ATI RN Maternal Newborn 2023-2026 Exam
with NGN Questions and Answers.
Newborn Septic Shock:
The nurse should monitor the blood pressure of a newborn who is at risk for
septic shock and should identify decreased blood pressure as an indication of this
complication. Other manifestations include tachypnea, tachycardia, mottled or
gray-colored skin, cool extremities, and a rapid pulse.
Early PostPartum Period:
Dark Red Lochia will pool in the vagina when the client is lying in bed and will flow
out of the vagina when the client stands up. After initial gush, the bleeding will
slow to a trickle of bright red lochia.
retained placental fragments
-excessive vaginal bleeding that does not stop.
-Can cause early PPH, but most common cause of late PPH
-Inspect placenta
-Treatment: uterine exploration (Sterile, Pain management, Antibiotics post,
Sonography, Curettage (D&C)
mild placental abruption
Dark red vaginal bleeding
A client who has a mild placental abruption will have a platelet count within the
expected reference range.
A client who has a mild placental abruption will have a reassuring fetal heart rate.
,A client who has a mild placental abruption will have a urinary output within the
expected reference range.
More Notes:
The nurse should administer ferrous sulfate orally for a client who has a
hemoglobin level of <10.5 g/dL.
The nurse should encourage the client to use a cold pack on the perineum to
decrease edema and promote comfort.
The nurse can assist with applying a breast binder or a well-fitted support bra to
relieve discomfort for a client who does not plan to breastfeed.
The nurse should administer Rh immune globulin within 72 hours of birth to
clients who are Rh-negative and have a newborn who is Rh-positive.
vibroacoustic stimulation
Use of sound stimulation to elicit fetal movement and acceleration (speeding up)
of the fetal heart rate.
Excercise During Pregnancy
Vigorous or strenuous activities should be limited to no longer than 20 minutes.
Hot, humid weather and vigorous exercise can prompt dehydration or cause the
fetus to develop hyperthermia.
The nurse should caution the client to restrict activities that are considered
contact sports like soccer, touch football, or roller derby.
The nurse should encourage the client to maintain a scheduled exercise routine
about 3 times per week for 30 minutes rather than engage in intermittent activity.
A client who was sedentary before pregnancy should begin with low-intensity
physical activity. Then, the client can advance her activity level gradually to more
than just walking.
,genital cutting
Involves cutting away the female's external genitalia, usually including her clitoris
and surrounding skin. The remaining edges are sewn together, which leaves only
a small opening for urination and menstruation.
The nurse should recognize that female genital cutting is done in early
adolescence as a part of some religious and cultural practices. The scarring that
can result from this practice may necessitate a cesarean delivery.
Although genital cutting is illegal in the United States, the nurse cannot report
maltreatment of a competent adult without the client's consent.
The nurse might offend the client's cultural beliefs by asking these questions.
Female genital cutting can cause difficulty conceiving or delivering the child.
However, once conception occurs, the client is not at increased risk for
spontaneous abortion.
Bottle Feeding
The parents should run tap water for 2 minutes and then boil it for 1-2 minutes
before mixing it with the formula to decrease the risk of contamination.
The parents should not dilute ready-to-feed formula because the newborn will
get full before consuming the appropriate amount of calories and nutrients.
The parents should always hold the bottle when feeding the newborn to prevent
aspiration and the development of caries.
The parents should only keep unused prepared formula for 48 hours to decrease
the risk of contamination.
Moderate Bleeding > Umbilical Cord:
The nurse should apply the clamp to the umbilical cord while detaching it from
the placenta to stop blood flow from the cord to the placenta. When the placenta
is no longer attached, the blood vessels in the cord will atrophy as the cord stump
, dries and shrivels. If blood is coming from a vessel prior to the cord stump
necrotizing, the nurse should ensure the cord clamp has not loosened or opened.
If it has, the nurse should apply a new clamp immediately.
Other:
The nurse should measure vital signs routinely according to the facility's policies.
Unless the newborn has already lost a large quantity of blood, it is unlikely that
the newborn's heart rate would be unstable.
A pressure dressing will not stop bleeding that is coming from a blood vessel. A
pressure dressing is used to stop bleeding from a laceration or an incision such as
after a circumcision.
Nurses should administer vitamin K to the newborn immediately after delivery to
prevent hemorrhagic disease of the newborn. An additional dose of vitamin K will
not stop bleeding from the umbilical vessel.
Fetal Heart Rate of 90
A fetal heart rate baseline of 90 bpm is considered bradycardia and should be
reported to the provider. Fetal bradycardia is associated with fetal cardiac
defects, maternal hypoglycemia, and fetal viral infections.
Other:
The nurse should report a maternal temperature of 38°C (100.4°F) or greater to
the provider. A maternal temperature greater than 38°C is associated with
chorioamnionitis, an infection caused by bacteria ascending from the vagina into
the uterus.
There should be at least 1 minute of resting time between contractions to allow
adequate placental perfusion. Less than 1 minute of resting time can lead to fetal
hypoxia and should be reported to the provider.
with NGN Questions and Answers.
