ATI RN Maternal Newborn A REAL EXAM COMPLETE QUESTIONS
WITH 100% RATED CORRECT ANSWERS 2025 LATEST UPDATED
100% (ACCURATE ) GET A+!!
Exhibit 1: Medical hx
Newborn delivered by repeat cesarean birth at 40 weeks of gestation. Birth weight 3,515 g (7 lb
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 心的坚强决定了我们的命运。当
我们面对挫折时，是一颗不屈的
Newborn is inconsolable with a high-pitched cry. Newborn sucks vigorously on pacifier but
breastfeeds poorly. Respirations unlabored.
心让我们勇敢前行 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 (- - (answers)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.
Exhibit 1: RN note
@ 0900: Client reports a small amount of bright red blood in their underwear upon awakening.
Client denies contractions or abdominal pain. External fetal monitor applied.
@0930: Client passed large amount of bright red blood from vagina. Denies pain. Uterine tone
soft and nontender to palpation. Contraction pattern: no contractions noted. Fetal heart rate
pattern: Fetal heart rate baseline 135/min. Moderate variability. No decelerations noted.
Exhibit 2: VS
@0900: Temperature 36.2°C (97.2° F)Pulse rate 78/min. Respiratory rate 20/min. Blood pressure
112/64 mmHg. Fetal heart rate 132/min
@0930: Pulse rate 82/min. Blood pressure 116/60 mmHg. Fetal heart rate 160/min
Exhibit 3: Medical hx
心的坚强决定了我们的命运。当
G4P3. 30 weeks gestation. Previous pregnancies delivered via cesarean section - (answers)When
我们面对挫折时，是一颗不屈的
generating solutions, inserting a large bore intravenous catheter is indicated. Clients who have
third trimester vaginal bleeding may experience a sudden hemorrhage and require fluid
心让我们勇敢前行
resuscitation or the administration of blood products. The nurse should weigh perineal pads.
Weighing perineal pads after use will provide a more accurate assessment of the volume of blood
loss that the client is experiencing.
When generating solutions, the nurse should not administer methotrexate or assess for cervical
dilation because it is contraindicated for this client. Methotrexate is an antimetabolite and folic
acid antagonist which destroys rapidly dividing cells. It can be administered during pregnancy to
medically resolve an ectopic pregnancy during the first trimester. Assessing cervical dilation is
contraindicated for any pregnant client who is experiencing vaginal bleeding. Manipulation of
the cervix during the examination may result in further damage to the placenta and compromise
the well-being of the client and fetus.
A nurse is assessing the newborn of a client who took selective serotonin reuptake inhibitor
(SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an
indication of withdrawal from an SSRI?
a. Large for gestational age
, b. Hyperglycemia
c. Bradypnea
d. Vomiting - (answers)d. Vomiting
Expected manifestations associated with fetal exposure to SSRIs include irritability, agitation,
tremors, diarrhea, and vomiting. These manifestations typically last 2 days.
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive.
Which of the following findings in the client's history should the nurse recognize as a
contraindication to oral contraceptives? (Select all that apply)
a. Cholecystitis
b. Hypertension
c. Human papillomavirus
d. Migraine headaches 心的坚强决定了我们的命运。当
我们面对挫折时，是一颗不屈的
e. Anxiety disorder - (answers)Cholecystitis, hypertension, and migraine headaches is correct. A
history of gallbladder disease is a 心让我们勇敢前行
contraindication for the use of oral contraceptives.
Hypertension is a contraindication for the use of oral contraceptives. A history of migraine
headaches is a contraindication for the use of oral contraceptives.
HPV and anxiety disorder is incorrect. The presence of human papillomavirus is not a
contraindication for the use of oral contraceptives. The presence of an anxiety disorder is not a
contraindication for the use of oral contraceptives.
A nurse is caring for a newborn.
Exhibit 1: Medical hx
@1600: Apgar score 9 at 1 min and 9 at 5 min. Birth weight 4,706g (10lb 6oz). Gestational age
40 weeks. Difficult vaginal birth with shoulder dystocia.
