MN 580 final EXAM ACTUAL EXAM
ATI OBSTETRICS MN 580/MN 580 PEDIATRICS
MATERNAL Midterm/FINAL EXAM ACTUAL
EXAM NEWEST 2025/2026 COMPLETE TEST-
BANK Verified Questions and Answers with
Detailed Rationales Graded A+ Guaranteed
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A macrosomic infant is born after a difficult forceps-assisted delivery. After stabilization the
infant is weighed, and the birth weight is 4550 g (9 pounds, 6 ounces). The nurse's most
appropriate action is to:
a. Leave the infant in the room with the mother.
b. Take the infant immediately to the nursery.
c. Perform a gestational age assessment to determine whether the infant is large for
gestational age.
d. Monitor blood glucose levels frequently and observe closely for signs of hypoglycemia. -
Answer ✓✓ANS: D
This infant is macrosomic (over 4000 g) and is at high risk for hypoglycemia. Blood glucose
levels should be monitored frequently, and the infant should be observed closely for signs of
hypoglycemia. Observation may occur in the nursery or in the mother's room, depending on
the condition of the fetus. Regardless of gestational age, this infant is macrosomic
A+ TEST BANK 1
, MN 580 final EXAM ACTUAL EXAM
Infants of mothers with diabetes are at higher risk for developing:
a. Anemia. c. Respiratory distress syndrome.
b. Hyponatremia. d. Sepsis. - Answer ✓✓ANS: C
IDMs are at risk for macrosomia, birth trauma, perinatal asphyxia, respiratory distress
syndrome, hypoglycemia, hypocalcemia, hypomagnesemia, cardiomyopathy,
hyperbilirubinemia, and polycythemia. They are not at risk for anemia, hyponatremia, or
sepsis.
An infant was born 2 hours ago at 37 weeks of gestation, weighing 4.1 kg. The infant appears
chubby with a flushed complexion and is very tremulous. The tremors are most likely the
result of:
a. Birth injury. c. Hypoglycemia.
b. Hypocalcemia. d. Seizures. - Answer ✓✓ANS: C
Hypoglycemia is common in the macrosomic infant. Signs of hypoglycemia include jitteriness,
apnea, tachypnea, and cyanosis.
An infant at 36 weeks of gestation has increasing respirations (80 to 100 breaths/min with
marked substernal retractions). The infant is given oxygen by continuous nasal positive airway
pressure. Which arterial oxygen level would indicate hypoxia?
a. PaO2 of 67 c. PaO2 of 45
b. PaO2 of 89 d. PaO2 of 73 - Answer ✓✓ANS: C
A PaO2 of 45 is below the normal range for a normal neonate. The normal range for arterial
oxygen pressure is 60 to 70 mm Hg. The laboratory value of PaO2 of 45 indicates hypoxia in
this infant
On day 3 of life, a newborn continues to require 100% oxygen by nasal cannula. The parents
ask if they can hold their infant during his next gavage feeding. Given that this newborn is
physiologically stable, what response would the nurse give?
a. "Parents are not allowed to hold infants who depend on oxygen."
A+ TEST BANK 2
, MN 580 final EXAM ACTUAL EXAM
b. "You may only hold your baby's hand during the feeding."
c. "Feedings cause more physiologic stress, so the baby must be closely monitored. Therefore,
I don't think you should hold the baby."
d. "You may hold your baby during the feeding." - Answer ✓✓ANS: D
"You may hold your baby during the feeding" is an accurate statement. Parental interaction
via holding is encouraged during gavage feedings so that the infant will associate the feeding
with positive interactions. Nasal cannula oxygen therapy allows for easier feedings and
psychosocial interactions. The parent can swaddle the infant during gavage feedings to help
the infant associate the feeding with positive interactions. Some parents like to do kangaroo
care while gavage feeding their infant. Swaddling or kangaroo care during feedings provides
positive interactions for the infant.
A premature infant with respiratory distress syndrome receives artificial surfactant. How
would the nurse explain surfactant therapy to the parents?
a. "Surfactant improves the ability of your baby's lungs to exchange oxygen and carbon
dioxide."
b. "The drug keeps your baby from requiring too much sedation."
c. "Surfactant is used to reduce episodes of periodic apnea."
d. "Your baby needs this medication to fight a possible respiratory tract infection." - Answer
✓✓ANS: A
Surfactant can be administered as an adjunct to oxygen and ventilation therapy. With
administration of artificial surfactant, respiratory compliance is improved until the infant can
generate enough surfactant on his or her own. Surfactant has no bearing on the sedation
needs of the infant. Surfactant is used to improve respiratory compliance, including the
exchange of oxygen and carbon dioxide. The goal of surfactant therapy in an infant with
respiratory distress syndrome (RDS) is to stimulate production of surfactant in the type 2 cells
of the alveoli. The clinical presentation of RDS and neonatal pneumonia may be similar. The
infant may be started on broad-spectrum antibiotics to treat infection.
