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ATI RN Maternal Newborn A Questions
and Correct Answers/ Latest Update /
Already Graded
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 (-
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Ans: Respiratory 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
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@ 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
Ans: When 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.
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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
Ans: d. Vomiting
All rights reserved © 2025/ 2026 |
ATI RN Maternal Newborn A Questions
and Correct Answers/ Latest Update /
Already Graded
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 (-
All rights reserved © 2025/ 2026 |
, Page |2
Ans: Respiratory 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
All rights reserved © 2025/ 2026 |
, Page |3
@ 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
Ans: When 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.
All rights reserved © 2025/ 2026 |
, Page |4
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
Ans: d. Vomiting
All rights reserved © 2025/ 2026 |