Exhibit 2: RN note
WITH 100% RATED CORRECT ANSWERS 2025 LATEST UPDATED
100% (ACCURATE ) GET A+!!
Exhibit 1: Medical hx
Newborn delivered by repeat cesarean birth at 40 weeks of gestation. Birth weight 3,515 g (7 lb
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 心的坚强决定了我们的命运。当
我们面对挫折时，是一颗不屈的
Newborn is inconsolable with a high-pitched cry. Newborn sucks vigorously on pacifier but
breastfeeds poorly. Respirations unlabored.
心让我们勇敢前行 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 (- - (answers)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.
Exhibit 1: RN note
@ 0900: Client reports a small amount of bright red blood in their underwear upon awakening.
Client denies contractions or abdominal pain. External fetal monitor applied.
@0930: Client passed large amount of bright red blood from vagina. Denies pain. Uterine tone
soft and nontender to palpation. Contraction pattern: no contractions noted. Fetal heart rate
pattern: Fetal heart rate baseline 135/min. Moderate variability. No decelerations noted.
Exhibit 2: VS
@0900: Temperature 36.2°C (97.2° F)Pulse rate 78/min. Respiratory rate 20/min. Blood pressure
112/64 mmHg. Fetal heart rate 132/min
@0930: Pulse rate 82/min. Blood pressure 116/60 mmHg. Fetal heart rate 160/min
Exhibit 3: Medical hx
心的坚强决定了我们的命运。当
G4P3. 30 weeks gestation. Previous pregnancies delivered via cesarean section - (answers)When
我们面对挫折时，是一颗不屈的
generating solutions, inserting a large bore intravenous catheter is indicated. Clients who have
third trimester vaginal bleeding may experience a sudden hemorrhage and require fluid
心让我们勇敢前行
resuscitation or the administration of blood products. The nurse should weigh perineal pads.
Weighing perineal pads after use will provide a more accurate assessment of the volume of blood
loss that the client is experiencing.
When generating solutions, the nurse should not administer methotrexate or assess for cervical
dilation because it is contraindicated for this client. Methotrexate is an antimetabolite and folic
acid antagonist which destroys rapidly dividing cells. It can be administered during pregnancy to
medically resolve an ectopic pregnancy during the first trimester. Assessing cervical dilation is
contraindicated for any pregnant client who is experiencing vaginal bleeding. Manipulation of
the cervix during the examination may result in further damage to the placenta and compromise
the well-being of the client and fetus.
A nurse is assessing the newborn of a client who took selective serotonin reuptake inhibitor
(SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an
indication of withdrawal from an SSRI?
a. Large for gestational age
, b. Hyperglycemia
c. Bradypnea
d. Vomiting - (answers)d. Vomiting
Expected manifestations associated with fetal exposure to SSRIs include irritability, agitation,
tremors, diarrhea, and vomiting. These manifestations typically last 2 days.
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive.
Which of the following findings in the client's history should the nurse recognize as a
contraindication to oral contraceptives? (Select all that apply)
a. Cholecystitis
b. Hypertension
c. Human papillomavirus
d. Migraine headaches 心的坚强决定了我们的命运。当
我们面对挫折时，是一颗不屈的
e. Anxiety disorder - (answers)Cholecystitis, hypertension, and migraine headaches is correct. A
history of gallbladder disease is a 心让我们勇敢前行
contraindication for the use of oral contraceptives.
Hypertension is a contraindication for the use of oral contraceptives. A history of migraine
headaches is a contraindication for the use of oral contraceptives.
HPV and anxiety disorder is incorrect. The presence of human papillomavirus is not a
contraindication for the use of oral contraceptives. The presence of an anxiety disorder is not a
contraindication for the use of oral contraceptives.
A nurse is caring for a newborn.
Exhibit 1: Medical hx
@1600: Apgar score 9 at 1 min and 9 at 5 min. Birth weight 4,706g (10lb 6oz). Gestational age
40 weeks. Difficult vaginal birth with shoulder dystocia.
Exhibit 2: RN note
