TEST BANK FOR ATI RN MATERNAL NEWBORN EXAM
WITH QUESTIONS AND VERIFIED ANSWERS LATEST
UPLOAD 2025/2026 GRADED A+
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 (- VERIFIED
ANSWERRespiratory 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 VERIFIED ANSWERWhen 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 VERIFIED ANSWERd. Vomiting
, Expected manifestations associated with fetal exposure to SSRIs include
irritability, agitation, tremors, diarrhea, and vomiting. These
manifestations typically last 2 days.
A nurse in a family planning clinic is caring for a client who requests an
oral contraceptive. Which of the following findings in the client's history
should the nurse recognize as a contraindication to oral contraceptives?
(Select all that apply)
a. Cholecystitis
b. Hypertension
c. Human papillomavirus
d. Migraine headaches
e. Anxiety disorder VERIFIED ANSWERCholecystitis, hypertension,
and migraine headaches is correct. A history of gallbladder disease is a
contraindication for the use of oral contraceptives. Hypertension is a
contraindication for the use of oral contraceptives. A history of migraine
headaches is a contraindication for the use of oral contraceptives.
HPV and anxiety disorder is incorrect. The presence of human
papillomavirus is not a contraindication for the use of oral
contraceptives. The presence of an anxiety disorder is not a
contraindication for the use of oral contraceptives.
A nurse is caring for a newborn.
Exhibit 1: Medical hx
WITH QUESTIONS AND VERIFIED ANSWERS LATEST
UPLOAD 2025/2026 GRADED A+
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 (- VERIFIED
ANSWERRespiratory 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 VERIFIED ANSWERWhen 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 VERIFIED ANSWERd. Vomiting
, Expected manifestations associated with fetal exposure to SSRIs include
irritability, agitation, tremors, diarrhea, and vomiting. These
manifestations typically last 2 days.
A nurse in a family planning clinic is caring for a client who requests an
oral contraceptive. Which of the following findings in the client's history
should the nurse recognize as a contraindication to oral contraceptives?
(Select all that apply)
a. Cholecystitis
b. Hypertension
c. Human papillomavirus
d. Migraine headaches
e. Anxiety disorder VERIFIED ANSWERCholecystitis, hypertension,
and migraine headaches is correct. A history of gallbladder disease is a
contraindication for the use of oral contraceptives. Hypertension is a
contraindication for the use of oral contraceptives. A history of migraine
headaches is a contraindication for the use of oral contraceptives.
HPV and anxiety disorder is incorrect. The presence of human
papillomavirus is not a contraindication for the use of oral
contraceptives. The presence of an anxiety disorder is not a
contraindication for the use of oral contraceptives.
A nurse is caring for a newborn.
Exhibit 1: Medical hx
