ATI MATERNAL PROCTORED EXAM (ASSESSMENT A) | COMPLETE QUESTIONS
WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED | GET A+
1. DTRs should be...: +2
2. From gestational weeks ___ to ___, the fundal height is approximately equal to the number of weeks of gestation
plus or minus ____ cm.: 18, 32; 2
3. T/F: A client must be NPO before completing a NST: False; there's no indication and hydration is encouraged
4. What position should the patient be in for a NST?: Semi-Fowler's and tilted either to the right or left.
5. T/F: Massaging the abdomen does not stimulate fetal movement: True
6. T/F: During a NST, the nurse should instruct the patient to press a button each time fetal movement is detected.:
True; it is provided; movement may not be evident on tracing or FHR monitor
7. Hypoglycemia Consistent Findings: Decreased temperature, poor feeding, respiratory distress and lethargy.
8. Hyperbilirubinemia Consistent Findings: Yellow sclera and oral mucosa, poor feeding
9. T/F: Newborn is not at an increased risk for hyperbilirubinemia if they have ecchymotic caput succadeneum: False;
the NB is at a higher risk of hyperbilirubinemia
10. Sepsis Consistent Findings: Decreased temperature, yellow sclera and oral mucosa, poor feeding,
respiratory distress & lethargy
11. Expected Newborn Respiratory Rate: 30 to 60 bpm
12. Expected Newborn Oxygen Saturation: Greater than 94%
13. Expected Newborn Temperature: 97.7 to 99.5 F
14. Manifestations of Newborn Abstinence Syndrome (NAS): Inconsolability,
, high-pitched cry, increased muscle tone, tremors (severe), hyperactive Moro reflex, excessive pacifier sucking, poor
feeding & loose stools
15. Risk Factor for Newborn Abstinence Syndrome: Maternal history of methadone use during pregnancy
16. Laboratory Findings of Newborn Abstinence Syndrome: Maternal and newborn urine toxicology screen positive
for opiates
17. T/F: Parents should begin passive ROM exercises on the newborn's affected arm after 2 weeks: False; exercises
should begin after 1 week to restore function of the extremity.
18. T/F: The nurse should assess for the grasp reflex in the newborn's affected extremity: True
19 T/F: The nurse should immobilize the affected arm (Erb's paralysis or brachial plexus injury) of the newborn
across the abdomen by pinning the newborn's sleeve to their shirt.: True; the nurse should do this intermittently.
20. T/F: Parents should limit physical handling of a newborn with a Brachial
injury or Erb's paralysis for 2 weeks.: False; this is contraindicated as it decreases bonding between the NB and parents.
21. Manifestations of Erb-Duchenne Paralysis: Absent Moro reflex in the arm (arm remains at
the side of the NB), internally rotated and abducted shoulder and arm, extended elbow, pronation of the forearm, along
with flexed wrist and fingers, & no spontaneous movement of arm.
22. T/F: Only the upper portion of the arm is affected in Erb-Duchenne paralysis: True
23. T/F: The function of the wrists and fingers are affected with Erb-Duchenne paralysis: False; the function is not
affected.
24. Manifestations of Newborn Cold Stress: Low temperature or temperature below the expected range, RR above
the expected range & hypoglycemia
25. _________ & ________ are parameters that should be monitored during cold stress in a newborn.: Blood glucose
levels and temperature
WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED | GET A+
1. DTRs should be...: +2
2. From gestational weeks ___ to ___, the fundal height is approximately equal to the number of weeks of gestation
plus or minus ____ cm.: 18, 32; 2
3. T/F: A client must be NPO before completing a NST: False; there's no indication and hydration is encouraged
4. What position should the patient be in for a NST?: Semi-Fowler's and tilted either to the right or left.
5. T/F: Massaging the abdomen does not stimulate fetal movement: True
6. T/F: During a NST, the nurse should instruct the patient to press a button each time fetal movement is detected.:
True; it is provided; movement may not be evident on tracing or FHR monitor
7. Hypoglycemia Consistent Findings: Decreased temperature, poor feeding, respiratory distress and lethargy.
8. Hyperbilirubinemia Consistent Findings: Yellow sclera and oral mucosa, poor feeding
9. T/F: Newborn is not at an increased risk for hyperbilirubinemia if they have ecchymotic caput succadeneum: False;
the NB is at a higher risk of hyperbilirubinemia
10. Sepsis Consistent Findings: Decreased temperature, yellow sclera and oral mucosa, poor feeding,
respiratory distress & lethargy
11. Expected Newborn Respiratory Rate: 30 to 60 bpm
12. Expected Newborn Oxygen Saturation: Greater than 94%
13. Expected Newborn Temperature: 97.7 to 99.5 F
14. Manifestations of Newborn Abstinence Syndrome (NAS): Inconsolability,
, high-pitched cry, increased muscle tone, tremors (severe), hyperactive Moro reflex, excessive pacifier sucking, poor
feeding & loose stools
15. Risk Factor for Newborn Abstinence Syndrome: Maternal history of methadone use during pregnancy
16. Laboratory Findings of Newborn Abstinence Syndrome: Maternal and newborn urine toxicology screen positive
for opiates
17. T/F: Parents should begin passive ROM exercises on the newborn's affected arm after 2 weeks: False; exercises
should begin after 1 week to restore function of the extremity.
18. T/F: The nurse should assess for the grasp reflex in the newborn's affected extremity: True
19 T/F: The nurse should immobilize the affected arm (Erb's paralysis or brachial plexus injury) of the newborn
across the abdomen by pinning the newborn's sleeve to their shirt.: True; the nurse should do this intermittently.
20. T/F: Parents should limit physical handling of a newborn with a Brachial
injury or Erb's paralysis for 2 weeks.: False; this is contraindicated as it decreases bonding between the NB and parents.
21. Manifestations of Erb-Duchenne Paralysis: Absent Moro reflex in the arm (arm remains at
the side of the NB), internally rotated and abducted shoulder and arm, extended elbow, pronation of the forearm, along
with flexed wrist and fingers, & no spontaneous movement of arm.
22. T/F: Only the upper portion of the arm is affected in Erb-Duchenne paralysis: True
23. T/F: The function of the wrists and fingers are affected with Erb-Duchenne paralysis: False; the function is not
affected.
24. Manifestations of Newborn Cold Stress: Low temperature or temperature below the expected range, RR above
the expected range & hypoglycemia
25. _________ & ________ are parameters that should be monitored during cold stress in a newborn.: Blood glucose
levels and temperature
