ATI Maternal Newborn Proctored Exam Study Guide - Questions & Answers

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ATI MATERNAL NEWBORN PROCTORED
EXAM: STUDY SET 2 QUESTIONS AND
ANSWERS

A baby with neonatal abstinence syndrome may have a wide
range of symtoms including CNS, metabolic, vasomotor,
respiratory, and GI. These include:
(list 3 or more for each) - correct answer- CNS:
-increased wakefulness
-high-pitched cry, incessant crying
-irritability
-tremors
-hyperactive w/increased Moro reflex
-increased DTRs
-increased muscle tone
-abrasions and/or excoriations on the face & knees
-convulsions


Metabolic, Vasomotor, Respiratory:
-nasal congestion w/flaring
-frequent yawning
-skin mottling
-tachypnea >60/min
-sweating
-temp >than 37.2 C (99 F)

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GI:
-poor feeding
-regurgitation (projectile vomiting)
-diarrhea
-excessive uncoordinated constant sucking




Hypoglycemia in the newborn findings: - correct answer- -poor
feeding
-jitteriness/tremors
-hypothermia
-diaphoresis
-weak shrill cry
-lethargy
-flaccid muscle tone
-seizures/coma
-irregular respirations
-cyanosis
-apnea




normal newborn blood glucose=
normal infant (up to 2 yrs) blood glucose= - correct answer- 40-
80 mg/dl

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50-80 mg/dl




newborn dehydration s/s: - correct answer- -urine output less
than 1 mL/kg/hr
-urine specific gravity more than 1.015
-weight loss
-dry mucous membranes
-absent skin turgor
-depressed/sunken fontanels




postterm infant s/s: - correct answer- -wasted appearance, thin
w/loose skin
-peeling, cracked, dry skin, also leathery
-long, thin body
-meconium staining of fingernails and umbilical cord
-long hair and nails
-may be more alert
-hypoglycemic
-macrosomic
-cold stress