2025 ATI RN MATERNAL NEWBORN
EXAM WITH NGN | LATEST ATI
QUESTIONS & 100%VERIFIED AND
ACCURATE
A school nurse is providing teaching to an
adolescent about levonorgestrel contraception.
Which of the following information should the
nurse include in the teaching?
,a. "You should take the medication within 72
hours following unprotected sexual intercourse."
b. "You should avoid taking this medication if
you are on an oral contraceptive."
c. "If you don't start your period within 5 days of
taking this medication, you will need a
pregnancy test."
d. "One dose of this medication will prevent you
from becoming pregnant for 14 days after
taking it." <answer>a. "You should take the
medication within 72 hours following
unprotected sexual intercourse."
Levonorgestrel is an emergency contraceptive
which inhibits ovulation to prevent conception.
The nurse should instruct the adolescent to
take this medication as soon as possible within
72 hr after unprotected sexual intercourse.
Exhibit 1: Medical hex
Newborn delivered by repeat cesarean birth at
40 weeks of gestation. Birth weight 3,515 g (7lb
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 (- <answer>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.
A nurse in a clinic is caring for a 16-year-old
adolescent.
EXAM WITH NGN | LATEST ATI
QUESTIONS & 100%VERIFIED AND
ACCURATE
A school nurse is providing teaching to an
adolescent about levonorgestrel contraception.
Which of the following information should the
nurse include in the teaching?
,a. "You should take the medication within 72
hours following unprotected sexual intercourse."
b. "You should avoid taking this medication if
you are on an oral contraceptive."
c. "If you don't start your period within 5 days of
taking this medication, you will need a
pregnancy test."
d. "One dose of this medication will prevent you
from becoming pregnant for 14 days after
taking it." <answer>a. "You should take the
medication within 72 hours following
unprotected sexual intercourse."
Levonorgestrel is an emergency contraceptive
which inhibits ovulation to prevent conception.
The nurse should instruct the adolescent to
take this medication as soon as possible within
72 hr after unprotected sexual intercourse.
Exhibit 1: Medical hex
Newborn delivered by repeat cesarean birth at
40 weeks of gestation. Birth weight 3,515 g (7lb
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 (- <answer>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.
A nurse in a clinic is caring for a 16-year-old
adolescent.