Newborn Septic Shock:
The nurse should monitor the blood pressure of a newborn who is at risk for
septic shock and should identify decreased blood pressure as an indication of this
complication. Other manifestations include tachypnea, tachycardia, mottled or
gray-colored skin, cool extremities, and a rapid pulse.
Early PostPartum Period:
Dark Red Lochia will pool in the vagina when the client is lying in bed and will flow
out of the vagina when the client stands up. After initial gush, the bleeding will
slow to a trickle of bright red lochia.
retained placental fragments
-excessive vaginal bleeding that does not stop.
-Can cause early PPH, but most common cause of late PPH
-Inspect placenta
-Treatment: uterine exploration (Sterile, Pain management, Antibiotics post,
Sonography, Curettage (D&C)
mild placental abruption
Dark red vaginal bleeding
A client who has a mild placental abruption will have a platelet count within the
expected reference range.
A client who has a mild placental abruption will have a reassuring fetal heart rate.
,A client who has a mild placental abruption will have a urinary output within the
expected reference range.
More Notes:
The nurse should administer ferrous sulfate orally for a client who has a
hemoglobin level of <10.5 g/dL.
The nurse should encourage the client to use a cold pack on the perineum to
decrease edema and promote comfort.
The nurse can assist with applying a breast binder or a well-fitted support bra to
relieve discomfort for a client who does not plan to breastfeed.
The nurse should administer Rh immune globulin within 72 hours of birth to
clients who are Rh-negative and have a newborn who is Rh-positive.
vibroacoustic stimulation
Use of sound stimulation to elicit fetal movement and acceleration (speeding up)
of the fetal heart rate.
Excercise During Pregnancy
Vigorous or strenuous activities should be limited to no longer than 20 minutes.
Hot, humid weather and vigorous exercise can prompt dehydration or cause the
fetus to develop hyperthermia.
The nurse should caution the client to restrict activities that are considered
contact sports like soccer, touch football, or roller derby.
The nurse should encourage the client to maintain a scheduled exercise routine
about 3 times per week for 30 minutes rather than engage in intermittent activity.
A client who was sedentary before pregnancy should begin with low-intensity
physical activity. Then, the client can advance her activity level gradually to more
than just walking.
,genital cutting
Involves cutting away the female's external genitalia, usually including her clitoris
and surrounding skin. The remaining edges are sewn together, which leaves only
a small opening for urination and menstruation.
The nurse should recognize that female genital cutting is done in early
adolescence as a part of some religious and cultural practices. The scarring that
can result from this practice may necessitate a cesarean delivery.
Although genital cutting is illegal in the United States, the nurse cannot report
maltreatment of a competent adult without the client's consent.
The nurse might offend the client's cultural beliefs by asking these questions.
Female genital cutting can cause difficulty conceiving or delivering the child.
However, once conception occurs, the client is not at increased risk for
spontaneous abortion.
Bottle Feeding
The parents should run tap water for 2 minutes and then boil it for 1-2 minutes
before mixing it with the formula to decrease the risk of contamination.
The parents should not dilute ready-to-feed formula because the newborn will
get full before consuming the appropriate amount of calories and nutrients.
The parents should always hold the bottle when feeding the newborn to prevent
aspiration and the development of caries.
The parents should only keep unused prepared formula for 48 hours to decrease
the risk of contamination.
Moderate Bleeding > Umbilical Cord:
The nurse should apply the clamp to the umbilical cord while detaching it from
the placenta to stop blood flow from the cord to the placenta. When the placenta
is no longer attached, the blood vessels in the cord will atrophy as the cord stump
, dries and shrivels. If blood is coming from a vessel prior to the cord stump
necrotizing, the nurse should ensure the cord clamp has not loosened or opened.
If it has, the nurse should apply a new clamp immediately.
Other:
The nurse should measure vital signs routinely according to the facility's policies.
Unless the newborn has already lost a large quantity of blood, it is unlikely that
the newborn's heart rate would be unstable.
A pressure dressing will not stop bleeding that is coming from a blood vessel. A
pressure dressing is used to stop bleeding from a laceration or an incision such as
after a circumcision.
Nurses should administer vitamin K to the newborn immediately after delivery to
prevent hemorrhagic disease of the newborn. An additional dose of vitamin K will
not stop bleeding from the umbilical vessel.
Fetal Heart Rate of 90
A fetal heart rate baseline of 90 bpm is considered bradycardia and should be
reported to the provider. Fetal bradycardia is associated with fetal cardiac
defects, maternal hypoglycemia, and fetal viral infections.
Other:
The nurse should report a maternal temperature of 38°C (100.4°F) or greater to
the provider. A maternal temperature greater than 38°C is associated with
chorioamnionitis, an infection caused by bacteria ascending from the vagina into
the uterus.
There should be at least 1 minute of resting time between contractions to allow
adequate placental perfusion. Less than 1 minute of resting time can lead to fetal
hypoxia and should be reported to the provider.