When providing an infant with a gavage feeding, which of the following should be
documented each time?
A+ TEST BANK 3
, MN 580 final EXAM ACTUAL EXAM
a. The infant's abdominal circumference after the feeding
b. The infant's heart rate and respirations
c. The infant's suck and swallow coordination
d. The infant's response to the feeding - Answer ✓✓ANS: D
Documentation of a gavage feeding should include the size of the feeding tube, the amount
and quality of the residual from the previous feeding, the type and quantity of the fluid
instilled, and the infant's response to the procedure. Abdominal circumference is not
measured after a gavage feeding. Vital signs may be obtained before feeding. However, the
infant's response to the feeding is more important. Some older infants may be learning to
suck, but the important factor to document would be the infant's response to the feeding
(including attempts to suck
An infant is to receive gastrostomy feedings. What intervention should the nurse institute to
prevent bloating, gastrointestinal reflux into the esophagus, vomiting, and respiratory
compromise?
a. Rapid bolusing of the entire amount in 15 minutes
b. Warm cloths to the abdomen for the first 10 minutes
c. Slow, small, warm bolus feedings over 30 minutes
d. Cold, medium bolus feedings over 20 minutes - Answer ✓✓ANS: C
Feedings by gravity are done slowly over 20- to 30-minute periods to prevent adverse
reactions. Rapid bolusing of the entire amount in 15 minutes would most likely lead to the
adverse reactions listed. Temperature stability in the newborn is critical. This type of warming
would not be appropriate because it is not a thermoregulated environment. Additionally,
abdominal warming is not indicated with feedings of any kind. Small feedings at room
temperature are recommended to prevent adverse reactions.
An infant at 26 weeks of gestation arrives from the delivery room intubated. The nurse weighs
the infant, places him under the radiant warmer, and attaches him to the ventilator at the
prescribed settings. A pulse oximeter and cardiorespiratory monitor are placed. The pulse
A+ TEST BANK 4
ATI OBSTETRICS MN 580/MN 580 PEDIATRICS
MATERNAL Midterm/FINAL EXAM ACTUAL
EXAM NEWEST 2025/2026 COMPLETE TEST-
BANK Verified Questions and Answers with
Detailed Rationales Graded A+ Guaranteed
Pass -Ace your Exam
Pdf Download
A macrosomic infant is born after a difficult forceps-assisted delivery. After stabilization the
infant is weighed, and the birth weight is 4550 g (9 pounds, 6 ounces). The nurse's most
appropriate action is to:
a. Leave the infant in the room with the mother.
b. Take the infant immediately to the nursery.
c. Perform a gestational age assessment to determine whether the infant is large for
gestational age.
d. Monitor blood glucose levels frequently and observe closely for signs of hypoglycemia. -
Answer ✓✓ANS: D
This infant is macrosomic (over 4000 g) and is at high risk for hypoglycemia. Blood glucose
levels should be monitored frequently, and the infant should be observed closely for signs of
hypoglycemia. Observation may occur in the nursery or in the mother's room, depending on
the condition of the fetus. Regardless of gestational age, this infant is macrosomic
A+ TEST BANK 1
, MN 580 final EXAM ACTUAL EXAM
Infants of mothers with diabetes are at higher risk for developing:
a. Anemia. c. Respiratory distress syndrome.
b. Hyponatremia. d. Sepsis. - Answer ✓✓ANS: C
IDMs are at risk for macrosomia, birth trauma, perinatal asphyxia, respiratory distress
syndrome, hypoglycemia, hypocalcemia, hypomagnesemia, cardiomyopathy,
hyperbilirubinemia, and polycythemia. They are not at risk for anemia, hyponatremia, or
sepsis.
An infant was born 2 hours ago at 37 weeks of gestation, weighing 4.1 kg. The infant appears
chubby with a flushed complexion and is very tremulous. The tremors are most likely the
result of:
a. Birth injury. c. Hypoglycemia.
b. Hypocalcemia. d. Seizures. - Answer ✓✓ANS: C
Hypoglycemia is common in the macrosomic infant. Signs of hypoglycemia include jitteriness,
apnea, tachypnea, and cyanosis.
