The lack of vernix in-
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utero causes a dry, peeling appearance of the skin.
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Q21. Vacuum-Assisted Vaginal Delivery:
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[Verified Solution]: Inceases the risk of jaundice as the bruises caused by device dissipate. will result
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in caput succedaneum, which is swelling of the scalp that generally resolves without treatment in 3 -
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4 days. providers choose this when a client has a prolonged second stage of labor or when the fetus is
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in distress. the client must be fully dilated before undergoing a vaginal birth.
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Q22. Abdominal Trauma
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[Verified Solution]: Uterine Contractions Increased Heart Rate for Trauma or Blood Loss Increased R
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espiratory Rate dn




Q23. Food that help increase iron intake:
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[Verified Solution]: High in Vitamin C increase absorption of Iron. Citrus Fruits Strawberries Melons
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Tomatoes Foods that DECREASE: Oxalates, found in spinach, swiss chard. Coffee, tea, milk, whole gr
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ains, bran. dn




Q24. Plays KEY role in PREVENTING miscarriage:
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[Verified Solution]: Progesterone -
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maintains the endometrium and has a relaxant effect on the uterus so that the fetus is not expelled.
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