Ati Maternal Newborn Assessment A 2025-
26 | Certified Questions With Correct
Answers
when using the urgent vs. non-urgent approach to client care, the nurse should
determine that the greatest risk to the newborn is cold stress. therefore, the first
action the nurse should take immediately after birth is to dry the newborn.
a. The nurse should obtain Apgar scores at 1 and 5 min after birth. Therefore, this
is not the first action the nurse should take.
b. The nurse should obtain the newborn's weight shortly after birth to obtain a
baseline. However, this is not the first action the nurse should take.
c. The nurse should place identification bracelets on the newborn shortly after
birth. However, this is not the first action the nurse should take.
A nurse is performing a physical assessment of a newborn. which of the following
clinical findings should the nurse expect? (Select all that apply)
a. Heart rate 154/min
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b. Axillary temperature 36 C (96.8 F)
c. Respiratory rate 58/min
d. Length 43 cm (16.9 in)
e. Weight 2.6 kg (5 lb 12 oz))-correct-answer-a. Heart rate 154/min
c. Respiratory rate 58/min
e. Weight 2.6 kg (5 lb 12 oz)
a. The expected reference range for a newborn's heart rate is from 110/min to
160/min while awake.
c. The expected reference range for a newborn's respiratory rate is from 30/min to
60/min.
e. The expected reference range for a newborn's weight is from 2.5 to 4 kg (5.5 lb
to 8.8 lb).
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b. A healthy newborn's temperature averages 37° C (98.6° F), with a range of 36.5°
to 37.5° C (97.7° to 99.5 F).
d. The expected reference range for a newborn's length is from 45 to 55 cm (17.7
to 21.7 in).
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A nurse in an antepartal clinic is providing care for a client who is at 26 weeks of
gestation. Upon reviewing the client's medical record, which of the following
findings should the nurse report to the provider? (Click on the "Exhibit" button for
additional information about the client. there are three tabs that contain separate
categories of data.)
Vital Signs: BP 130/78 mmHg; ~RR 20/min;~ HR 90/min
Lab Results: hemoglobin 12 g/dL;~hematocrit 34%; ~1-hr glucose tolerance test
120 mg/dL
Progress Note: Fundal height 30 cm~
good fetal movement; not experiencing headache, dizziness, blurred vision, or
vaginal bleeding; fetal heart rate 110/min.
a. 1 hr glucose tolerance test
b. hematocrit
c. fundal height measurement
d. fetal heart rate (FHR))-correct-answer-c. Fundal height measurement
A fundal height measurement of 30 cm should be reported to the provider. Fundal
height should be measured in centimeters and is the same as the number of
gestational weeks plus or minus 2 weeks from 18 to 32 weeks gestation.
Therefore, the nurse should report this finding to the provider.
a. A glucose tolerance test result of 120 mg/dL is within the expected reference
range for this client. A value of 130 to 140 mg/dL or greater for a 1-hr glucose
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tolerance test indicates a positive test result and should be reported to the
provider.
b. A hematocrit of 34% is within the expected reference range for this client. The
level should be greater than 33%.
d. This FHR is within the expected reference range of 110/min to 160/min for a
client at 26 weeks of gestation.
a nurse for a client who is anemic at 32 weeks gestation and is in preterm labor.
the provider prescribed betamethasone 12mg IM. which of the following outcome
should the nurse expect?
a. decreased uterine contractions
b. in increase in the client's hemoglobin levels
c. a reduction in respiratory distress in the newborn
d.increased production of antibodies in the newborn)-correct-answer-c. a
reduction in respiratory distress in the newborn
betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity
and prevent respiratory distress.