An infant at 36 weeks of gestation has increasing respirations (80 to 100 breaths/min with
marked substernal retractions). The infant is given oxygen by continuous nasal positive airway
pressure. Which arterial oxygen level would indicate hypoxia?
a. PaO2 of 67 c. PaO2 of 45
b. PaO2 of 89 d. PaO2 of 73 - Answer ✓✓ANS: C
A PaO2 of 45 is below the normal range for a normal neonate. The normal range for arterial
oxygen pressure is 60 to 70 mm Hg. The laboratory value of PaO2 of 45 indicates hypoxia in
this infant
On day 3 of life, a newborn continues to require 100% oxygen by nasal cannula. The parents
ask if they can hold their infant during his next gavage feeding. Given that this newborn is
physiologically stable, what response would the nurse give?
a. "Parents are not allowed to hold infants who depend on oxygen."
A+ TEST BANK 2
, MN 580 final EXAM ACTUAL EXAM
b. "You may only hold your baby's hand during the feeding."
c. "Feedings cause more physiologic stress, so the baby must be closely monitored. Therefore,
I don't think you should hold the baby."
d. "You may hold your baby during the feeding." - Answer ✓✓ANS: D
"You may hold your baby during the feeding" is an accurate statement. Parental interaction
via holding is encouraged during gavage feedings so that the infant will associate the feeding
with positive interactions. Nasal cannula oxygen therapy allows for easier feedings and
psychosocial interactions. The parent can swaddle the infant during gavage feedings to help
the infant associate the feeding with positive interactions. Some parents like to do kangaroo
care while gavage feeding their infant. Swaddling or kangaroo care during feedings provides
positive interactions for the infant.
A premature infant with respiratory distress syndrome receives artificial surfactant. How
would the nurse explain surfactant therapy to the parents?
a. "Surfactant improves the ability of your baby's lungs to exchange oxygen and carbon
dioxide."
b. "The drug keeps your baby from requiring too much sedation."
c. "Surfactant is used to reduce episodes of periodic apnea."
d. "Your baby needs this medication to fight a possible respiratory tract infection." - Answer
✓✓ANS: A
Surfactant can be administered as an adjunct to oxygen and ventilation therapy. With
administration of artificial surfactant, respiratory compliance is improved until the infant can
generate enough surfactant on his or her own. Surfactant has no bearing on the sedation
needs of the infant. Surfactant is used to improve respiratory compliance, including the
exchange of oxygen and carbon dioxide. The goal of surfactant therapy in an infant with
respiratory distress syndrome (RDS) is to stimulate production of surfactant in the type 2 cells
of the alveoli. The clinical presentation of RDS and neonatal pneumonia may be similar. The
infant may be started on broad-spectrum antibiotics to treat infection.
When providing an infant with a gavage feeding, which of the following should be
documented each time?
A+ TEST BANK 3
, MN 580 final EXAM ACTUAL EXAM
a. The infant's abdominal circumference after the feeding
b. The infant's heart rate and respirations
c. The infant's suck and swallow coordination
d. The infant's response to the feeding - Answer ✓✓ANS: D
Documentation of a gavage feeding should include the size of the feeding tube, the amount
and quality of the residual from the previous feeding, the type and quantity of the fluid
instilled, and the infant's response to the procedure. Abdominal circumference is not
measured after a gavage feeding. Vital signs may be obtained before feeding. However, the
infant's response to the feeding is more important. Some older infants may be learning to
suck, but the important factor to document would be the infant's response to the feeding
(including attempts to suck
An infant is to receive gastrostomy feedings. What intervention should the nurse institute to
prevent bloating, gastrointestinal reflux into the esophagus, vomiting, and respiratory
compromise?
a. Rapid bolusing of the entire amount in 15 minutes
b. Warm cloths to the abdomen for the first 10 minutes
c. Slow, small, warm bolus feedings over 30 minutes
d. Cold, medium bolus feedings over 20 minutes - Answer ✓✓ANS: C
Feedings by gravity are done slowly over 20- to 30-minute periods to prevent adverse
reactions. Rapid bolusing of the entire amount in 15 minutes would most likely lead to the
adverse reactions listed. Temperature stability in the newborn is critical. This type of warming
would not be appropriate because it is not a thermoregulated environment. Additionally,
abdominal warming is not indicated with feedings of any kind. Small feedings at room
temperature are recommended to prevent adverse reactions.
An infant at 26 weeks of gestation arrives from the delivery room intubated. The nurse weighs
the infant, places him under the radiant warmer, and attaches him to the ventilator at the
prescribed settings. A pulse oximeter and cardiorespiratory monitor are placed. The pulse
A+ TEST BANK 4
