Science Medicine Nursing
2025 ATI RN MATERNAL NEWBORN WITH CORRECT
QUESTIONS AND ANSWERS/NEWEST UPDATE
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,Exhibit 1: Medical hx Respiratory findings is incorrect. The newborn's respiratory rate is
Newborn delivered by repeat within the expected reference range of 30 to 60/min. There is no
cesarean birth at 40 weeks of indication the newborn has an alteration in respiratory status;
gestation. Birth weight 3,515 g (7 therefore, this finding does not need to be reported to the
lb 12 oz) Apgar scores 8 at 1 min provider.
and 9 at 5 min. Maternal history Temperature is incorrect. The newborn's temperature is within the
of methadone use during expected reference range of 36.5° to 37.5° C (97.7° to 99.5° F).
pregnancy. Therefore, this finding does not need to be reported to the
Exhibit 2: VS provider.
@0700: Heart rate 156/min. Oxygen saturation is incorrect. The newborn's oxygen saturation
Respiratory rate 58/min. is within the expected reference range of greater than 94%;
Temperature 37.2° C (98.9° F) therefore, this finding does not need to be reported to the
Oxygen saturation 98% on room provider.
air Central nervous system findings is correct. The newborn is
@1100: Heart rate 160/min. displaying inconsolability, high-pitched cry, increased muscle
Respiratory rate 60/min. tone, tremors, hyperactive Moro reflex, and excessive sucking.
Temperature 37.3° C (99.2° F) These findings are manifestations of NAS and should be
Oxygen saturation 96% on room reported to the provider.
air Gastrointestinal findings is correct. The newborn is displaying
Exhibit 3: Phys Exam poor feeding and loose stools. These findings are manifestations
Newborn is inconsolable with a of NAS and should be reported to the provider.
high-pitched cry. Newborn
sucks vigorously on pacifier but
breastfeeds poorly. Respirations
unlabored. 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 (-
, Exhibit 1: RN note When generating solutions, inserting a large bore intravenous
@ 0900: Client reports a small catheter is indicated. Clients who have third trimester vaginal
amount of bright red blood in bleeding may experience a sudden hemorrhage and require
their underwear upon fluid resuscitation or the administration of blood products. The
awakening. Client denies nurse should weigh perineal pads. Weighing perineal pads after
contractions or abdominal pain. use will provide a more accurate assessment of the volume of
External fetal monitor applied. blood loss that the client is experiencing.
@0930: Client passed large
amount of bright red blood When generating solutions, the nurse should not administer
from vagina. Denies pain. methotrexate or assess for cervical dilation because it is
Uterine tone soft and nontender contraindicated for this client. Methotrexate is an antimetabolite
to palpation. Contraction and folic acid antagonist which destroys rapidly dividing cells. It
pattern: no contractions noted. can be administered during pregnancy to medically resolve an
Fetal heart rate pattern: Fetal ectopic pregnancy during the first trimester. Assessing cervical
heart rate baseline 135/min. dilation is contraindicated for any pregnant client who is
Moderate variability. No experiencing vaginal bleeding. Manipulation of the cervix during
decelerations noted. the examination may result in further damage to the placenta and
Exhibit 2: VS compromise the well-being of the client and fetus.
@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
G4P3. 30 weeks gestation.
Previous pregnancies delivered
via cesarean section
A nurse is assessing the d. Vomiting
newborn of a client who took
selective serotonin reuptake Expected manifestations associated with fetal exposure to SSRIs
inhibitor (SSRI) during include irritability, agitation, tremors, diarrhea, and vomiting.
pregnancy. Which of the These manifestations typically last 2 days.
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
2025 ATI RN MATERNAL NEWBORN WITH CORRECT
QUESTIONS AND ANSWERS/NEWEST UPDATE
Save
Students also studied
Flashcard sets Study guides
ATI Fluid, Electrolyte, and Acid-Bas... Predictor Version 2 ATI Fundamentals p
30 terms Teacher 179 terms Teacher 13 terms
kananasharleen7 Preview joe_findings Preview alex_mugoya
,Exhibit 1: Medical hx Respiratory findings is incorrect. The newborn's respiratory rate is
Newborn delivered by repeat within the expected reference range of 30 to 60/min. There is no
cesarean birth at 40 weeks of indication the newborn has an alteration in respiratory status;
gestation. Birth weight 3,515 g (7 therefore, this finding does not need to be reported to the
lb 12 oz) Apgar scores 8 at 1 min provider.
and 9 at 5 min. Maternal history Temperature is incorrect. The newborn's temperature is within the
of methadone use during expected reference range of 36.5° to 37.5° C (97.7° to 99.5° F).
pregnancy. Therefore, this finding does not need to be reported to the
Exhibit 2: VS provider.
@0700: Heart rate 156/min. Oxygen saturation is incorrect. The newborn's oxygen saturation
Respiratory rate 58/min. is within the expected reference range of greater than 94%;
Temperature 37.2° C (98.9° F) therefore, this finding does not need to be reported to the
Oxygen saturation 98% on room provider.
air Central nervous system findings is correct. The newborn is
@1100: Heart rate 160/min. displaying inconsolability, high-pitched cry, increased muscle
Respiratory rate 60/min. tone, tremors, hyperactive Moro reflex, and excessive sucking.
Temperature 37.3° C (99.2° F) These findings are manifestations of NAS and should be
Oxygen saturation 96% on room reported to the provider.
air Gastrointestinal findings is correct. The newborn is displaying
Exhibit 3: Phys Exam poor feeding and loose stools. These findings are manifestations
Newborn is inconsolable with a of NAS and should be reported to the provider.
high-pitched cry. Newborn
sucks vigorously on pacifier but
breastfeeds poorly. Respirations
unlabored. 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 (-
, Exhibit 1: RN note When generating solutions, inserting a large bore intravenous
@ 0900: Client reports a small catheter is indicated. Clients who have third trimester vaginal
amount of bright red blood in bleeding may experience a sudden hemorrhage and require
their underwear upon fluid resuscitation or the administration of blood products. The
awakening. Client denies nurse should weigh perineal pads. Weighing perineal pads after
contractions or abdominal pain. use will provide a more accurate assessment of the volume of
External fetal monitor applied. blood loss that the client is experiencing.
@0930: Client passed large
amount of bright red blood When generating solutions, the nurse should not administer
from vagina. Denies pain. methotrexate or assess for cervical dilation because it is
Uterine tone soft and nontender contraindicated for this client. Methotrexate is an antimetabolite
to palpation. Contraction and folic acid antagonist which destroys rapidly dividing cells. It
pattern: no contractions noted. can be administered during pregnancy to medically resolve an
Fetal heart rate pattern: Fetal ectopic pregnancy during the first trimester. Assessing cervical
heart rate baseline 135/min. dilation is contraindicated for any pregnant client who is
Moderate variability. No experiencing vaginal bleeding. Manipulation of the cervix during
decelerations noted. the examination may result in further damage to the placenta and
Exhibit 2: VS compromise the well-being of the client and fetus.
@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
G4P3. 30 weeks gestation.
Previous pregnancies delivered
via cesarean section
A nurse is assessing the d. Vomiting
newborn of a client who took
selective serotonin reuptake Expected manifestations associated with fetal exposure to SSRIs
inhibitor (SSRI) during include irritability, agitation, tremors, diarrhea, and vomiting.
pregnancy. Which of the These manifestations typically last 2 days.
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
