2025 ATI RN MATERNAL NEWBORN WITH CORRECT QUESTIONS AND
ANSWERS||ALREADY GRADED A+(NEW BRAND)
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 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 -CORRECT
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 -CORRECT 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 -CORRECT 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.
ANSWERS||ALREADY GRADED A+(NEW BRAND)
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 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 -CORRECT
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 -CORRECT 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 -CORRECT 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.
