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A nurse is caring for a newborn who is 4 hr old.
PN MATERNAL NEWBORN 2024 Medical History
Question 1 Exhibit 1 Gravida 2 para 2
A nurse is caring for a newborn who is 4 hr old. Spontaneous vaginal birth at 41 weeks of gestation.
Nurses’ Notes Maternal history positive for syphilis in the first semester, which was treated with penicillin. No
reoccurrence during the pregnancy.
Newborn is lying in bassinet, lightly swaddled.
Client reports intermittent cannabis use during pregnancy.
Newborn is noted to be jittery with a weak cry when disturbed.
Extremities are mottled with acrocyanosis
Complete the diagram by dragging from the choices below to specify what condition the client is most
Respirations are rapid and unlabored
likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client’s progress.
Complete the diagram by dragging from the choices below to specify what condition the client is most Vital Signs
likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the
Newborn vita signs:
nurse should monitor to assess the client’s progress.
Axillary temperature 36oC (96.8oF)
Heart rate 132/min
Action 1: Obtain a
capillary blood sampleAction 2: administer penicilin IM Respiratory rate 72/min
Weight 4,366 g (9 lb to 10 oz)
Potential Condition:
Congenital Syphilis
Action 1: Collect urine sample
Action 2: Obtain a capillary blood sample
Parameter 1: Sking integrity
Potential condition: Congenital syphilis
Parameter 2: Respiratory
status Parameter to monitor 1: Respiratory
states Parameter to monitor 2: Skin
Question 1 Exhibit 3 integrity
A nurse is caring for a newborn who is 4 hr
old.
monitor to assess the client’s progress.
Question 1 Exhibit 2
Complete the diagram by dragging from the choices below to specify what condition the client is most
likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse
should
, RN ATI Maternal Newborn OB Exam 2023/2025 RN ATI Maternal Newborn OB Exam 2023/2025
with NGN || Complete Set of 70 Questions & with NGN || Complete Set of 70 Questions &
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Action 1: Obtain a capillary blood sample
Action 2: Place the newborn under a phototherapy Question 2 Exhibit 1
lamp
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old.
Potential condition: Congenital syphilis
Nurses’ Notes
Parameter to monitor: Respiratory states
Parameter to monitor: skin integrity Term newborn birthed via spontaneous vaginal delivery at 39 weeks of gestation. Apgar 9/9 at 5-minute
score. Breastfeeding 3 to 4 times per day. Newborn has voided once since birth and has not passed
meconium stool since birth.
Question 1 Exhibit 4
A nurse is caring for a newborn who is 4 hr old.
Which of the following findings should the nurse report to the provider?
Diagnostic Results
Select all that apply
Maternal Laboratory Result:
A. Sclera color
Blood type: A+ B. Head assessment finding
C. Coombs test result
Rapid plasma regain (RRR)/Venereal Disease Research Laboratories (VDRL): negative
D. Mucous membrane assessment
Urine drug screen: Positive for cannabis, negative for opiates, cocaine, amphetamines, and barbiturates. E. Heart rate
F. Intake and output
G. Glucose level
Complete the diagram by dragging from the choices below to specify what condition the client is most H. Respiratory rate
likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse
should monitor to assess the client’s progress.
Question 2 Exhibit 2
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old.
Action 1: Obtain a capillary
blood sampleAction 2: Place the newborn under a phototherapy lamp Physical Examination
Potential condition: Congenital Fontanels soft and flat
syphilis
Head molded with caput succedaneum
Parameter to monitor: Respiratory
states Paremeter to monitor: Skin integrity Eyes symmetric, no discharge, sclera yellow
Mucous membranes dry
Abdomen soft and rounded, bowel sounds present x 4 quadrants.
Which of the following findings should the nurse report to the provider?
Select all that apply
, RN ATI Maternal Newborn OB Exam 2023/2025 RN ATI Maternal Newborn OB Exam 2023/2025
with NGN || Complete Set of 70 Questions & with NGN || Complete Set of 70 Questions &
Answers ||100% Answers ||100%
A. Sclera color Which of the following findings should the nurse report to the provider?
B. Head assessment finding
Select all that apply
C. Coombs test result
D. Mucous membrane assessment A. Sclera color
E. Heart rate B. Head assessment finding
F. Intake and output C. Coombs test result
G. Glucose level D. Mucous membrane assessment
H. Respiratory rate E. Heart rate
F. Intake and output
G. Glucose level
H. Respiratory rate
Question 2 Exhibit 3
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old. Question 3 Exhibit 1
Vital Signs A nurse in the emergency department is caring for a 19-year-old client who is at 18 weeks of gestation.
Heart rate 154/min Nurses’ Notes
Respiratory rate 44/min Client presents with reports of nausea and vomiting for the past several weeks, which has worsen in
severity. Client states that they have been unable to retain even clear fluids for the past 48 hr. client
Temperature 36.9oC (98.4oF)
reports no pain. Client reports a history of migraines and asthma.
Which of the following findings should the nurse report to the provider?
Complete the diagram by dragging from the choices below to specify what condition the client is most
Select all that apply likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse
should
A. Sclera color
B. Head assessment finding monitor to assess the client’s Action to take 1: Insert a peripheral venous access device
Action to take 2: Assess fundaal height
C. Coombs test result progress.
D. Mucous membrane assessment Potential Condition: Ectopic pregnancy
E. Heart rate Parameter to Monitor 1: electrolyte values
F. Intake and output Parameter to Monitor 2: serum human chorionic gonadotropin
G. Glucose level levels
H. Respiratory rate
Question 2 Exhibit 4
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old.
Diagnostic Results
Coombs positive (negative)
Glucose 50 mg/dL (40 to 60 mg/dL)
Question 3 Exhibit 2