ATI MATERNAL NEWBORN REMEDIATION 2
FINAL PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ Substance Abuse Answer: - Alcohol
- Tobacco
- Heroin
- Methadone
◉ How does alcohol affect newborns? Answer: Birth defects
◉ How does tobacco affect newborns? Answer: Low birth weight
◉ Nursing actions of substance abuse Answer: - Display a
nonjudgmental, matter-of-fact demeanor when interviewing a client
- Observe for clinical findings such as lack of grooming
- Educate client that substance abuse is to be avoided during
pregnancy and lactation
◉ Neonatal substance withdrawal Answer: Occurs when the parents
uses drugs that have addictive properties during pregnancy
,◉ Medication for neonatal substance withdrawal of morphine
sulfate Answer: - Morphine sulfate
- Phenobarbital
Decreases CNS irritability and control seizures for newborns who
have alcohol or opioid withdrawal
◉ A nurse is caring for a client who received terbutaline
subcutaneously. Which of the following findings is an indication the
medication was effective? Answer: Decreased frequency of
contractions.
Terbutaline is a tocolytic medication that is used to halt preterm
labor. Terbutaline cause relaxation of smooth muscle, which
decrease uterine activity. Therefore, the nurse should identify that a
decrease in frequency of contractions is an indication that
terbutaline was effective.
◉ Oxytocin Answer: A uterine stimulant: Oxytocics
◉ Expected pharmacological action of Oxytocin Answer: Uterine
stimulants increase the strength, frequency, and length of uterine
contractions
◉ Therapeutic uses of oxytocin Answer: - Induction of labor
, - Enhancement of labor
- Delivery of placenta
- Management of postpartum hemorrhage
- Stress stressing
◉ A charge nurse is discussing care of clients who are in labor with a
newly licensed nurse. Which of the following actions should the
charge nurse include in the teaching regarding situations requiring
an amniotomy? Answer: Placing a fetal scalp electrode.
A fetal scalp electrode is attached to the presenting part of the fetus
in order to provide accurate continuous monitoring of the fetal heart
rate. If the client's membranes are intact, the amniotic sac must be
artificially ruptured prior to attaching the electrode to enable access
to the presenting part.
◉ A nurse is reviewing the medical record of a client who has
preeclampsia prior to administering labetalol. For which of the
following findings should the nurse withhold the medication?
Answer: Heart rate 54/min
-The nurse should identify that a heart rate of 54/min is below the
expected reference range of 60 to 100/min. During pregnancy, the
heart rate increases 10 to 15/min due to increased blood volume
and increase tissue demands for oxygen. Bradycardia is a
FINAL PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ Substance Abuse Answer: - Alcohol
- Tobacco
- Heroin
- Methadone
◉ How does alcohol affect newborns? Answer: Birth defects
◉ How does tobacco affect newborns? Answer: Low birth weight
◉ Nursing actions of substance abuse Answer: - Display a
nonjudgmental, matter-of-fact demeanor when interviewing a client
- Observe for clinical findings such as lack of grooming
- Educate client that substance abuse is to be avoided during
pregnancy and lactation
◉ Neonatal substance withdrawal Answer: Occurs when the parents
uses drugs that have addictive properties during pregnancy
,◉ Medication for neonatal substance withdrawal of morphine
sulfate Answer: - Morphine sulfate
- Phenobarbital
Decreases CNS irritability and control seizures for newborns who
have alcohol or opioid withdrawal
◉ A nurse is caring for a client who received terbutaline
subcutaneously. Which of the following findings is an indication the
medication was effective? Answer: Decreased frequency of
contractions.
Terbutaline is a tocolytic medication that is used to halt preterm
labor. Terbutaline cause relaxation of smooth muscle, which
decrease uterine activity. Therefore, the nurse should identify that a
decrease in frequency of contractions is an indication that
terbutaline was effective.
◉ Oxytocin Answer: A uterine stimulant: Oxytocics
◉ Expected pharmacological action of Oxytocin Answer: Uterine
stimulants increase the strength, frequency, and length of uterine
contractions
◉ Therapeutic uses of oxytocin Answer: - Induction of labor
, - Enhancement of labor
- Delivery of placenta
- Management of postpartum hemorrhage
- Stress stressing
◉ A charge nurse is discussing care of clients who are in labor with a
newly licensed nurse. Which of the following actions should the
charge nurse include in the teaching regarding situations requiring
an amniotomy? Answer: Placing a fetal scalp electrode.
A fetal scalp electrode is attached to the presenting part of the fetus
in order to provide accurate continuous monitoring of the fetal heart
rate. If the client's membranes are intact, the amniotic sac must be
artificially ruptured prior to attaching the electrode to enable access
to the presenting part.
◉ A nurse is reviewing the medical record of a client who has
preeclampsia prior to administering labetalol. For which of the
following findings should the nurse withhold the medication?
Answer: Heart rate 54/min
-The nurse should identify that a heart rate of 54/min is below the
expected reference range of 60 to 100/min. During pregnancy, the
heart rate increases 10 to 15/min due to increased blood volume
and increase tissue demands for oxygen. Bradycardia is a
